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Practice Advisory: Care of Obstetric Patients During an Ebola Virus Outbreak
The American College of Obstetricians and Gynecologists

Medical management of Ebola virus disease (EVD) presents significant challenges related to the high rates of both case mortality and horizontal transmission of infection to those in contact with infected individuals. Patients are desperately in need of care, yet those who care for them – whether family or health care providers – are themselves at great risk. Care of EVD patients requires facilities with staff schooled and practiced in the use of personal protective equipment (PPE) and with space for isolating infected patients and containing infected materials related to their care.

These realities in the context of the recent Ebola outbreak, beginning in West Africa and now extending with cases in Europe and the Unites States, have led all health care providers to consider how they would care for patients infected with Ebola. While the need to deliver care and support directed at the infection itself is unquestionable, how to treat other concurrent conditions, including pregnancy, is less clear. This document describes an approach to managing pregnancy in women at risk for, suspected of, or diagnosed with EVD. Nevertheless, many details will vary between locations, and because no one document can provide a detailed template for national care, regional coordination with local experts and authorities is necessary.