title: Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure - United States, 2016.
abstract: CDC has updated its interim guidelines for U.S. health care providers caring for pregnant women during a Zika virus outbreak (1). Updated guidelines include a new recommendation to offer serologic testing to asymptomatic pregnant women (women who do not report clinical illness consistent with Zika virus disease) who have traveled to areas with ongoing Zika virus transmission. Testing can be offered 2-12 weeks after pregnant women return from travel. This update also expands guidance to women who reside in areas with ongoing Zika virus transmission, and includes recommendations for screening, testing, and management of pregnant women and recommendations for counseling women of reproductive age (15-44 years). Pregnant women who reside in areas with ongoing Zika virus transmission have an ongoing risk for infection throughout their pregnancy. For pregnant women with clinical illness consistent with Zika virus disease,* testing is recommended during the first week of illness. For asymptomatic pregnant women residing in areas with ongoing Zika virus transmission, testing is recommended at the initiation of prenatal care with follow-up testing mid-second trimester. Local health officials should determine when to implement testing of asymptomatic pregnant women based on information about levels of Zika virus transmission and laboratory capacity. Health care providers should discuss reproductive life plans, including pregnancy intention and timing, with women of reproductive age in the context of the potential risks associated with Zika virus infection.
authors: Titilope
authors: T
authors: Oduyebo
authors: Emily E
authors: EE
authors: Petersen
authors: Sonja A
authors: SA
authors: Rasmussen
authors: Paul S
authors: PS
authors: Mead
authors: Dana
authors: D
authors: Meaney-Delman
authors: Christina M
authors: CM
authors: Renquist
authors: Sascha R
authors: SR
authors: Ellington
authors: Marc
authors: M
authors: Fischer
authors: J Erin
authors: JE
authors: Staples
authors: Ann M
authors: AM
authors: Powers
authors: Julie
authors: J
authors: Villanueva
authors: Romeo R
authors: RR
authors: Galang
authors: Ada
authors: A
authors: Dieke
authors: Jorge L
authors: JL
authors: Muñoz
authors: Margaret A
authors: MA
authors: Honein
authors: Denise J
authors: DJ
authors: Jamieson
mesh_terms: D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D003955:Diagnostic Tests, Routine / Q000592:standards; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D006282:Health Personnel; D006801:Humans; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D012111:Residence Characteristics / Q000706:statistics & numerical data; D014195:Travel / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D055815:Young Adult; D000071243:Zika Virus Infection / Q000517:prevention & control* / Q000635:transmission