Treatment of cholera in pregnancy 🫄🏽

There is no evidence to show that the risk of infection or the severity of a cholera episode is higher among pregnant women.
The risk of foetal loss depends on the degree of dehydration and vomiting, with more severe dehydration and the occurrence of vomiting increasing the risk of foetal loss.
Antibiotic treatment should be given to all pregnant women with cholera, regardless of the degree of dehydration.
Dehydration can be difficult to assess in the later stages of pregnancy, resulting in an underestimate of the severity of dehydration. The degree of dehydration and treatment of pregnant women should be closely monitored to maintain dehydration and adequate systolic blood pressure to ensure appropriate uterine blood flow.
The use of OCV as a preventive measure is considered to be safe and is recommended in pregnancy.
In large outbreaks, make every effort to ensure privacy for pregnant women, especially during labour and delivery, and ensure access to reproductive health services.