Zika: A CDC Guide for Travelers .
Some foodborne illnesses of particular concern during pregnancy include toxoplasmosis and listeriosis; the risk during pregnancy is that the infection will cross the placenta and cause spontaneous abortion, stillbirth, or congenital or neonatal infection. TIP: Apply sunscreen first, then insect repellent. The free and confidential service is available Monday-Friday 8am-5pm (local time). Find out more at CDC’s Zika Travel Information page or CDC’s page about Zika and pregnancy. Risks of air travel include potential exposure to communicable diseases, immobility, and the common discomforts of flying.
Most will not allow you to travel after 24–28 weeks of pregnancy, and you may need to have a note from your doctor stating you are fit to travel. Travel to areas where obstetric care may be less than the standard at home is inadvisable.
Zika Travel Information Doxycycline is contraindicated because of teratogenic effects on the fetus after the fourth month of pregnancy.
Population-Based Surveillance for Birth Defects Potentially Related to Zika Virus Infection — 22 States and Territories, January 2016–June 2017. However, your doctor may give you an antibiotic you can take in case diarrhea is moderate or severe. You will be subject to the destination website's privacy policy when you follow the link. Obstet Gynecol. If you are traveling to a remote area, an insurance policy that covers medical evacuation will pay for your transportation to a high-quality hospital in case of emergency. IPV can be administered in accordance with the recommended schedules for adults if a pregnant woman is at increased risk for infection and requires immediate protection against polio. A visit with an obstetrician should be a part of the pretravel assessment, to ensure routine prenatal care as well as identify any potential problems. Tetanus, diphtheria, and pertussis (Tdap) vaccine should be given during each pregnancy irrespective of the woman’s history of receiving Tdap. Do not drink anything with ice in it—ice may be made with contaminated water. Travel Med Infect Dis. Malaria can increase the risk for serious pregnancy problems, including premature birth, miscarriage, and stillbirth. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
Can Fam Physician. Supplemental travel health insurance should be strongly considered to cover pregnancy-related problems and care of the neonate, as needed. Zika virus can be passed from a pregnant woman to her fetus. Strictly follow steps to prevent Zika during and after travel, including preventing mosquito bites and using condoms. Vital Signs. An infant born to an infected mother is apt to be of low birth weight, and, although rare, congenital malaria is a concern. Aspirin may increase the incidence of abruption, and other anti-inflammatory agents can cause premature closure of the ductus arteriosus. Because pregnancy might affect immunologic function, serologic testing to document an immune response to yellow fever vaccine should be considered. CDC twenty four seven.
No adverse effects of inactivated polio vaccine (IPV) have been documented among pregnant women or their fetuses; however, vaccination of pregnant women should be avoided because of theoretical concerns.
Do not take products containing bismuth, such as Pepto-Bismol or Kaopectate. Risk of fetal infection increases with gestational age, but severity of infection is decreased.
If your baby will have birth defects if you are infected while pregnant. Birth defects that can be caused by Zika infection during pregnancy include microcephaly and brain abnormalities.
Pregnant women can generally travel safely with a little preparation. Zika during pregnancy can cause birth defects. CDC’s Zika virus testing recommendations for nonpregnant women and men are available on the Zika and Testing webpage. Pregnancy Outcomes After Maternal Zika Virus Infection During Pregnancy — U.S. Pregnant women should be advised to wear seat belts, when available, on all forms of transport, including airplanes, cars, and buses. If you must travel, talk to a doctor before you go and strictly follow steps to prevent Zika. Abdominal distention and pedal edema frequently occur. If a woman gets pregnant and is infected with Zika, it can cause serious birth defects. Pregnant travelers should be advised that the risk of obstetric complications is highest in the first and third trimesters. Magann EF, Chauhan SP, Dahlke JD, McKelvey SS, Watson EM, Morrison JC. DOI: Honein MA, Dawson AL, Petersen EE et al. Microcephaly and other birth defects caused by Zika. In US states, about 4 in 25 (15%) pregnant women with confirmed Zika virus infection in the 1st trimester had babies with Zika-associated birth defects. The vasodilatory effect of a hot environment might also cause fainting.
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