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Volume 22, Number 7—July 2016
CME ACTIVITY - Synopsis

Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United States

Amanda KamaliComments to Author , Denise J. Jamieson, Julius Kpaduwa, Sarah Schrier, Moon Kim, Nicole M. Green, Ute Ströher, Atis Muehlenbachs, Michael Bell, Pierre E. Rollin, and Laurene Mascola
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A. Kamali, D.J. Jamieson, U. Ströher, A. Muehlenbachs, M. Bell, P.E. Rollin); Los Angeles County Department of Public Health, Los Angeles, California, USA (A. Kamali, M. Kim, N.M. Green, L. Mascola); Greater El Monte Community Hospital, South El Monte, California, USA (J. Kpaduwa, S. Schrier)

Main Article

Table 1

Recommendations for use of personal protective equipment by healthcare workers during labor and delivery for a woman who became pregnant after surviving Ebola virus disease, United States, 2015*

Potential exposure
 Personal protective equipment
Face mask
 Face shield
 Gown
 Fluid-resistant, midcalf boot covers
Isolation
 Fluid-resistant or impermeable†
 Gloves
Single
 Double
Casual contact with patient
Performing duties for patient with intact membranes (e.g., delivering food or water, talking with patient, adjusting external monitors) No No No No No No No
Performing duties for patient with ruptured membranes; no touching of patient or bedding
 No
 No
 No
 No
 No
 No
 No
Noncasual contact with patient
Touching patient with ruptured membranes or bedding of patient with ruptured membranes No No Yes No Yes No No
Administering epidural Yes Yes Yes No No Yes Yes‡
Performing vaginal examination Yes Yes No Yes Yes No Yes‡
Performing obstetric procedures§ Yes Yes No Yes No Yes Yes

*These personal protective equipment recommendations were developed for this particular patient and do not represent a formal recommendation.
†Impermeable indicates that the material and construction have demonstrated resistance to synthetic blood and simulated bloodborne pathogens; fluid-resistant indicates demonstrated resistance to water (http://www.cdc.gov/niosh/npptl/topics/protectiveclothing/default.html).
‡To be used if membranes were ruptured.
§Procedures include placement of fetal scalp electrode or intrauterine pressure catheter; manual removal of placenta; bimanual massage of uterus.

Main Article

Page created: May 19, 2016
Page updated: June 15, 2016
Page reviewed: June 15, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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