Introduction: Dengue fever is the most rapidly spreading arthropod-borne self-limiting febrile illness. During pregnancy, it causes maternal complications, such as hemorrhage, abortion, and fetal complications like preterm babies, intrauterine death, low birthweight babies.
Objectives: To study the prevalence of dengue fever in pregnant women. To study the maternal and fetal complications in women infected with dengue fever during pregnancy.
Materials and methods: This was a 2-year retrospective study conducted at RajaRajeswari Medical College & Hospital, Bengaluru, India, from June 2013 to June 2015. In this study, pregnant women affected with dengue fever were included irrespective of gestational age. Women with dengue nonstructural protein 1 antigen positive or dengue immunoglobulin (Ig)M and IgG positive were diagnosed to have dengue fever. Maternal and fetal complications were studied.
Results: During the study period, there were 4,137 deliveries, of which 15 women had dengue fever. Incidence and prevalence of dengue was 0.36 and 0.72% respectively. Dengue fever without complications was noted in 66.6% pregnant women, dengue with complications was noted in 20% women, while 6.6% (n = 1) women developed dengue shock syndrome that resulted in maternal death due to multiorgan failure. Dengue hemorrhagic fever was seen in 13.3% women. In our study, 33.3% of women had preterm delivery, 40% had small for gestational age babies, and 6.6% had intrauterine fetal demise.
Conclusion: Dengue fever is endemic in our country. Pregnant women are vulnerable to this disease. It is associated with maternal and neonatal morbidity and mortality. Early diagnosis and maintenance of hydration and symptomatic treatment will avoid related complications.
Keywords: Dengue fever, Intrauterine growth restriction, Preterm, Thrombocytopenia.
How to cite this article: Pavanaganga A, Sailakshmi MPA, Rekha BR, Nagarathnamma R. Dengue Fever during Pregnancy: Maternal and Fetal Complications. J South Asian Feder Obst Gynae 2017;9(2):88-91.
Source of support: Nil
Conflict of interest: None
Date of received: 16 December 2016
Date of acceptance: 21 January 2017
Date of publication: March 2017