Photo Credit:
WHO/PAHO
ABORTION is a legal choice for Zika-infected
women.
“A panel of at least two doctors will provide
close consultation to parents in discussing the option of pregnancy termination
in microcephaly cases,” Dr Tawee Chotpitayasunond, a specialist at the Queen
Sirikit National Institute of Child Health, a unit of the Medical Services
Department, said yesterday.
Under Thai law, pregnancies may be terminated
on reasonable grounds such as a serious disease when the foetus is not over 24
weeks old.
Late last week, Thailand confirmed its first
two cases of microcephaly, a birth defect marked by small head size that has
been linked to Zika.
“Not all babies born to Zika-infected women
get microcephaly. The odds are 1-30 per cent,” said Tawee, who was speaking as
the chairman of a meeting on the guidelines for caring for expectant women who
are suspected of carrying the Zika virus.
The meeting brought together medical
specialists from various hospitals as well as Professor Pisek Lumpikanon,
president of the Royal Thai College of Obstetricians and Gynaecologists.
Pisek said the guidelines were prepared and
released to address Zika risks.
For example, if pregnant women suffer
Zika-related symptoms such as a skin rash, joint pain or eye inflammation, they
must immediately undergo urine and blood tests.
“If the tests show they caught the Zika
virus, no matter how advanced their pregnancy is, they must undergo an
ultrasound check immediately too,” he said, “Monthly checks are also necessary.
If the head size of the foetus inside their womb is smaller than standard, they
must be referred to medical specialists”.
Pregnant women without any Zika-related
symptoms should undergo ultrasound checks twice – 18-20 weeks into their
pregnancy and 28-30 weeks.
“If microcephaly is detected, parents and
doctors will have close consultations about how to proceed in the best
interests of both the mother and baby,” he said.
Tawee said that if microcephaly were detected
when a pregnancy had already progressed more than 24 weeks, any decision made
would be on a case-by-case basis.
Mosquitoes are Zika vectors. Zika can also be
spread via sexual activities.
Tawee said Thailand was the first Asian
country to develop Zika guidelines for future mothers.
Puangchompoo Prasert
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