Black Benjamin O, Caluwaerts Séverine, Achar Jay
Médecins Sans Frontières, London, UK.
Médecins Sans Frontières, Brussels, Belgium.
Obstet Med. 2015 Sep;8(3):108-113. doi: 10.1177/1753495X15597354.
Ebola viral disease's interaction with pregnancy is poorly understood and remains a particular challenge for medical and para-medical personnel responding to an outbreak. This review article is written with the benefit of hindsight and experience from the largest recorded Ebola outbreak in history. We have provided a broad overview of the issues that arise for pregnant women and for the professionals treating them during an Ebola outbreak. The discussion focuses on the specifics of Ebola infection in pregnancy and possible management strategies, including the delivery of an infected woman. We have also discussed the wider challenges posed to pregnant women and their carers during an epidemic, including the identification of suspected Ebola-infected pregnant women and the impact of the disease on pre-existing health services. This paper outlines current practices in the field, as well as highlighting the gaps in our knowledge and the paramount need to protect the health-care workers directly involved in the management of pregnant women.
埃博拉病毒病与妊娠之间的相互作用尚不清楚,对于应对疫情的医疗和准医疗人员来说,这仍然是一项特殊挑战。这篇综述文章是基于对历史上有记录的最大规模埃博拉疫情的事后观察和经验撰写而成。我们对埃博拉疫情期间孕妇及治疗她们的专业人员所面临的问题进行了广泛概述。讨论聚焦于孕期埃博拉感染的具体情况以及可能的管理策略,包括感染女性的分娩。我们还讨论了疫情期间给孕妇及其护理人员带来的更广泛挑战,包括疑似感染埃博拉病毒的孕妇的识别以及该疾病对现有医疗服务的影响。本文概述了该领域的当前做法,同时突出了我们知识上的空白以及保护直接参与孕妇管理的医护人员的迫切需求。