Measles during pregnancy has been associated with deleterious effects on the perinatal outcomes. We encountered a case of perinatal measles infection during the 2013 measles outbreak in South Korea. The mother experienced severe gestational measles associated with the lack of vaccination. She had a preterm delivery and the neonate developed congenital measles, which was diagnosed based on the results of serological tests for the mother and neonate. Herein, we described the case, first reported with confirmed transplacental transmission in Korea to our best knowledge, and also reviewed relevant literature regarding measles during pregnancy, which suggested that perinatal measles and the outcomes are markedly influenced by the status of maternal immunity during prenatal period.