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Travel in Pregnancy: The Impact of Zika

DOI: 10.4236/ojog.2017.710107, PP. 1064-1071

Keywords: Travel, Pregnancy, Zika

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Abstract:

OBJECTIVE: The purpose of our study was to examine current travel patterns and behaviors of pregnant women. METHODS: We developed a questionnaire adapted from a publication by Kingman and Economides to examine the travel behavior of women during pregnancy in a suburban community. RESULTS: A convenience sample of 102 patients completed the travel questionnaire. Forty-six (45.1%) traveled during the current pregnancy. Thirty-one (30.4%) traveled more than once. A total of 257 trips were taken by the participants: 113 (43.9%) trips were taken in the first trimester, 87 (33.8%) in the second and 59 (22.9%) in the third trimester. Trip length ranged from 2-90 days with a mean of 11 days. Reasons for travel included: 193 (75.1%) for leisure, 37 (14.4%) work related, 10 (3.9%) trips for emergencies, and 3 (0.4%) trips for relocation.?Eighteen women (17.6%) traveled internationally. One (1.0%) woman was hospitalized while traveling. Manner of travel was as follows: car 167 (65.0%), plane 67 (26.1%), train 13 (5.1) %, bus 10 (3.9%) and none by boat. Nineteen (41.3%) women sought travel advice. Thirteen (68.4%) asked for advice from a doctor, 2 (10.5%) from a nurse, 2 (10.5%) from family and/or friends, 1 (5.3%) from the Internet and 1 (5.3%) from a travel book. Seventeen (37%), traveled without suitable insurance. DISCUSSION: Travel rates during pregnancy have remained surprisingly stable over the past 60 years. Almost 50% of our cohort traveled during pregnancy, and the majority did not seek advice prior to travel. In light of new infectious disease threats, obstetric practice and advice needs reassessment. The majority of travel during pregnancy remains optional. Improved patient education and consultations prior to travel could decrease health risks.

