埃博拉疫情期间孕妇的医护与管理工作

Medical service and management of pregnant women during the Ebola epidemic

2014-2016年的埃博拉疫情是迄今为止最大的埃博拉病毒病暴发,无论规模还是影响范围都是空前的.孕妇在疫情流行期间所面对的困难是复杂多样的,值得我们深入关注.本综述拟通过总结世界卫生组织在西非疫情暴发期间颁布的准则以及疫区孕妇所遭遇的问题,结合作者自己的实践经验,分析埃博拉病毒病与孕产妇、医务人员、卫生系统以及社会之间的相互影响,为我国疾控与医疗领域的同行提供参考.我国有关部门也应该针对未来可能存在的疫情威胁尽早制定应急预案,确保妇婴保健工作顺利进行.

The Ebola epidemic occurrence during 2014-2016 is the largest-ever Ebola virus outbreak with an unprecedented scale and impact.The difficulties faced by pregnant women living within the epidemic area are complex and multi-factorial which merits our concern.In this review,we aimed to summarize some of the guidelines published by the World Health Organization during the outbreak,and to provide a broad overview of the issues that arise from pregnant women.Based on our own experience in Sierra Leone,we also made an analysis of the complex interaction between the Ebola virus disease,pregnancy,medical staff,public health systems and the society,and intended to afford peers useful information.The management strategies should be prepared in advance to against the potential epidemic threats and ensure the reliability of life-saving maternity services in China.