Badell ML, et al. - A systematic review was designed to study maternal and fetal outcomes associated with botulism and botulinum antitoxin use during pregnancy and the postpartum period. Researchers reviewed 17 cases of botulism in pregnant/postpartum women, among them, more than half required ventilator support, 2 women died, and 6 infants were born prematurely. They found that early identification and treatment of botulism could reduce adverse maternal and perinatal outcomes. Botulism was on the differential diagnosis for any pregnant or postpartum woman who presents with a sudden onset of neuromuscular deficits. Care of pregnant women or new mothers with botulism might include preparation for possible intubation.