SlideShare a Scribd company logo
1 of 1
Download to read offline
ZIKA	virus	infection	in	pregnancy	
	
Erry	Gumilar	D	
Div.	Feto-Maternal	
Departemen		Obs&Gyn	FK	Unair-RS	Dr.	Soetomo	
	Surabaya	
There	is	an	outbreak	of	ZIKV	(ZIKA	virus)	infection	in	the	Americas,	Caribbean	and	South	
Pacific.	The	infection	is	spread	mainly	by	Aedes	mosquitoes,	although	a	small	number	of	cases	from	
sexual	transmission	have	been	reported.	The	wide	distribution	of	the	mosquito,	combined	with	the	
lack	of	immunity	in	the	population,	has	led	to	rapid	evolution	of	the	outbreak.	World	Health	Day,	
celebrated	on	7	April,	marks	the	anniversary	of	the	founding	of	the	World	Health	Organization	
(WHO)	in	1948.	This	year,	vector-borne	diseases	which	are	transmitted	mainly	by	bites	of	vectors	
such	as	mosquitoes,	ticks	and	sandflies	are	highlighted	as	a	global	public	health	priority.				
In	addition,	clusters	of	cases	of	brain	anomalies	and	microcephaly	in	some	areas	with	known	
ZIKV	transmission	have	been	reported.	This	increased	number	of	children	with	microcephally	has	led	
to	a	high	level	of	concern	among	pregnant	women	living	in	or	travelling	to	endemic	areas.	
Indonesia	as	the	tropical	and	coastal	country	has	its	own	potential	environment	to	be	rapid	
expansion	of	Zika	infection.		It	look	much	faster	than	many	factors	regarding	the	virus	remained	
obscure.	While	long	term	definite	of	this	phenomena	needed	largely,	health		authorities		and	
specially	scientist	who	bent	on	making	discovery	will	be	required	seriously.				
With	the	current	uncertainty	regarding	many	aspects	of	the	diagnosis	and	clinical	course	of	
ZIKV	infection	in	pregnancy,	potentially	valuable	information	may	be	obtained	by	ultrasound	
practitioners	that	may	help	in	counseling	pregnant	women.	
	In	turn,	it	further	improve	our	understanding	of	the	pathophysiology	of	ZIKV	infection	in	
pregnancy.	Base	on	this	point	of	view,	ISUOG	(International	Society	of	Ultrasound		in	Obstetrics		and	
Gynecology)	Interim	Guidance	on	ultrasound	in	pregnancy	has	been	set	up	recently	
Key	words:		ZIKA	infection	and	Pregnancy

More Related Content

What's hot

Zika Virus Disease and Prevention
Zika Virus Disease and PreventionZika Virus Disease and Prevention
Zika Virus Disease and PreventionFairfax County
 
The Zika Virus and Microcephaly
The Zika Virus and MicrocephalyThe Zika Virus and Microcephaly
The Zika Virus and MicrocephalyDr. Allen Cherer
 
Zika Virus infection ( disease )
Zika Virus infection ( disease )Zika Virus infection ( disease )
Zika Virus infection ( disease )D.A.B.M
 
Human immunal response against zika
Human immunal response against zikaHuman immunal response against zika
Human immunal response against zikaSwathi Prabakar
 
Zika virus and microcephaly
Zika virus and microcephalyZika virus and microcephaly
Zika virus and microcephalyKrisztian Magori
 
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...UCSFGlobalHealthSciences
 
Zika Virus & Community Health Centers
Zika Virus & Community Health CentersZika Virus & Community Health Centers
Zika Virus & Community Health CentersRashel Rabinovich
 
Zika Virus General overview
Zika Virus General overviewZika Virus General overview
Zika Virus General overviewTonmoy Dipu
 
Zika Virus Disease and Prevention
Zika Virus Disease and PreventionZika Virus Disease and Prevention
Zika Virus Disease and PreventionFairfax County
 
Clinical care for potentially Zika-exposed pregnant patients
Clinical care for potentially Zika-exposed pregnant patientsClinical care for potentially Zika-exposed pregnant patients
Clinical care for potentially Zika-exposed pregnant patientsUCSFGlobalHealthSciences
 
