Dengue fever is a mosquito-borne disease with varying degrees of severity. Pregnancy is a high-risk category that is more susceptible to dengue haemorrhagic fever complications.
The goal of this study was to analyse the maternal and foetal outcomes of dengue in pregnancy by evaluating the clinical profile of pregnant dengue patients.
The study included all pregnant patients who presented to the hospital with a fever and a serologically confirmed dengue infection. Patients' clinical and analytical data were gathered. To monitor the impact of dengue fever, the cases were followed up till delivery. The mode of delivery in these individuals was documented. The newborns were assessed and monitored for the first six weeks of their lives.
Fever and serologically confirmed dengue infection were observed in 100% of the patients. A quarter of the participants experienced severe thrombocytopenia, necessitating platelet transfusions. Due to severe dengue sequelae, 31% required ICU care and 15% required mechanical breathing assistance. The NICU admission rate was 30%, however no serious newborn complications or vertical transmission were observed. The clinician should maintain a high index of suspicion in order to detect infection early, initiate supportive therapy, and assess for consequences. Feto-maternal surveillance should be done in a hospital setting.
Conclusions: Dengue infection progressed quickly during pregnancy, resulting in serious consequences. To achieve a successful pregnancy, close materno-fetal monitoring and prompt obstetric care are required.
Author (S) Details
Tina Singh
Department of Obstetrics and Gynecology, INHS Asvini and Institute of Naval Medicine, Mumbai, Maharashtra, India.
S. M. Singh
Department of Obstetrics and Gynecology, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India.
M. M. Paprikar
Department of Obstetrics and Gynecology, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India.
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