Abortion in Cases of Zika Virus Congenital Infection

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 emergencia provocada na saude publica internacional por causa do virus Zika trouxe a tona a discussAo do aborto em casos de sindrome congenita de Zika. Portanto, propomos a realizacAo de uma revisAo bibliografica sobre o aborto nesses casos. Foram pesquisados cinco bancos de dados utilizando os seguintes termos: aborto , aborto espontaneo , e zika , com interposicAo do operador booleano E. Na literatura selecionada, encontramos referencias a falta de informacoes sobre os riscos e a gravidade da sindrome congenita de Zika, bem como ao grande sofrimento psicologico de mulheres gravidas e ao risco de aborto inseguro como justificativa para o aborto em casos de sindrome congenita de Zika. No entanto, e necessario ter testes disponiveis que possam diagnosticar, no primeiro trimestre da gravidez, que o feto foi afetada pelo virus, e que ele pode ter limitacoes importantes, para subsidiar a discussAo qualificada sobre o aborto nesses casos.