ProCite
RefWorks
Reference Manager
BibTeX
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EndNote
-
1.
Ksiazek TG, West CP, Rollin PE, Jahrling PB, Peters CJ, 1999. ELISA for the detection of antibodies to Ebola viruses. J Infect Dis 179 (Suppl 1): S192–S198.
-
2.
Mupapa K, Mukundu W, Bwaka MA, Kipasa M, De Roo A, Kuvula K, Kibadi K, Massamba M, Ndaberey D, Colebunders R, Muyembe-Tamfum JJ, 1999. Ebola hemorrhagic fever and pregnancy. J Infect Dis 179 (Suppl 1): S11–S12.
-
3.
Baggi FM, Taybi A, Kurth A, Van Herp M, Di Caro A, Wolfel R, Gunther S, Decroo T, Declerck H, Jonckheere S, 2014. Management of pregnant women infected with Ebola virus in a treatment center in Guinea, June 2014. Euro Surveill 19: 20983.
-
4.
Oduyebo T, Pineda D, Lamin M, Leung A, Corbett C, Jamieson DJ, 2015. A pregnant patient with Ebola virus disease. Obstet Gynecol 1–3.
-
5.
Sierra Leone Ministry of Health and Sanitation, World Health Organization, 2014. Clinical Management of Patients in the Ebola Treatment Centers and Other Care Centers in Sierra Leone: A Pocket Guide (Interim Emergency Guidelines). Freetown, Sierra Leone: Ministry of Health and Sanitation.
-
6.
Caluwaerts S, Lagrou D, 2014. Guidance Paper—Pregnant Women in Ebola Treatment Center—MSF-OCB 2014—v1.4. Available at: https://www.rcog.org.uk/globalassets/documents/news/etc-preg-guidance-paper.pdf. Accessed March 10, 2015.
-
7.
Akerlund E, Prescott J, Tampellini L, 2015. Shedding of Ebola virus in an asymptomatic pregnant woman. N Engl J Med 372: 2467–2469.
| Past two years | Past Year | Past 30 Days | |
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Delivery of an Ebola Virus-Positive Stillborn Infant in a Rural Community Health Center, Sierra Leone, 2015
Hilary Bower
Hilary Bower
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Julian E. Grass
Julian E. Grass
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Emily Veltus
Emily Veltus
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Aaron Brault
Aaron Brault
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Shelley Campbell
Shelley Campbell
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Alison Jane Basile
Alison Jane Basile
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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David Wang
David Wang
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Christopher D. Paddock
Christopher D. Paddock
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Bobbie R. Erickson
Bobbie R. Erickson
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Johanna S. Salzer
Johanna S. Salzer
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Jessica Belser
Jessica Belser
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Eunice Chege
Eunice Chege
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Dean Seneca
Dean Seneca
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Gbessay Saffa
Gbessay Saffa
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Ute Stroeher
Ute Stroeher
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Tom Decroo
Tom Decroo
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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Grazia M. Caleo
Grazia M. Caleo
MSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom
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We report the case of an Ebola virus (EBOV) RNA–negative pregnant woman who delivered an EBOV RNA–positive stillborn infant at a community health center in rural Sierra Leone, 1 month after the mother's last possible exposure. The mother was later found to be immunoglobulins M and G positive indicating previous infection. The apparent absence of Ebola symptoms and not recognizing that the woman had previous contact with an Ebola patient led health workers performing the delivery to wear only minimal personal protection, potentially exposing them to a high risk of EBOV infection. This case emphasizes the importance of screening for epidemiological risk factors as well as classic and atypical symptoms of Ebola when caring for pregnant women, even once they have passed the typical time frame for exposure and incubation expected in nonpregnant adults. It also illustrates the need for health-care workers to use appropriate personal protection equipment when caring for pregnant women in an Ebola setting.
Author Notes
Authors' addresses: Hilary Bower and Emily Veltus, Médecins Sans Frontières, Operational Centre Amsterdam, MSF Ebola Management Centre Project, Bo, Sierra Leone, E-mails: [email protected] and [email protected]. Julian E. Grass, Shelley Campbell, David Wang, Christopher D. Paddock, Bobbie R. Erickson, Johanna S. Salzer, Jessica Belser, Dean Seneca, and Ute Stroeher, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: [email protected], [email protected], [email protected], [email protected], [email protected], [email protected], [email protected], [email protected], and [email protected]. Aaron Brault and Alison Jane Basile, Centers for Disease Control and Prevention, Fort Collins, CO, E-mails: [email protected] and [email protected]. Eunice Chege, World Health Organization, Bo, Sierra Leone, E-mail: [email protected]. Gbessay Saffa, Sierra Leone Ministry of Health and Sanitation, District Health Management Team Surveillance Unit, Bo, Sierra Leone, E-mail: [email protected]. Tom Decroo, Médecins Sans Frontières, Operational Centre Brussels, Luxembourg Operational Research Unit, Brussels, Belgium, E-mail: [email protected]. Grazia M. Caleo, Médecins Sans Frontières, Operational Centre Amsterdam, Manson's Unit, London, United Kingdom, E-mail: [email protected].
ProCite
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EndNote
-
1.
Ksiazek TG, West CP, Rollin PE, Jahrling PB, Peters CJ, 1999. ELISA for the detection of antibodies to Ebola viruses. J Infect Dis 179 (Suppl 1): S192–S198.
-
2.
Mupapa K, Mukundu W, Bwaka MA, Kipasa M, De Roo A, Kuvula K, Kibadi K, Massamba M, Ndaberey D, Colebunders R, Muyembe-Tamfum JJ, 1999. Ebola hemorrhagic fever and pregnancy. J Infect Dis 179 (Suppl 1): S11–S12.
-
3.
Baggi FM, Taybi A, Kurth A, Van Herp M, Di Caro A, Wolfel R, Gunther S, Decroo T, Declerck H, Jonckheere S, 2014. Management of pregnant women infected with Ebola virus in a treatment center in Guinea, June 2014. Euro Surveill 19: 20983.
-
4.
Oduyebo T, Pineda D, Lamin M, Leung A, Corbett C, Jamieson DJ, 2015. A pregnant patient with Ebola virus disease. Obstet Gynecol 1–3.
-
5.
Sierra Leone Ministry of Health and Sanitation, World Health Organization, 2014. Clinical Management of Patients in the Ebola Treatment Centers and Other Care Centers in Sierra Leone: A Pocket Guide (Interim Emergency Guidelines). Freetown, Sierra Leone: Ministry of Health and Sanitation.
-
6.
Caluwaerts S, Lagrou D, 2014. Guidance Paper—Pregnant Women in Ebola Treatment Center—MSF-OCB 2014—v1.4. Available at: https://www.rcog.org.uk/globalassets/documents/news/etc-preg-guidance-paper.pdf. Accessed March 10, 2015.
-
7.
Akerlund E, Prescott J, Tampellini L, 2015. Shedding of Ebola virus in an asymptomatic pregnant woman. N Engl J Med 372: 2467–2469.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 418 | 309 | 46 |
| Full Text Views | 508 | 11 | 0 |
| PDF Downloads | 149 | 10 | 0 |