Curry says it’s helpful to have a family member present

Zika Is ‘Game Changer’ For OB

Late last fall, Dr. Christine Curry was at a faculty meeting with her colleagues when the conversation turned to new reports linking the Zika virus to a surge in microcephaly in infants in Brazil.

Canada Goose Outlet «I think it’s fair to say that most obstetricians had never heard of this virus a year ago,» said Curry, an assistant professor of obstetrics and gynecology at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. Canada Goose Outlet

buy canada goose jacket Curry also has a background in virology, so she volunteered to look into it for the rest of the staff. «I Canada Goose Coats On Sale knew from the get go canada goose uk shop that it may end up being nothing, and just an interesting story out Canada Goose Outlet of Brazil, canada goose uk black friday or it may end up being a reproductive game changer, which is, I think, where we’re at right now,» Curry said. buy canada goose jacket

Since raising her hand at that meeting, Curry estimates her practice has seen about half of the 55 pregnant Floridians who have tested positive for Zika infection. For Curry and her canada goose factory sale colleagues, discussing Zika risks with patients Canada Goose sale has become a standard canada goose clearance sale part of prenatal care.

So far, all of Florida’s Zika cases canada goose coats on sale involving pregnant women have been related to travel outside the continental United States. And for months, screening guidelines have suggested testing pregnant women who have traveled to Zika affected areas, even if they don’t have symptoms of infection. But now that there are at least 15 cases of locally acquired Zika identified in South Florida, preventing canada goose outlet and identifying infection in pregnant women is increasingly urgent.

Canada Goose Jackets On Monday, Dr. Tom Frieden, canada goose black friday sale director of the Centers for Disease Control and Prevention, recommended Zika testing for all pregnant uk canada goose women who have traveled since June 15 to a 1 square canada goose coats mile zone in Miami (the Wynwood and Midtown neighborhoods) where mosquitoes have likely spread the virus locally. Canada Goose Jackets

canadian goose jacket Zika exposure in pregnancy Canada Goose Parka has been linked to microcephaly and other abnormalities, but it’s still unknown how Canada Goose Online often those problems buy canada goose jacket develop in the babies of women who are exposed to Zika while pregnant. canadian goose jacket

«What we know about Zika is scary,» Frieden said during the Monday news conference, adding that this is the first time a mosquito bite has been known to be linked to a birth defect.

«But in some ways what we don’t know about Zika is even more unsettling,» he said. «We don’t know the long term impact Zika may have on children born to infected mothers who don’t have obvious signs of microcephaly, and these effects may only become apparent months or years in the future.»When Curry finds that a patient has been to a place where there is active Zika transmission, she talks to her about getting a test usually a blood test that will determine whether she has the Zika antibodies or active virus in her system.

Canada Goose Parka Those blood samples get sent to a state lab for testing. Curry said she’s been getting results back within one to three weeks. Canada Goose Parka

Canada Goose online And while pregnant women tend to be prepared for the anxious waiting periods that come with all sorts of canadian goose jacket routine testing for birth defects during pregnancy, nothing has quite the profile of Zika right now. Canada Goose online

buy canada goose jacket cheap «I got a mosquito bite this morning, and it’s probably the first time I ever cried over a mosquito bite,» said Zonnia Knight, whose second child is due in October. buy canada goose jacket cheap

canada goose store Knight lives in Palmetto Bay and works at Canada Goose online a communications firm in Coral Gables, but she’s spent time in Wynwood, including a dinner the night before pregnant women were told to avoid the area. canada goose store

Knight called her midwife, who is giving her a prescription for a blood test that looks for antibodies that indicate whether she’s had a Zika infection.

canada goose clearance sale Susie Gilden, who works with Knight, is in cheap canada goose uk her second trimester and is also asking for a Zika test because she has visited Wynwood since June 15. Until now, Gilden and her canada goose uk outlet doctor in Miami Beach haven’t really talked about the virus. canada goose clearance sale

canada goose deals «It would be nice to have some proactive communication to tell me what I should be doing,» said Gilden, who said she’s been «stalking» the CDC website and reading up on Zika online. canada goose deals

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If a pregnant woman’s Zika test comes back positive, her obstetrician has to add another layer of counseling and monitoring to her prenatal care.

canada goose clearance «As with any time you deliver bad news, they’re really upset and they don’t hear everything you have to say initially,» said Curry, who arranges to disclose the results of Zika tests with her patients in person, rather than over the phone. canada goose clearance

There’s a lot of conversation about next steps and, depending on the trimester, the mother’s option to terminate the pregnancy. Curry says it’s helpful to have a family member present.

cheap Canada Goose «Or you may say, ‘Listen, I’m going to write this down for you. I’m going to see you again next week. And we’re going to rehash this entire conversation when you’ve had a little bit of time to process things.’ » cheap Canada Goose

canada goose The mother may need to be retested for Zika antibodies to confirm the presence of an infection. And her doctors will pay special attention to subsequent ultrasounds for abnormal head growth or calcifications in the baby’s brain. canada goose

canada goose black friday sale «You see these little calcifications in the brain that are really indicators that you’re actually seeing loss of brain,» said Dr. Aileen Marty, professor of infectious diseases at canada goose store Florida International University’s Herbert Wertheim College of Medicine. She explained that the Zika virus appears to be attracted to stem cells that would otherwise become brain cells. canada goose black friday sale

«And it basically tells cheap Canada Goose the brain cell not to keep on maturing. It commits suicide canada goose and you lose those brain cells,» Marty said.

Microcephaly is just one of the symptoms of a baby harmed by Zika. Marty and other researchers say it appears the virus is also associated with deformities of the hands and feet, trouble developing reflexes for sucking and swallowing, and vision and hearing loss.

Born with Zika damage

Canada Goose sale At the end of June, the Florida Department of Health announced the state’s first birth of a child buy canada goose jacket cheap with Zika related microcephaly. The uk canada goose outlet baby’s mother had contracted Zika outside the United States. The state said it would connect the family with Early Steps, a program funded by the state and federal government that provides speech therapy and other interventions to children up to 3 years old who are at risk of developmental delays Canada Goose sale.

Updated: 28 августа, 2018 — 5:22 дп

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