Ksiazek TG, West CP, Rollin PE, Jahrling PB, Peters CJ, 1999. ELISA for the detection of antibodies to Ebola viruses. J Infect Dis 179 (Suppl 1): S192–S198.
Mupapa K, Mukundu W, Bwaka MA, Kipasa M, De Roo A, Kuvula K, Kibadi K, Massamba M, Ndaberey D, Colebunders R, Muyembe-Tamfum JJ, 1999. Ebola hemorrhagic fever and pregnancy. J Infect Dis 179 (Suppl 1): S11–S12.
Baggi FM, Taybi A, Kurth A, Van Herp M, Di Caro A, Wolfel R, Gunther S, Decroo T, Declerck H, Jonckheere S, 2014. Management of pregnant women infected with Ebola virus in a treatment center in Guinea, June 2014. Euro Surveill 19: 20983.
Oduyebo T, Pineda D, Lamin M, Leung A, Corbett C, Jamieson DJ, 2015. A pregnant patient with Ebola virus disease. Obstet Gynecol 1–3.
Sierra Leone Ministry of Health and Sanitation, World Health Organization, 2014. Clinical Management of Patients in the Ebola Treatment Centers and Other Care Centers in Sierra Leone: A Pocket Guide (Interim Emergency Guidelines). Freetown, Sierra Leone: Ministry of Health and Sanitation.
Caluwaerts S, Lagrou D, 2014. Guidance Paper—Pregnant Women in Ebola Treatment Center—MSF-OCB 2014—v1.4. Available at: https://www.rcog.org.uk/globalassets/documents/news/etc-preg-guidance-paper.pdf. Accessed March 10, 2015.
Akerlund E, Prescott J, Tampellini L, 2015. Shedding of Ebola virus in an asymptomatic pregnant woman. N Engl J Med 372: 2467–2469.
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We report the case of an Ebola virus (EBOV) RNA–negative pregnant woman who delivered an EBOV RNA–positive stillborn infant at a community health center in rural Sierra Leone, 1 month after the mother's last possible exposure. The mother was later found to be immunoglobulins M and G positive indicating previous infection. The apparent absence of Ebola symptoms and not recognizing that the woman had previous contact with an Ebola patient led health workers performing the delivery to wear only minimal personal protection, potentially exposing them to a high risk of EBOV infection. This case emphasizes the importance of screening for epidemiological risk factors as well as classic and atypical symptoms of Ebola when caring for pregnant women, even once they have passed the typical time frame for exposure and incubation expected in nonpregnant adults. It also illustrates the need for health-care workers to use appropriate personal protection equipment when caring for pregnant women in an Ebola setting.
Authors' addresses: Hilary Bower and Emily Veltus, Médecins Sans Frontières, Operational Centre Amsterdam, MSF Ebola Management Centre Project, Bo, Sierra Leone, E-mails: hilarybower@gmail.com and emilyveltus@gmail.com. Julian E. Grass, Shelley Campbell, David Wang, Christopher D. Paddock, Bobbie R. Erickson, Johanna S. Salzer, Jessica Belser, Dean Seneca, and Ute Stroeher, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: hij3@cdc.gov, iaz6@cdc.gov, iuc9@cdc.gov, cdp9@cdc.gov, bee2@cdc.gov, hio7@cdc.gov, jax6@cdc.gov, zkg8@cdc.gov, and xy8@cdc.gov. Aaron Brault and Alison Jane Basile, Centers for Disease Control and Prevention, Fort Collins, CO, E-mails: zlu5@cdc.gov and ajj1@cdc.gov. Eunice Chege, World Health Organization, Bo, Sierra Leone, E-mail: nyambue@yahoo.com. Gbessay Saffa, Sierra Leone Ministry of Health and Sanitation, District Health Management Team Surveillance Unit, Bo, Sierra Leone, E-mail: gbessaysaffa@yahoo.com. Tom Decroo, Médecins Sans Frontières, Operational Centre Brussels, Luxembourg Operational Research Unit, Brussels, Belgium, E-mail: tom.decroo@luxembourg.msf.org. Grazia M. Caleo, Médecins Sans Frontières, Operational Centre Amsterdam, Manson's Unit, London, United Kingdom, E-mail: Grazia.Caleo@london.msf.org.