Management of pregnant women infected with Ebola virus in a treatment centre in Guinea, June 2014

F M Baggi; A Taybi; A Kurth; M Van Herp; A Di Caro; R Wölfel; S Günther; T Decroo; H Declerck; S Jonckheere

doi:10.2807/1560-7917.ES2014.19.49.20983

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Management of pregnant women infected with Ebola virus in a treatment centre in Guinea, June 2014
F M Baggi¹ , A Taybi¹ , A Kurth^2,3 , M Van Herp⁴ , A Di Caro^2,5 , R Wölfel^2,6 , S Günther^2,7 , T Decroo⁴ , H Declerck⁴ , S Jonckheere¹
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Affiliations: ¹ Médecins Sans Frontières – Operational Centre Brussels, Guéckedou, Guinea ² European Mobile Laboratory – Hamburg, Germany ³ Robert Koch Institute – Berlin, Germany ⁴ Médecins Sans Frontières – Operational Centre Brussels, Medical Department, Brussels, Belgium ⁵ L. Spallanzani National Institute for Infectious Diseases – Rome, Italy ⁶ Bundeswehr Institute of Microbiology – Munich, Germany ⁷ Bernhard-Nocht-Institute for Tropical Medicine, WHO Collaborating Centre for Arboviruses and Hemorrhagic Fever Reference and Research – Hamburg, Germany

Correspondence:
S Jonckheere
jonckheeresy gmail.com
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Citation style for this article: Baggi F M, Taybi A, Kurth A, Van Herp M, Di Caro A, Wölfel R, Günther S, Decroo T, Declerck H, Jonckheere S. Management of pregnant women infected with Ebola virus in a treatment centre in Guinea, June 2014. Euro Surveill. 2014;19(49):pii=20983. https://doi.org/10.2807/1560-7917.ES2014.19.49.20983 Received: 25 Nov 2014

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Abstract

We report two cases of confirmed Ebola virus disease in pregnant women, who presented at the Médecins Sans Frontières Ebola treatment centre in Guéckédou. Despite the very high risk of death, both pregnant women survived. In both cases the critical decision was made to induce vaginal delivery. We raise a number of considerations regarding the management of Ebola virus-infected pregnant women, including the place of amniocentesis and induced delivery, and whether certain invasive medical acts are justified. .