{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:47:03Z","timestamp":1786978023211,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Data on mpox in pregnancy are currently limited. Historically, only 65 cases in pregnancy have been reported globally since mpox was discovered in 1958. This includes 59 cases in the current outbreak. Vertical transmission was confirmed in one patient. Pregnant women are at high risk of severe disease owing to immunological and hormonal changes that increase susceptibility to infections in pregnancy. African women appear to be at higher risk of mpox infection and adverse outcomes in pregnancy for epidemiological and immunologic reasons, in addition to the background high rates of adverse feto\u2010maternal outcomes in the region. This risk is potentially heightened during the COVID\u201019 pandemic due to the possibility of mpox virus exportation\/importation as a result of the lifting of movement restrictions and trans\u2010border travels between countries affected by the current outbreak. Furthermore, coinfection with mpox and COVID\u201019 in pregnancy is possible, and the clinical features of both conditions may overlap. Challenges of diagnosis and management of mpox in pregnancy in Africa include patients concealing their travel history from healthcare providers and absconding from\/evading isolation after diagnosis, shortage of personal protective equipment and polymerase chain reaction testing facilities for diagnosis, vaccine hesitancy\/resistance, and poor disease notification systems. There is a need for local, regional and global support to strengthen the capacity of African countries to address these challenges and potentially reduce the disease burden among pregnant women in the continent.<\/jats:p>","DOI":"10.1002\/ijgo.14810","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T03:30:51Z","timestamp":1682998251000},"page":"466-475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Mpox in pregnancy: Management, risks and challenges in Africa and lessons from the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7543-0510","authenticated-orcid":false,"given":"Akaninyene Eseme","family":"Ubom","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Perinatology Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Osun State Nigeria"},{"name":"World Association of Trainees in Obstetrics and Gynecology (WATOG)  Paris France"},{"name":"International Federation of Gynecology &amp; Obstetrics (FIGO) Committee on Childbirth &amp; Postpartum Haemorrhage  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4258-5054","authenticated-orcid":false,"given":"Sebastine Oseghae","family":"Oiwoh","sequence":"additional","affiliation":[{"name":"Dermatology and Venereology Unit, Department of Internal Medicine Irrua Specialist Teaching Hospital  Irrua Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinyosoye Deji","family":"Ajiboye","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Perinatology Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Osun State 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College of Medicine University of Lagos  Akoka Lagos State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Okoeguale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology\/Institute of Viral Hemorrhagic Fever and Emergent Pathogen Irrua Specialist Teaching Hospital  Irrua Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwaseun Dorcas","family":"Ojo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Perinatology Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Osun State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9070-4719","authenticated-orcid":false,"given":"Emmanuel Adeiza","family":"Unwaha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology West Suffolk NHS Trust  Bury St Edmunds 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