References

[1]  World Health Organization (2016) WHO Director-General Summarizes the Outcome of the Emergency Committee Regarding Clusters of Microcephaly and Guillain-Barré Syndrome. World Health Organization.
http://www.who.int/mediacentre/news/statements/2016/emergency-committee-zika-microcephaly/en/
[2]  CDC (2016) Travelers’ Health. CDC Issues Interim Travel Guidance Related to Zika Virus for 14 Countries and Territories in Central and South America and the Caribbean. US Department of Health and Human Services, CDC, Atlanta, GA.
http://wwwnc.cdc.gov/travel/notices.
[3]  D’Ortenzio, E., Matheron, S., Lamballerie, X.D., et al. (2016) Evidence of Sexual Transmission of Zika Virus. New England Journal of Medicine, 374, 2195-2198.
https://doi.org/10.1056/NEJMc1604449
[4]  Mansuy, J.M., Dutertre, M., Mengelle, C., et al. (2016) Zika Virus: High Infectious Viral Load in Semen, a New Sexually Transmitted Pathogen? The Lancet Infectious Diseases, 16, 405.
https://doi.org/10.1016/S1473-3099(16)00138-9
[5]  Kingman, C.E. and Economides, D.L. (2003) Travel in Pregnancy: Pregnant Women’s Experiences and Knowledge of Health Issues. Journal of Travel Medicine, 10, 330-333.
https://doi.org/10.2310/7060.2003.9353
[6]  Social Science Statistics Easy Chi-Square Calculator.
http://www.socscistatistics.com/tests/chisquare/Default.aspx
[7]  Wu, J., Jiang, C., Jaimes, G., et al. (2013) Travel Patterns during Pregnancy: Comparison between Global Positioning System (GPS) Tracking and Questionnaire Data. Environmental Health.
[8]  Beach Jr., W.B. (1947) Travel in Pregnancy. American Journal of Obstetrics and Gynecology, 54, 1054-1057.
https://doi.org/10.1016/S0002-9378(16)39722-8
[9]  Guilbeau, J.A. and Turner, J.L. (1953) The Effect of Travel upon the Interruption of Pregnancy: An Analysis of 1,917 Cases with Minimum Journeys of 300 Miles. American Journal of Obstetrics and Gynecology, 66, 1224-1230.
https://doi.org/10.1016/0002-9378(53)90160-4
[10]  Freeman, M., Ghidini, A., Spong, C.Y., et al. (2004) Does Air Travel Affect Pregnancy Outcome? Archives of Gynecology and Obstetrics, 269, 274-277.
https://doi.org/10.1007/s00404-003-0579-5
[11]  Chibber, R., Al-Sibai, M.H. and Qahtani, N. (2006) Adverse Outcome of Pregnancy Following Air Travel: A Myth or a Concern? Australian and New Zealand Journal of Obstetrics and Gynaecology, 46, 24-28.
https://doi.org/10.1111/j.1479-828X.2006.00508.x
[12]  American College of Obstetricians and Gynecologists (2009) Air Travel during Pregnancy. ACOG Committee Opinion No. 443. Obstetrics & Gynecology, 114, 954-955.
https://doi.org/10.1097/AOG.0b013e3181bd1325
[13]  American College of Obstetricians and Gynecologists (2016) Car Safety for Pregnant Women, Babies, and Children. ACOG FAQ018.
http://www.acog.org/Patients/FAQs/Car-Safety-for-Pregnant-Women-Babies-and-Children
[14]  American College of Obstetricians and Gynecologists (2016) Travel during Pregnancy. ACOG FAQ055.
http://www.acog.org/Patients/FAQs/Travel-During-Pregnancy
[15]  Centers for Disease Control and Prevention (2013) Pregnant Travelers.
https://wwwnc.cdc.gov/travel/page/pregnant-travelers
[16]  Hezelgrave, N.L., Whitty, C.J.M., Shennan, A.H. and Chappell, L.C. (2011) Advising on Travel during Pregnancy. BMJ, 342, d2506-d2506.
[17]  Morof, D. and Carroll, D. (2015) Advising Travelers with Specific Needs. Centers for Disease Control and Prevention.
https://wwwnc.cdc.gov/travel/yellowbook/2016/advising-travelers-with-specific-needs/pregnant-travelers
[18]  Caroll, I.D. and Williams, D.C. (2008) Pre-Travel Vaccination and Medical Prophylaxis in the Pregnant Traveler. Travel Medicine and Infectious Disease, 6, 259-275.
[19]  D’Acremont, V., Tremblay, S. and Genton, B. (2008) Impact of Vaccines Given during Pregnancy on the Offspring of Women Consulting a Travel Clinic: A Longitudinal Study. Journal of Travel Medicine, 15, 77-81.
https://doi.org/10.1111/j.1708-8305.2007.00175.x
[20]  Cannegieter, S.C. and Rosendaal, F.R. (2013) Pregnancy and Travel-Related Thromboembolism. Thrombosis Research, 131, S55-S58.
[21]  Friedberg, W., Copeland, K., et al. (2000) Radiation Exposure during Air Travel: Guidance Provided by the Federal Aviation Administration for Air Carrier Crews. Health Physics, 79, 591-595.
https://doi.org/10.1097/00004032-200011000-00018
[22]  Barish, R.J. (2004) Radiation Risk from Airline Travel. Journal American College of Radiology, 1, 784-785.
[23]  Carroll, I.D. and Van Gompel, A. (2005) The Pregnant Wilderness Traveler. Travel Medicine and Infectious Disease, 3, 225-238.
[24]  St Leger Dowse, M., Gunby, A., Moncad, R., Fife, C. and Bryson, P. (2006) Scuba Diving and Pregnancy: Can We Determine Safe Limits? Journal of Obstetrics and Gynaecology, 26, 509-513.
https://doi.org/10.1080/01443610600797368
[25]  Jean, D. and Moore, L.G. (2012) Travel to High Altitude during Pregnancy: Frequently Asked Questions and Recommendations for Clinicians. High Altitude Medicine & Biology, 13, 73-81.
https://doi.org/10.1089/ham.2012.1021
[26]  Matzkel, A. and Lurie, S. (1991) Placental Abruption Associated with Air Travel. A Case Report and an Overview on Safety of Air Travel in Pregnant Women. Journal of Perinatal Medicine, 19, 317-320.
[27]  Fletcher, H.M., Wharfe, G.H. and Mitchell, S.Y. (2003) Placental Separation from a Seat Belt Injury Due to Severe Turbulence during Aeroplane Travel. Journal of Obstetrics and Gynaecology, 23, 73-74.
https://doi.org/10.1080/0144361021000055576
[28]  Easa, D., Pelke, S., et al. (1984) Unexpected Preterm Delivery in Tourists: Implications for Long-Distance Travel during Pregnancy. Journal of the California Perinatal Association, 14, 264-267.
[29]  Tennyson, M. (2000) Labor at 20,000 Feet. American Journal of Nursing, 100, 49-52.
https://doi.org/10.1097/00000446-200009000-00038
[30]  Magann, E.F. and Chauhan, S.P. (2010) Air Travel and Pregnancy Outcomes: A Review of Pregnancy Regulations and Outcomes for Passengers, Flight Attendants, and Aviators. Obstetrical & Gynecological Survey, 65, 396-402.
https://doi.org/10.1097/OGX.0b013e3181e572ae
[31]  Dahl, E. (2007) Pregnancy at Sea—24th Week of Gestation Is the Limit. International Maritime Health, 58, 195-198.
[32]  U.S. Travel Association (2015) U.S. Travel Answer Sheet.
https://www.ustravel.org/answersheet

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