Mental Health of Zika Virus-infected Mother and Mother of Newborn with Microcephaly

Sir, The mental problem due to new emerging disease is usually a forgotten issue. The concern on “anxiety, depression, and quality of life in mothers of newborns with microcephaly and presumed congenital Zika virus infection”[1] is very interesting. Indeed, the outbreak of Zika virus infection becomes the big present public health issue, but there is a little concern on the mental health issue. It is no doubt that the infected pregnant can have anxiety and depression. The similar situation for the mother of a newborn with microcephaly can be expected. Indeed, the similar problems can be seen in other cases of infection in pregnancy that can result in congenital infection. How to manage the mental health of the pregnant and mother is an interesting issue. First, the health education is very important. Focusing on the Zika virus infection, not all infected pregnants will have abnormal child. In the previous outbreak in tropical Asia, there is no report on congenital anomaly. The pregnant should be given the information regarding the natural course of disease and epidemiology. The management option should be given. In the setting where the abortion is permitted, the discussion between the pregnant, her family, and physician is required. For the mother of newborn with microcephaly, supportive care is required. The similar practice that used for mother of a child with anomaly or stillbirth can be used.[2,3] As noted by Malm et al.,[4] “courage to face life” is very important and must be included in the plan to manage any pregnant in the present situation of Zika virus infection epidemic.