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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2018; 40(07): 417-424
DOI: 10.1055/s-0038-1648219
Review Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Abortion in Cases of Zika Virus Congenital Infection

Aborto nos casos de infecção congênita pelo vírus Zika
Vivian Maria Ribeiro Mota
1   Medical School, Universidade de Fortaleza, Fortaleza, Ceará, Brazil
,
Luciano Pamplona de Góes Cavalcanti
2   Communitary health Department, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
,
Alanna dos Santos Delfino
3   Medical School, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
,
Thayse Elaine Costa Figueiredo Lopes
4   Faculdade de Medicina, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brazil
,
André Luiz Santos Pessoa
5   Hospital Infantil Albert Sabin, Fortaleza, Ceará, Brazil
,
Erlane Marques Ribeiro
4   Faculdade de Medicina, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brazil
› Author Affiliations
Further Information

Publication History

07 November 2017

06 March 2018

Publication Date:
29 June 2018 (online)

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Abstract

The emergency in international public health caused by the Zika virus gave rise to the discussion about abortion in cases of congenital Zika virus syndrome (CZS). Therefore, we propose to carry out a bibliographic review on abortion in these cases. Five databases were searched using the following terms: abortion, miscarriage, and zika, with the interposition of the Boolean operator “AND.” In the selected literature, we found references to the lack of information concerning the risks and severity of CZS, to the great psychological distress suffered by pregnant women, and to the risk of unsafe abortions as a justification for abortion in cases of CZS. However, 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.

Resumo

A emergência provocada na saúde pública internacional por causa do vírus Zika trouxe à tona a discussão do aborto em casos de síndrome congênita de Zika. Portanto, propomos a realização de uma revisão bibliográfica sobre o aborto nesses casos. Foram pesquisados cinco bancos de dados utilizando os seguintes termos: aborto, aborto espontâneo, e zika, com interposição do operador booleano “E”. Na literatura selecionada, encontramos referências à falta de informações sobre os riscos e a gravidade da síndrome congénita de Zika, bem como ao grande sofrimento psicológico de mulheres grávidas e ao risco de aborto inseguro como justificativa para o aborto em casos de síndrome congênita de Zika. No entanto, é necessário ter testes disponíveis que possam diagnosticar, no primeiro trimestre da gravidez, que o feto foi afetada pelo vírus, e que ele pode ter limitações importantes, para subsidiar a discussão qualificada sobre o aborto nesses casos.

Keywords

zika virus infection - abortion - bioethics

Palavras-chave

infecção pelo zika vírus - aborto - bioética
 

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