• 1.

    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): S192S198.

    • Search Google Scholar
    • Export Citation
  • 2.

    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): S11S12.

    • Search Google Scholar
    • Export Citation
  • 3.

    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.

    • Search Google Scholar
    • Export Citation
  • 4.

    Oduyebo T, Pineda D, Lamin M, Leung A, Corbett C, Jamieson DJ, 2015. A pregnant patient with Ebola virus disease. Obstet Gynecol 13.

  • 5.

    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.

    • Search Google Scholar
    • Export Citation
  • 6.

    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.

    • Search Google Scholar
    • Export Citation
  • 7.

    Akerlund E, Prescott J, Tampellini L, 2015. Shedding of Ebola virus in an asymptomatic pregnant woman. N Engl J Med 372: 24672469.

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Delivery of an Ebola Virus-Positive Stillborn Infant in a Rural Community Health Center, Sierra Leone, 2015

Hilary BowerMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Julian E. GrassMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Emily VeltusMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Aaron BraultMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Shelley CampbellMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Alison Jane BasileMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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David WangMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Christopher D. PaddockMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Bobbie R. EricksonMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Johanna S. SalzerMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Jessica BelserMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Eunice ChegeMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Dean SenecaMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Gbessay SaffaMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Ute StroeherMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Tom DecrooMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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Grazia M. CaleoMSF Ebola Management Centre Project, Médecins Sans Frontières Operational Centre Amsterdam, Bo, Sierra Leone; Centers for Disease Control and Prevention, Atlanta, Georgia; Centers for Disease Control and Prevention, Fort Collins, Colorado; World Health Organization, Bo, Sierra Leone; District Health Management Team Surveillance Unit, Sierra Leone Ministry of Health and Sanitation, Bo, Sierra Leone; Luxembourg Operational Research Unit, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium; Manson's Unit, Médecins Sans Frontières Operational Centre Amsterdam, London, United Kingdom

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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.

Author Notes

* Address correspondence to Hilary Bower, Médecins Sans Frontières Operational Centre Amsterdam, Plantage Middenlaan 14, Amsterdam 1018DD, The Netherlands. E-mail: hilarybower@gmail.com

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.

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