Zika virus disease 2016 Updated Version!
Zika virus disease 2016 Updated Version!Zika virus disease 2016 Updated Version!
Zika virus disease 2016 Updated Version!Fadi Ibrahim B Alanazi
 

What's hot (20)

Vector biology and control
Vector biology and controlVector biology and control
Vector biology and control
 
Zika Virus Disease and Prevention
Zika Virus Disease and PreventionZika Virus Disease and Prevention
Zika Virus Disease and Prevention
 
Zika virus
Zika virusZika virus
Zika virus
 
The Zika Virus and Microcephaly
The Zika Virus and MicrocephalyThe Zika Virus and Microcephaly
The Zika Virus and Microcephaly
 
Zika virus disease
Zika virus diseaseZika virus disease
Zika virus disease
 
Zika virus
Zika virusZika virus
Zika virus
 
Zika virus
Zika virusZika virus
Zika virus
 
Zika Virus infection ( disease )
Zika Virus infection ( disease )Zika Virus infection ( disease )
Zika Virus infection ( disease )
 
Zika virus
Zika virusZika virus
Zika virus
 
Human immunal response against zika
Human immunal response against zikaHuman immunal response against zika
Human immunal response against zika
 
Zika virus and microcephaly
Zika virus and microcephalyZika virus and microcephaly
Zika virus and microcephaly
 
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...
Placental and Decidual Expression of Zika Virus Receptors: The Route to Infec...
 
Zikka virus
Zikka virusZikka virus
Zikka virus
 
Zika Virus & Community Health Centers
Zika Virus & Community Health CentersZika Virus & Community Health Centers
Zika Virus & Community Health Centers
 
Zika virus
Zika virusZika virus
Zika virus
 
Zika Virus General overview
Zika Virus General overviewZika Virus General overview
Zika Virus General overview
 
Zika Final Draft
Zika Final DraftZika Final Draft
Zika Final Draft
 
Zika Virus Disease and Prevention
Zika Virus Disease and PreventionZika Virus Disease and Prevention
Zika Virus Disease and Prevention
 
Clinical care for potentially Zika-exposed pregnant patients
Clinical care for potentially Zika-exposed pregnant patientsClinical care for potentially Zika-exposed pregnant patients
Clinical care for potentially Zika-exposed pregnant patients
 
Zika virus disease 2016 Updated Version!
Zika virus disease 2016 Updated Version!Zika virus disease 2016 Updated Version!
Zika virus disease 2016 Updated Version!
 

Similar to ZIKA virus infection in pregnancy

Reemerging Zikka virus- an alarming outbreak
Reemerging Zikka virus- an alarming outbreakReemerging Zikka virus- an alarming outbreak
Reemerging Zikka virus- an alarming outbreaksakthivel arthanari
 
Zika Outbreak - Agora Special Report
Zika Outbreak - Agora Special ReportZika Outbreak - Agora Special Report
Zika Outbreak - Agora Special ReportAgora Intelligence
 
Zika virus disease
Zika virus diseaseZika virus disease
Zika virus diseaseneeti purwar
 
zika-risk-assessment-in-who-african-region-(220216)
zika-risk-assessment-in-who-african-region-(220216)zika-risk-assessment-in-who-african-region-(220216)
zika-risk-assessment-in-who-african-region-(220216)Stephen Oloo
 
Zika virus infection emerging public health concern
Zika virus infection emerging public health concernZika virus infection emerging public health concern
Zika virus infection emerging public health concernBe a Good Doctor Ali Dirie
 
McNair Poster Board Presentation. Isaacson Michel
McNair Poster Board Presentation. Isaacson MichelMcNair Poster Board Presentation. Isaacson Michel
McNair Poster Board Presentation. Isaacson MichelIsaacson Michel
 
zika.ppt community medicine presantation
zika.ppt community medicine presantationzika.ppt community medicine presantation
zika.ppt community medicine presantationDr Ramniwas
 
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...WAidid
 
Health Policy Factsheet
Health Policy FactsheetHealth Policy Factsheet
Health Policy FactsheetSweta Gandhi
 
Epidemiology is defined as the study of occurrence.docx
Epidemiology is defined as the study of occurrence.docxEpidemiology is defined as the study of occurrence.docx
Epidemiology is defined as the study of occurrence.docxwrite22
 
Zika virus an epidemic threat
Zika virus an epidemic threatZika virus an epidemic threat
Zika virus an epidemic threatAYM NAZIM
 

