Risk and unit guidance

Key learning points Aims and objectives 1. To provide women within the low risk category who have been appropriately risk assessed with the choice of an alternative birth environment Birth Centre. Improve outcomes and experience for mothers and babies by reducing likelihood of intervention and the associated risk and cost of instrumental births and surgical delivery. Reductions in length of hospital stay, resulting in decrease in cost to the NHS and reducing the impact of separation for women and their families.

Risk and unit guidance

Whether the individual may have potential exposures to Zika, including: These precautions are necessary in the daytime as well as night time.

Cover as much exposed skin as possible, including wearing light coloured long-sleeved shirts and long pants. Note that Insect repellents containing DEET or picaridin, are safe for pregnant and breastfeeding women and children older than 2 months when used according to the product label.

Risk and unit guidance

If using both sunscreen and insect repellent, apply the sunscreen first and then the repellent. Use insecticide-treated such as permethrin clothing and gear such as boots, pants, socks, and tents.

Stay and sleep in screened-in or air-conditioned rooms. Use bed nets as necessary. This is to help prevent spread from a traveller to the local mosquito population.

Preventing Sexual transmission These recommendations are based on the evidence from published studies about the longest known time periods for persistence of Zika virus RNA in semen and in the female genital tract, and on the longest known time periods from onset to sexual transmission, refer to the section Transmission.

To minimise the risk of sexual transmission to a pregnant woman: Pregnant women should avoid unprotected sex with a male partner who has been to a Zika affected Risk and unit guidance for the duration of the pregnancy, or for 6 months, whichever is longer. Pregnant women should avoid unprotected sex with a female partner who has been to a Zika affected country for at least 8 weeks.

Women who are planning or at risk of pregnancy should be advised to avoid pregnancy during travel to a Zika-affected country and should avoid unprotected sex and pregnancy for at least 8 weeks following return. Advice relating to a partner who has travelled also applies.

For men with a partner who is planning pregnancy or at risk of pregnancy and who have travelled to a Zika affected country or has a confirmed Zika infection clinical or laboratorypregnancy should be deferred for least 6 months after return, or 6 months after the date that Zika virus infection was diagnosed.

Anyone who is planning a pregnancy should be offered advice about the possibility of testing to help exclude Zika virus infection, particularly if there are concerns about the consequences of delaying pregnancy for the recommended time periods.

Refer to Laboratory testing. It should be noted that a range of communicable diseases pose particular risks for pregnant women such as malaria and Zika virus is only one consideration. To minimise the risk of sexual transmission for all other men and women: If a female partner has travelled or been potentially exposed, avoid unprotected sex for at least 8 weeks after the last day in a Zika affected country or for 8 weeks after diagnosis.

A reliable method of contraception should be used to avoid pregnancy. Advice to travellers returning from a country where there is a potential for Zika transmission should be based on an individual risk assessment. Do not donate sperm for at least 6 months from the time of last exposure or time of diagnosis.

Serological tests may be used to exclude infection in asymptomatic couples planning pregnancy. Unprotected sex refers to any form of sex that exposes the other person to genital secretions including vaginal, oral and anal. Barriers such as male or female condoms may be used to prevent Zika virus transmission.

This should include a discussion of the risks and an evaluation of the likelihood of contracting Zika for the woman and her partner.

This will be based on information such as risk status of the area they reside in, travel, seasonal factors, accommodation type, activities undertaken, exposure to mosquitoes and other individual factors.

The possibility of past Zika virus infection may also be relevant to a couple and testing may be available in some countries to help determine this. A woman should defer pregnancy for at least 8 weeks following confirmed or clinical Zika virus infection.

If the male partner has had a confirmed Zika virus infection, defer pregnancy and unprotected sex for at least 6 months after diagnosis. Refer to the CDC Interim guidance for health care providers caring for women of reproductive age with possible Zika virus exposure for further details.

Blood Donation People who have been to a Zika affected country should not donate whole blood for 4 weeks after they have returned if they do not have symptoms of Zika virus infection. If you are confirmed by a doctor to have Zika virus infection, you should not donate whole blood for 4 months after symptoms have disappeared.

If you have had sex with someone who has been diagnosed with Zika virus infection at any time in the last 6 months, you should not donate whole blood for 4 weeks after the last time you had sex with that person.

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Assist in the development and implementation of the risk management program while complying with regulatory guidance and accreditation standards related to enterprise risk management.

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2 TABLE OF ACRONYMS. AML/CFT. Anti-Money Laundering / Countering the Financing of Terrorism. This submission relates specifically to the NICE Intrapartum care guideline (CG).

It places the guideline in the context of care of women with low risk pregnancies in labour. Consideration is given to care through the intrapartum pathway within a midwifery led environment.

The risk of. Abstract. Palivizumab was licensed in June by the Food and Drug Administration for the reduction of serious lower respiratory tract infection caused by respiratory syncytial virus (RSV) in children at increased risk of severe disease.

Disaster risk reduction - Wikipedia