Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Infant Outcomes in Women with Zika During Pregnancy

Am J Obstet Gynecol; ePub 2017 Jan 30; Adhikari, et al

A small percentage of women were at risk from reported travel to Zika virus-affected areas, with those traveling from heavily affected areas most at risk for infection, a recent study found. These results were from a large prenatal Zika screening program at a single center health care system from March 14 through October 1, 2016, that included 14,161 pregnant women (predominantly Hispanic) screened for travel to a Zika-affected country. Researchers found:

  • 610 (4.3%) women reported travel; test results were available in 547.
  • Evidence of possible Zika virus infection was found in 29 (5.3%) women.
  • 4% were at risk from reported travel with only 2 in 1,000 infected.
  • There was no significant difference in obstetric or neonatal morbidities among women with or without evidence of possible Zika virus infection.
  • Similarly, there was no difference in mean head circumference of infants born to women with positive vs negative Zika virus testing.

Citation:

Adhikari EH, Nelson DB, Johnson KA, et al. Infant outcomes among women with Zika virus infection during pregnancy: Results of a large prenatal Zika screening program. [Published online ahead of print January 30, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.01.018.

This Week's Must Reads

ACOG Offers Guidance on Management of GDM, Obstet Gynecol; ePub 2018 Feb; ACOG, Turrentine

Effect of Hormone Therapy on Incident Hypertension , Menopause; ePub 2018 Jan 29; Swica, et al

Interest in OTC Access to Progestin-Only Pills, Women’s Health Issues; ePub 2018 Jan 29; Grindlay, et al

Missed Breast Cancers in High Risk MRI Screening, Breast Cancer Res Treat; ePub 2018 Jan 31; Vreemann, et al

ACOG Recommendations: Fatigue and Patient Safety, Obstet Gynecol; ePub 2018 Feb; ACOG, Gregg

Must Reads in Zika

Assessment of Fetuses & Infants Infected with Zika, Am J Obstet Gynecol; ePub 2018 Jan 15; Cortes, et al

Updated Zika Guidance for Pregnant Women, MMWR; ePub 2017 Jul 24; Oduyebo, et al

Evaluating Zika Virus Risk in Pregnancy, Obstet Gynecol; ePub 2017 May 5; Rao, Gaw, et al

Infant Outcomes in Women with Zika During Pregnancy, Am J Obstet Gynecol; ePub 2017 Jan 30; Adhikari, et al

Birth Defects and US Women with Zika Virus , JAMA; ePub 2016 Dec 15; Honein, Dawson, et al