title: Spectrum of Maternofetal Outcomes during Dengue Infection in Pregnancy: An Insight.
abstract: Dengue is a vector transmitted viral infection; tropical and subtropical countries see outbreaks of dengue each year. There is a paucity of literature on effects of dengue infection on pregnancy outcome and this prompted us to undertake a study for better understanding of pregnancy implications with dengue infection. Pregnant women admitted during the seasonal outbreak of dengue between September 2015 and October 2015 were studied and maternal and fetal outcomes in sixteen NS1Ag positive women were analysed. Out of sixteen women diagnosed with dengue fever, three had dengue shock syndrome (DSS) and eight had dengue haemorrhagic fever (DHF). The most common obstetric complication seen in 43% of the cases was oligohydramnios. Bleeding manifestations occurred in seven women and there were three maternal deaths. Perinatal complications included three intrauterine deaths, six nursery admissions, and one neonatal death. Thus dengue infection was associated with high maternal and perinatal mortality. In view of poor obstetric outcomes, this viral infection warrants early admission and prompt management.
authors.affiliation: Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi 110095, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi 110095, India.
authors.forename: Sandhya
authors.initials: S
authors.lastname: Jain
authors.affiliation: Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi 110095, India.
authors.forename: Shalini
authors.initials: S
authors.lastname: Rajaram
mesh_terms: D000328:Adult; D003715:Dengue / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000503:physiopathology / Q000628:therapy; D011256:Pregnancy Outcome; D016896:Treatment Outcome; D055815:Young Adult