Similar to ZIKA virus infection in pregnancy (20)

Zika virus disease
Zika virus diseaseZika virus disease
Zika virus disease
 
Zika virus
Zika virusZika virus
Zika virus
 
Reemerging Zikka virus- an alarming outbreak
Reemerging Zikka virus- an alarming outbreakReemerging Zikka virus- an alarming outbreak
Reemerging Zikka virus- an alarming outbreak
 
Zika Outbreak - Agora Special Report
Zika Outbreak - Agora Special ReportZika Outbreak - Agora Special Report
Zika Outbreak - Agora Special Report
 
Zika virus disease
Zika virus diseaseZika virus disease
Zika virus disease
 
Zika virus
Zika virusZika virus
Zika virus
 
zika-risk-assessment-in-who-african-region-(220216)
zika-risk-assessment-in-who-african-region-(220216)zika-risk-assessment-in-who-african-region-(220216)
zika-risk-assessment-in-who-african-region-(220216)
 
Zika virus
Zika virusZika virus
Zika virus
 
Zika virus infection emerging public health concern
Zika virus infection emerging public health concernZika virus infection emerging public health concern
Zika virus infection emerging public health concern
 
McNair Poster Board Presentation. Isaacson Michel
McNair Poster Board Presentation. Isaacson MichelMcNair Poster Board Presentation. Isaacson Michel
McNair Poster Board Presentation. Isaacson Michel
 
Zika virus
Zika virus Zika virus
Zika virus
 
Zika virus
Zika virusZika virus
Zika virus
 
Zika virus disease
Zika virus diseaseZika virus disease
Zika virus disease
 
zika.ppt community medicine presantation
zika.ppt community medicine presantationzika.ppt community medicine presantation
zika.ppt community medicine presantation
 
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...
Neurological and Autoimmune Complications of Zika Virus infection - Slideset ...
 
Health Policy Factsheet
Health Policy FactsheetHealth Policy Factsheet
Health Policy Factsheet
 
Epidemiology is defined as the study of occurrence.docx
Epidemiology is defined as the study of occurrence.docxEpidemiology is defined as the study of occurrence.docx
Epidemiology is defined as the study of occurrence.docx
 
Zika virus an epidemic threat
Zika virus an epidemic threatZika virus an epidemic threat
Zika virus an epidemic threat
 
Smallpox Vaccine
Smallpox VaccineSmallpox Vaccine
Smallpox Vaccine
 
Rotavirus
RotavirusRotavirus
Rotavirus
 

More from pogisurabaya

evidence base steps hysterectomy
evidence base steps hysterectomyevidence base steps hysterectomy
evidence base steps hysterectomypogisurabaya
 
New Challenges in Obstetrics and Gynecology Practice
New Challenges in Obstetrics and Gynecology PracticeNew Challenges in Obstetrics and Gynecology Practice
New Challenges in Obstetrics and Gynecology Practicepogisurabaya
 
Modern Approach to The Cesarean Section Technique
Modern Approach to The Cesarean Section TechniqueModern Approach to The Cesarean Section Technique
Modern Approach to The Cesarean Section Techniquepogisurabaya
 
Steps of Repairing Total Perineal Rupture: Evidenced-based
Steps of  Repairing Total Perineal Rupture: Evidenced-basedSteps of  Repairing Total Perineal Rupture: Evidenced-based
Steps of Repairing Total Perineal Rupture: Evidenced-basedpogisurabaya
 
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obgin
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan ObginAntibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obgin
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obginpogisurabaya
 
Wrap up seminar sesi II
Wrap up seminar sesi IIWrap up seminar sesi II
Wrap up seminar sesi IIpogisurabaya
 
Cardiovascular Diseases on Pregnancy
Cardiovascular Diseases on PregnancyCardiovascular Diseases on Pregnancy
Cardiovascular Diseases on Pregnancypogisurabaya
 
Evidence based Management Preeclampsia / eclampsia
Evidence based Management Preeclampsia / eclampsiaEvidence based Management Preeclampsia / eclampsia
Evidence based Management Preeclampsia / eclampsiapogisurabaya
 
