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Monkeypox Virus and Pregnancy.

Jonatane Andrieu1, Jean-Louis Mège1,2, Soraya Mezouar1,3

  • 1Aix-Marseille Univ, Centre National de la Recherche Scientifique, Établissement Français du Sang, Anthropologie bio-culturelle, Droit, Éthique et Santé, Marseille, France.

Journal of Medical Virology
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Summary

Human monkeypox (Mpox) poses risks to pregnant women, potentially causing severe obstetrical and fetal complications. This review examines the literature on Mpox in pregnancy, focusing on the concerning possibility of mother-to-fetus transmission.

Keywords:
Monkeypoxfetusplacentapregnancyvertical transmission

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Area of Science:

  • Virology
  • Public Health
  • Obstetrics

Background:

  • Human monkeypox (Mpox) is a zoonotic viral disease caused by the monkeypox virus (MPXV).
  • MPXV outbreaks have been reported globally, posing a public health concern.
  • Pregnant women are a vulnerable population susceptible to Mpox with potential adverse outcomes.

Purpose of the Study:

  • To review existing literature on MPXV infection in pregnant women.
  • To specifically investigate evidence and implications of vertical transmission of MPXV from mother to fetus.
  • To highlight obstetrical and fetal complications associated with Mpox during pregnancy.

Main Methods:

  • Comprehensive literature search of scientific databases.
  • Analysis of studies reporting MPXV infection in pregnant individuals.
  • Synthesis of data on pregnancy outcomes and vertical transmission.

Main Results:

  • MPXV infection in pregnant women can lead to significant obstetrical complications.
  • Documented fetal complications include miscarriage, stillbirth, and premature delivery.
  • Evidence suggests a notable risk of vertical transmission of MPXV to the fetus.

Conclusions:

  • Mpox represents a serious threat to pregnant women and their fetuses.
  • Vertical transmission is a significant concern requiring further investigation.
  • Enhanced surveillance and management strategies are crucial for Mpox in pregnancy.