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01.12.2017 | Review | Ausgabe 1/2017 Open Access

Reproductive Health 1/2017

Zika virus infection in pregnancy: a systematic review of disease course and complications

Zeitschrift:
Reproductive Health > Ausgabe 1/2017
Autoren:
Ezinne C. Chibueze, Veronika Tirado, Katharina da Silva Lopes, Olukunmi O. Balogun, Yo Takemoto, Toshiyuki Swa, Amarjargal Dagvadorj, Chie Nagata, Naho Morisaki, Clara Menendez, Erika Ota, Rintaro Mori, Olufemi T. Oladapo
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12978-017-0285-6) contains supplementary material, which is available to authorized users.

Abstract

Objectives

To characterize maternal Zika virus (ZIKV) infection and complement the evidence base for the WHO interim guidance on pregnancy management in the context of ZIKV infection.

Methods

We searched the relevant database from inception until March 2016. Two review authors independently screened and assessed full texts of eligible reports and extracted data from relevant studies. The quality of studies was assessed using the Newcastle-Ottawa Scale (NOS) and the National Institute of Health (NIH) tool for observational studies and case series/reports, respectively.

Results

Among 142 eligible full-text articles, 18 met the inclusion criteria (13 case series/reports and five cohort studies). Common symptoms among pregnant women with suspected/confirmed ZIKV infection were fever, rash, and arthralgia. One case of Guillain-Barré syndrome was reported among ZIKV-infected mothers, no other case of severe maternal morbidity or mortality reported. Complications reported in association with maternal ZIKV infection included a broad range of fetal and newborn neurological and ocular abnormalities; fetal growth restriction, stillbirth, and perinatal death. Microcephaly was the primary neurological complication reported in eight studies, with an incidence of about 1% among newborns of ZIKV infected women in one study.

Conclusion

Given the extensive and variable fetal and newborn presentations/complications associated with prenatal ZIKV infection, and the dearth of information provided, knowledge gaps are evident. Further research and comprehensive reporting may provide a better understanding of ZIKV infection in pregnancy and attendant maternal/fetal complications. This knowledge could inform the creation of effective and evidence-based strategies, guidelines and recommendations aimed at the management of maternal ZIKV infection. Adherence to current best practice guidelines for prenatal care among health providers is encouraged, in the context of maternal ZIKV infection.
Zusatzmaterial
Additional file 1: Database search strategies for prenatal diagnosis of microcephaly in the context of ZIKV infection on March 3rd 2016. (DOCX 29 kb)
12978_2017_285_MOESM1_ESM.docx
Additional file 2: List of excluded studies ZIKV & pregnancy RHER1. (DOCX 31 kb)
12978_2017_285_MOESM2_ESM.docx
Literatur
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