{"id":56,"date":"2017-06-09T13:58:23","date_gmt":"2017-06-09T13:58:23","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/us-zika-pregnancy-registry\/?page_id=56"},"modified":"2022-09-19T10:23:44","modified_gmt":"2022-09-19T14:23:44","slug":"pediatricians-and-the-uszpr","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/us-zika-pregnancy-registry\/pediatricians-and-the-uszpr\/","title":{"rendered":"Pediatricians"},"content":{"rendered":"<ul>\n<li>Ask if the mother was tested for Zika virus during pregnancy; communicate with obstetricians for pregnancy information and laboratory test results<\/li>\n<li>Your <a href=\"https:\/\/www.vdh.virginia.gov\/local-health-districts\/\">Local Health Department<\/a> may reach out with follow-up questions about infant development<\/li>\n<\/ul>\n<p>**Note: Not all Zika-related birth defects are noticeable at birth; all infants born to mothers with lab evidence of Zika virus infection should be closely monitored after birth and throughout the first whole year of life.<\/p>\n<p><strong>Infants who appear normal at birth may experience:<\/strong><\/p>\n<ul>\n<li>Deceleration of head growth with \u201cAcquired Microcephaly\u201d; less severely affected infants and children may retain normal head size<\/li>\n<\/ul>\n<ul>\n<li>Developmental delay in\u00a0one or more domains; consistent with localization of lesion(s)<\/li>\n<\/ul>\n<ul>\n<li>High risk of seizures and epilepsy; neonatal seizures, myoclonic seizures &amp; infantile spasms<\/li>\n<li>Onset of epilepsy later in childhood and adolescence; developmental regression may occur with onset of seizures<\/li>\n<\/ul>\n<p style=\"font-weight: 400\"><strong>Follow-Up Care for Infants Born to Women with Possible Zika Virus Exposure during Pregnancy:<\/strong><\/p>\n<ul style=\"font-weight: 400\">\n<li>Comprehensive physical examination, including growth parameters<\/li>\n<li>Developmental monitoring and screening (including growth parameters) using validated screening tools recommended by the American<a href=\"https:\/\/www.aap.org\/\"> Academy of Pediatrics<\/a>\u00a0with routine preventive pediatric care and immunizations at each subsequent well-child visit<\/li>\n<li>Newborn hearing screening at birth, preferably with automated auditory brainstem response (ABR)<\/li>\n<li>Referral for automated auditory brainstem response (ABR) testing by 1 month, if infant passed the newborn hearing screen using only the otoacoustic emissions (OAE) method<\/li>\n<li>Head ultrasound and comprehensive ophthalmologic exam performed by age 1 month. Further follow-up visits with an ophthalmologist after the initial examination should be based on ophthalmology recommendations<\/li>\n<li>Additional evaluations might be recommended based on the clinical findings and Zika virus test results for the infant.<\/li>\n<li>Refer to specialists for any signs associated with congenital Zika virus infection (e.g., impaired visual acuity\/function, hearing problems, developmental delay, delay of head growth)<\/li>\n<\/ul>\n<p>For additional information, see CDC\u2019s guidance on <a href=\"https:\/\/www.cdc.gov\/pregnancy\/zika\/testing-follow-up\/infants-children.html\">caring for infants and children<\/a>, which includes tools to screen for possible Zika virus exposure during pregnancy.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ask if the mother was tested for Zika virus during pregnancy; communicate with obstetricians for pregnancy information and laboratory test results Your Local Health Department may reach out with follow-up questions about infant development **Note: Not all Zika-related birth defects are noticeable at birth; all infants born to mothers with lab evidence of Zika virus [&hellip;]<\/p>\n","protected":false},"author":390,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-56","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pediatricians - Zika and Pregnancy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/us-zika-pregnancy-registry\/pediatricians-and-the-uszpr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pediatricians - Zika and Pregnancy\" \/>\n<meta property=\"og:description\" content=\"Ask if the mother was tested for Zika virus during pregnancy; 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