Zika Virus Infection in Pregnancy: Maternal, Fetal, and Neonatal Considerations
Carmen D Zorrilla1, Inés García García2, Lourdes García Fragoso2
1Department of Obstetrics and Gynecology, University of Puerto Rico School of Medicine, San Juan.
The Journal of Infectious Diseases
|December 22, 2017
Summary
Zika virus (ZIKV) infection can cause severe congenital malformations, including brain and limb defects, in newborns. Further research is crucial for developing treatments, vaccines, and diagnostic tools to protect pregnant women and their fetuses.
Area of Science:
- Virology
- Epidemiology
- Maternal-Fetal Medicine
Background:
- Zika virus (ZIKV) infection is typically mild but poses significant risks during pregnancy.
- The epidemic highlighted the need for enhanced vector control and biomedical research.
- Congenital Zika syndrome (CZS) involves severe brain abnormalities, retinal issues, and limb defects.
Purpose of the Study:
- To summarize the known and reported consequences of ZIKV infection during pregnancy.
- To emphasize the vulnerability of pregnant women and the need for protective measures.
- To advocate for research into treatments, vaccines, and diagnostic tools.
Main Methods:
- Review of existing reports and literature on ZIKV infection in pregnancy.
- Characterization of Congenital Zika Syndrome (CZS) features.
- Analysis of the implications for public health and future research.
Main Results:
- ZIKV infection during pregnancy is linked to severe birth defects (CZS) and potential long-term neurodevelopmental issues.
- Pregnant women are the most vulnerable population.
- The full spectrum of ZIKV's impact on fetal development may extend beyond currently documented outcomes.
Conclusions:
- Expanded vector control programs are essential to reduce ZIKV transmission.
- Urgent research is required for safe and effective vaccines, treatments, and prenatal diagnostic tests for ZIKV.
- Protecting pregnant women and their fetuses from ZIKV requires a multi-faceted approach including public health interventions and scientific advancement.