Prenatal Care - Beyond Evidence Based Obstetrics
Prenatal Care - Beyond Evidence Based ObstetricsPrenatal Care - Beyond Evidence Based Obstetrics
Prenatal Care - Beyond Evidence Based Obstetricspogisurabaya
 
Evidence -based Management of PCOS
Evidence -based Management of PCOSEvidence -based Management of PCOS
Evidence -based Management of PCOSpogisurabaya
 
Penatalaksanaan Terkini Endometriosis
Penatalaksanaan Terkini EndometriosisPenatalaksanaan Terkini Endometriosis
Penatalaksanaan Terkini Endometriosispogisurabaya
 
Adhesion prevention - Dr. dr. Brahmana., SpOG(K)
Adhesion prevention   - Dr. dr. Brahmana., SpOG(K)Adhesion prevention   - Dr. dr. Brahmana., SpOG(K)
Adhesion prevention - Dr. dr. Brahmana., SpOG(K)pogisurabaya
 
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOG
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOGManajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOG
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOGpogisurabaya
 
Pelvic Inflammatory Disease
Pelvic Inflammatory DiseasePelvic Inflammatory Disease
Pelvic Inflammatory Diseasepogisurabaya
 
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)pogisurabaya
 

More from pogisurabaya (17)

evidence base steps hysterectomy
evidence base steps hysterectomyevidence base steps hysterectomy
evidence base steps hysterectomy
 
New Challenges in Obstetrics and Gynecology Practice
New Challenges in Obstetrics and Gynecology PracticeNew Challenges in Obstetrics and Gynecology Practice
New Challenges in Obstetrics and Gynecology Practice
 
Modern Approach to The Cesarean Section Technique
Modern Approach to The Cesarean Section TechniqueModern Approach to The Cesarean Section Technique
Modern Approach to The Cesarean Section Technique
 
Steps of Repairing Total Perineal Rupture: Evidenced-based
Steps of  Repairing Total Perineal Rupture: Evidenced-basedSteps of  Repairing Total Perineal Rupture: Evidenced-based
Steps of Repairing Total Perineal Rupture: Evidenced-based
 
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obgin
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan ObginAntibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obgin
Antibiotik Profilaksis Mencegah Infeksi Daerah Operasi pada Pembedahan Obgin
 
Wrap up seminar sesi II
Wrap up seminar sesi IIWrap up seminar sesi II
Wrap up seminar sesi II
 
HBH pullman 2016
HBH pullman 2016HBH pullman 2016
HBH pullman 2016
 
Cardiovascular Diseases on Pregnancy
Cardiovascular Diseases on PregnancyCardiovascular Diseases on Pregnancy
Cardiovascular Diseases on Pregnancy
 
Evidence based Management Preeclampsia / eclampsia
Evidence based Management Preeclampsia / eclampsiaEvidence based Management Preeclampsia / eclampsia
Evidence based Management Preeclampsia / eclampsia
 
Prenatal Care - Beyond Evidence Based Obstetrics
Prenatal Care - Beyond Evidence Based ObstetricsPrenatal Care - Beyond Evidence Based Obstetrics
Prenatal Care - Beyond Evidence Based Obstetrics
 
Evidence -based Management of PCOS
Evidence -based Management of PCOSEvidence -based Management of PCOS
Evidence -based Management of PCOS
 
Penatalaksanaan Terkini Endometriosis
Penatalaksanaan Terkini EndometriosisPenatalaksanaan Terkini Endometriosis
Penatalaksanaan Terkini Endometriosis
 
Adhesion prevention - Dr. dr. Brahmana., SpOG(K)
Adhesion prevention   - Dr. dr. Brahmana., SpOG(K)Adhesion prevention   - Dr. dr. Brahmana., SpOG(K)
Adhesion prevention - Dr. dr. Brahmana., SpOG(K)
 
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOG
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOGManajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOG
Manajemen Keuangan Pribadi Yang Efisien - dr. Hari Nugroho, SpOG
 
Pelvic Inflammatory Disease
Pelvic Inflammatory DiseasePelvic Inflammatory Disease
Pelvic Inflammatory Disease
 
LESI PRA KANKER
LESI PRA KANKERLESI PRA KANKER
LESI PRA KANKER
 
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)
Lesi Prakanker - Dr. dr. Poedjo Hartono, SpOG(K)
 

Recently uploaded

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 

ZIKA virus infection in pregnancy