{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T22:00:04Z","timestamp":1759010404745},"reference-count":23,"publisher":"Wiley","issue":"12-13","license":[{"start":{"date-parts":[[2010,11,11]],"date-time":"2010-11-11T00:00:00Z","timestamp":1289433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate pregnancy outcome and rate of vertical transmission in primary maternal periconceptional cytomegalovirus (CMV) infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All women serologically diagnosed with primary periconceptional CMV infection between 1999 and 2008 were included. Periconceptional infection was defined as primary maternal CMV infection occurring within 4 weeks prior to the last reported menstrual period and up to 3 weeks following the expected date of the missed menstrual period. Intrauterine infection was verified by PCR and shell vial culture of amniotic fluid at 22\u201324 weeks or neonatal urine culture within 48 h of birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 59 patients studied, 43 (73%) underwent diagnostic amniocentesis. Eleven of the 43 patients (25.5%) were positive for CMV contamination. Ten of the 11 patients (90%) elected to terminate pregnancy. Twelve women (20.3%) declined amniocentesis: of these 2 elected to undergo a first\u2010trimester termination of pregnancy and 10 gave birth to a live\u2010born infant. Six of the ten neonates were negative for CMV and two tested positive for urinary CMV; all eight were healthy on long\u2010term follow\u2010up, and two were lost to follow\u2010up. The remaining four women had a spontaneous first\u2010trimester abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of transmission of periconceptional CMV infection is lower than previously reported. These data should be borne in mind when counseling affected couples. Copyright \u00a9 2010 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.2654","type":"journal-article","created":{"date-parts":[[2010,11,11]],"date-time":"2010-11-11T13:07:43Z","timestamp":1289480863000},"page":"1213-1216","source":"Crossref","is-referenced-by-count":24,"title":["Periconceptional cytomegalovirus infection: pregnancy outcome and rate of vertical 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