Management of Viral Complications of Pregnancy: Pharmacotherapy to Reduce Vertical Transmission

Obstet Gynecol Clin North Am. 2021 Mar;48(1):53-74. doi: 10.1016/j.ogc.2020.12.001.

Abstract

Viral infections are common complications of pregnancy. Although some infections have maternal sequelae, many viral infections can be perinatally transmitted to cause congenital or chronic infection in fetuses or infants. Treatments of such infections are geared toward reducing maternal symptoms and complications and toward preventing maternal-to-child transmission of viruses. The authors review updates in the treatment of herpes simplex virus, cytomegalovirus, hepatitis B and C viruses, human immunodeficiency virus, and COVID-19 during pregnancy.

Keywords: COVID-19; Cytomegalovirus; Herpes simplex virus; Human immunodeficiency virus; Maternal-to-child transmission; Pregnancy; Viral hepatitis; Viral infections.

Publication types

  • Review

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • COVID-19 / therapy
  • COVID-19 / transmission
  • Cytomegalovirus Infections / therapy
  • Cytomegalovirus Infections / transmission
  • Female
  • HIV Infections / therapy
  • HIV Infections / transmission
  • Hepatitis B / therapy
  • Hepatitis B / transmission
  • Hepatitis C / therapy
  • Hepatitis C / transmission
  • Herpes Simplex / therapy
  • Herpes Simplex / transmission
  • Humans
  • Infant
  • Infectious Disease Transmission, Vertical*
  • Pregnancy
  • Pregnancy Complications, Infectious / therapy*
  • Pregnancy Complications, Infectious / virology
  • SARS-CoV-2
  • Virus Diseases / therapy*
  • Virus Diseases / transmission*

Substances

  • Antiviral Agents