Zika virus is a mosquito-transmitted virus that generally causes no symptoms or mild illness, but is associated with microcephaly in infants whose mothers contract it during pregnancy. In January 2016, the US Centers for Disease Control and Prevention (CDC) issued a health advisory, travel alert and MMWR urging women who are pregnant to avoid countries where Zika virus transmission is ongoing. Women trying to become pregnant should consult with their healthcare providers before traveling to these areas and strictly follow steps to avoid mosquito bites during the trip. Information on this webpage, including recommendations for management, will be updated periodically to reflect changing evidence and emerging consensus.
ACOG Practice Advisory
ACOG and the Society for Maternal-Fetal Medicine (SMFM) have issued an updated Practice Advisory on the Zika virus about prevention strategies and current guidance for management of pregnant women and women of reproductive age. Released March 31, 2016. This is an update and replacement of ACOG’s and SMFM's Practice Advisory released on February 12, 2016.
US Zika Pregnancy Registry
In order to help the CDC track and manage Zika virus disease in pregnancy, ob-gyn providers will need to report pregnant women with any laboratory evidence of ZIKV infection (positive or inconclusive test results) to the state health department. They can expect follow up from health officials during the pregnancy and at the time of expected birth to collect surveillance data. In addition, any adverse outcome should be reported to the state health department. CDC registry staff will work with state health departments to assist with collection of information. Ob-gyns can also contact the CDC pregnancy hotline to discuss women with laboratory evidence of ZIKV infection. If they contact CDC for clinical consultation, registry staff will ensure that state, tribal, local, or territorial health departments are notified. Click here for CDC's US Pregnancy Registry for Zika Virus Infection. For more information visit CDC's Zika Pregnancy Registry page: US Pregnancy Registry for Zika Virus Infection
CDC Zika Pregnancy Hotline for Healthcare Providers
Ob-gyns can contact the CDC Zika Pregnancy Hotline at 770-488-7100 or email ZikaPregnancy@cdc.gov for any concerns related to clinical management or the US Zika Pregnancy Registry
Please see CDC fact sheets for ob-gyns and pregnant women.
Diagnostic Testing on CDC.gov
Zika virus disease can often be diagnosed by performing reverse transcriptase-polymerase chain reaction (RT-PCR) on serum. Testing is performed at the CDC Arbovirus Diagnostic Laboratory and a few state health departments.
Contact your state health department for local direction on handling specimens for testing. To find your state contact refer to this Zika state contact list from CDC (members-only PDF).
Urge Congress to Fund Zika Prevention: Our patients can't wait!
We don’t know how to treat or cure Zika, but we do know how to prevent it. Our Nation needs to act immediately to stop Zika from spreading here in the U.S. With the right measures, we can slow the spread of Zika until a treatment or vaccine can be developed.
The White House has redirected available federal funds, but we need Congress to do much more. Tell Congress to ACT NOW, pass an emergency spending bill to prevent Zika from causing devastating birth defects among babies here in the U.S. We can’t afford to wait much longer –mosquito season is nearly here.
Write to your elected officials here
CDC Confirms that Prenatal Zika Virus Causes Microcephaly and other Fetal Brain Anomalies
Scientists at the Centers for Disease Control and Prevention (CDC) have concluded, after careful review of existing evidence, that Zika virus is a cause of microcephaly and other severe fetal brain defects. In the report published in the New England Journal of Medicine, the CDC authors describe a rigorous weighing of evidence using established scientific criteria. Access the article here: Zika Virus and Birth Defects- Reviewing the Evidence for Causality
Rasmussen SA, Jamieson DJ, Honein MA, Petersen LR. Zika Virus and Birth Defects - Reviewing the Evidence for Causality. N Engl J Med. 2016 Apr 13. e-published ahead of print. Read the ACOG Statement on the CDC Update and Zika Virus for more information.
As pregnant women and their fetuses are being diagnosed with Congenital Zika Virus Syndrome with increased frequency in Brazil as well as in other Latin American countries, it becomes crucial to educate regional practitioners on the way to make these diagnoses as early as possible.
This free Webinar will provide participants with the necessary tools to differentiate between unaffected and affected.
Thursday May 19, 2016
9am ET and 2pm ET
English: Click here for more information, to view the full program, and to register now!
Spanish: Haga click para mas información, ver el programa, y registrarse ahora!
Portuguese: Clique aquí para mais informação, ver o programa e inscrever-se agora!