Maternal and fetal outcome of dengue fever in pregnancy.
OBJECTIVE
As adult dengue fever increases it also affects women with pregnancy. Dengue fever is mainly treated conservatively. However, complications like pre - eclampsia, pre- term labour, increased risk of caesarean section and fetal transmission have been noted. During dengue epidemic in our region we noted many women with dengue fever and observed certain different problems.


METHODS
A retrospective analysis of all pregnant women admitted in obstetric ward with dengue fever over a period of 18 months was done.


RESULTS
The striking feature observed was the presence of severe thrombocytopenia in 78.57% of the study population. In addition, coexistence of other vector borne diseases was also noted.


CONCLUSIONS
Most cases only require conservative treatment. Only women who went into labour required platelet transfusion. Outcome seemed to correlate with gestational age of occurrence of dengue fever.
Department of Obstetrics & Gynaecology, PSG Institute of Medical Sciences & Research, Coimbatore, India. chitrabhat60@yahoo.co.uk
T V
TV
Chitra
Seetha
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Panicker
D000328:Adult; D002114:Calcinosis / Q000150:complications; D009202:Cardiomyopathies / Q000150:complications; D060085:Coinfection; D003715:Dengue / Q000150:complications* / Q000635:transmission / Q000821:virology; D005260:Female; D005318:Fetal Heart / Q000473:pathology; D005333:Fetus; D005865:Gestational Age; D006801:Humans; D007194:India / Q000453:epidemiology; D007231:Infant, Newborn; D007234:Infant, Premature; D018445:Infectious Disease Transmission, Vertical; D010976:Platelet Count; D017713:Platelet Transfusion; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D011256:Pregnancy Outcome; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D013921:Thrombocytopenia / Q000150:complications* / Q000628:therapy; D055815:Young Adult