COMMENTARY

Anthrax in Pregnancy: Protecting Mother and Baby

Dana M. Meaney Delman, MD, MPH

Disclosures

May 27, 2014

Editorial Collaboration

Medscape &

In This Article

Critical Care

As with any severe infection that manifests during pregnancy, anthrax in pregnant women requires hospitalization and may require obstetric monitoring as dictated by gestational age of the fetus. Inpatient care should include preparation for a possible emergency delivery. Early and aggressive drainage of fluid accumulation is recommended as an adjunct to combination antimicrobial treatment. Because of the possible risk for preterm labor, maternal administration of corticosteroids should be considered for preterm gestations. Routine tocolysis is not recommended, but short-term tocolysis may be considered to facilitate corticosteroid administration or patient transport. Suspected or confirmed fetal anthrax infection would warrant delivery.

Web Resources

Special Considerations for Treating Anthrax in Pregnant and Postpartum Women

Centers for Disease Control and Prevention Expert Panel Meetings on Prevention and Treatment of Anthrax in Adults

CDC: Anthrax

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