We read with great interest the article “COVID-19 and the right to abortion” written by Rashidpouraie and Sharifi [
1]. This article briefly introduces the reasons for abortion and considers the occurrence or fear of developing COVID-19 as one of the reasons for attempting an abortion. To prevent the complications of unsafe abortions, it recommends providing safe abortion conditions for pregnant women with COVID-19. This article uses maternal autonomy and the unknown effects of this disease on the mother and fetus as a reason for justifying abortion.
According to the available information, pregnant women do not contract this infection more frequently than the general population. In addition, most experience mild or moderate disease [
2]. The most common symptoms in pregnant women are fever and cough [
3]. Severe illness, including the need for hospitalization in the intensive care unit, is relatively uncommon in young women of childbearing age [
4]. However, some reports suggest that pregnant women are at an increased risk of severe illness if they are infected with viruses from the same family as SARS-CoV-2 and other respiratory viruses, such as influenza [
5]. Therefore, it is possible for pregnant women with COVID-19 to potentially have more severe symptoms such as pneumonia and hypoxia. However, according to the largest systematic review, the risk of death from COVID-19 is not increased [
2].
Intrauterine transmission of COVID-19 from a pregnant woman to her fetus is unlikely [
5]. Regarding the effect on the fetus, despite more than 31 million confirmed COVID-19 infections, no significant increase in the incidence of congenital malformations has been reported. In a systematic review of PregCOV-19 life, there was no evidence of an increase in stillbirth or neonatal mortality in women with COVID-19 [
3]. There is also no evidence that fetal growth restriction results from COVID-19 [
2].
The only negative effect of COVID-19 in pregnant women is an almost threefold increase in the risk of preterm delivery, most of which is iatrogenic and occurs at an average of 38 weeks [
4]. According to all the points mentioned, having COVID-19 is not a valid reason for abortion because of its lack of a serious negative effect on the health of the fetus and mother and because attempting an abortion does not have a positive effect on the recovery of the infected mother. Regardless of whether abortion is banned in the country, it does not create a special right for a pregnant mother with COVID-19 that is not shared by healthy pregnant women.