==== Front
Rev Bras Ginecol Obstet
Rev Bras Ginecol Obstet
10.1055/s-00030576
RBGO Gynecology & Obstetrics
0100-7203
1806-9339
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

30142669
10.1055/s-0038-1668531
18021501
Letter to the Editor
Abortion and Zika Virus Congenital Infection
Sookaromdee Pathum 1
Wiwanitkit Viroj 2
1 Medical Center, TWS Medical Center, Bangkok, Thailand
2 Department of Community Medicine, Faculty of Medicine, DY Patil University, Pune, India
Address for correspondence Pathum Sookaromdee, PhD Medical Center, TWS Medical CenterBangkok, 10130Thailandpathumsook@gmail.com
8 2018
1 8 2018
40 8 497497
https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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pmcDear Editor,

We read the publication on “Abortion in Cases of Zika Virus Congenital Infection.”1 Mota et al1 noted that “it is necessary to have available tests that could diagnose, in the first trimester of pregnancy, that the fetus has been affected by the virus, and that it may have important limitations, in order to subsidize the qualified discussion about abortion in these cases.” In fact, there is still no evidence that the Zika virus infection in pregnant women is the cause of abortion, and there is still no recommendation for therapeutic abortion in infected pregnant women. The important issue is the relationship between infection during pregnancy and the induction of an abnormal infant. In many regions, especially in tropical Asian countries,2 3 microcephalic infants are not the common finding in cases with a history of infection during pregnancy. Hence, the recommendation for abortion is not set. In the area where asymptomatic infection is very common, the early diagnosis might be useful for some purposes, such as epidemiological monitoring, but it should not be the presumptive data for decision on abortion for the pregnant woman infected with Zika virus.

Conflicts of interest None to declare.
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References

1 Mota V MR Cavalcanti L PG Delfino A DS Lopes T ECF Pessoa A LS Ribeiro E M Abortion in cases of Zika virus congenital infection Rev Bras Ginecol Obstet 2018 Jun 2910.1055/s-0038-1648219
2 Wiwanitkit S Wiwanitkit V Afebrile, asymptomatic and non-thrombocytopenic Zika virus infection: Don't miss it! Asian Pac J Trop Med 2016 9 513. Doi: 10.1016/j.apjtm.2016.03.03627261865
3 Wiwanitkit V The current status of Zika virus in Southeast Asia Epidemiol Health 2016 38 e2016026. Doi: 10.4178/epih.e201602627336445