Interferon (IFN) therapy is currently not approved for use during preg
nancy. Two HIV-seropositive pregnant women, who were due to undergo ab
ortion in the second trimester of pregnancy, were given a single intra
muscular dose ofIFN-alpha, with their informed consent. Blood samples
were taken simultaneously from the mothers and fetuses, together with
amniotic fluid. IFN was undetectable in the fetal blood and amniotic f
luid in both cases. Pharmacokinetic parameters were similar to those i
n nonpregnant women. We conclude that maternal IFN-alpha during pregna
ncy should be safe for the fetus. The indications for IFN therapy in p
regnancy could therefore be the same as those in the non-pregnant stat
e.