Journal of Pure and Applied MicrobiologyVol. 6 No. Special Edition Oct. 2012

Dengue in Pregnancy - Presentation, Complications and Outcome

A. Parvez*, L. Zafar, Shaheen, Asif Hasan, S. M. Asif, A.S. Shreedhara and R. Agarwal

Department of Medicine*, Department of Obst. & Gynecology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

Received on 04 March 2012 and accepted on 10 June 2012

 

ABSTRACT

Dengue, a mosquito-borne flavivirus infection, is endemic in South-East Asia with increasing incidence in adults, including pregnant females. The present study focuses on the clinical presentation of dengue fever in pregnant females, its complications and maternal - fetal outcome. The study was done in 32 pregnant females with serogically confirmed dengue, attended ANC clinics, or admitted in medicine wards or obstetric wards. All patients underwent routine laboratory investigations and were followed till delivery. Fever was the presenting complaint in all the patients, followed by headache and myalgia (64%), Vomiting (50%), abdominal pain and vomiting (40%). Bleeding manifestations were present in form of gum bleed (12%), hematuria (9%), malena (6%), hematemesis (6%), epistaxis (6%) and 3 patients (9%) had bleeding per vaginum. On follow-up, two patients underwent preterm delivery and three newborns were having low birth weight. Dengue fever presents in pregnancy in a manner similar to non-pregnant state. Though there was no maternal or fetal mortality but preterm delivery and low birth weight was observed.

Keywords : Dengue, Pregnancy, Maternal - fetal outcome.