DENGUE IN PREGNANCY- ARE WE LOOKING AT IT CLOSELY.

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S. K. S. R. P. P. S. D. Paranthaaman R G, “DENGUE IN PREGNANCY- ARE WE LOOKING AT IT CLOSELY”., ijmhs, vol. 3, no. 1, Oct. 2013.
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Abstract

Dengue is an endemic tropical disease in India. The incidence has been increasing consistently in this last decade and is now a major public health problem. Dengue in pregnancy has not been extensively studied. The aim of the study was to investigate maternal and perinatal outcomes of dengue at one of the tertiary care centers in Southern India. A retrospective study was undertaken during the two successive outbreaks and case records of women from 2008-2010 with positive dengue Ig M were reviewed. Three cases were diagnosed as dengue fever with no signs of DSS and DHF and all three patients presented with febrile illness with rashes. All three were primigravida. The mean age of pregnant women was 31 years and their mean gestational age was 21 weeks. While one of the patients had complete abortion, the other two women completed their terms with full term normal vaginal deliveries. There were no premature births or congenital anomalies. There were no maternal deaths. All the three patients received fluid replacements with one receiving platelet transfusions. Dengue in pregnancy may not always result in poor maternal and perinatal outcomes. More such studies from this part of the world are needed to establish strong cause-effect relationships in pregnant women. Ongoing preventive measures against dengue in the endemic regions need a booster.

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