ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

STUDY TO KNOW THE SPECTRUM OF DENGUE FEVER IN PREGNANCY

Dr.Aroosa Raheem, Dr.Muhammad Sohaib Khalid, Dr.Adeela Shaharyar

Introduction: dengue fever is a vector-borne disease transmitted by the Aedes aegypticus mosquito. Dengue infection during pregnancy carries the risk of bleeding for both the mother and the newborn. Material and methods: 148 patients with acute fever were analyzed between November 2015 and November 2017in Holy Family Hospital Rawalpindi. Data on the history of the disease, laboratory reports containing complete blood counts, routine and culture of urine, NS1 antigen, WIDAL and peripheral buffer for malarial parasites, treatment received and outcome of the mother and child, were analyzed on the basis of recordings. Results: in 40% of cases, the NS1 antigen was detected with fever. Of the remainder, 15% had viral fever, 14% had urinary tract infections, 10% had intestinal fever, 8% had lower respiratory tract infections, 2% had malaria and 9% had fever of unknown origin. Thrombocytopenia was present in 40% of dengue positive patients and 30% of patients needed transfusions. In 2 patients with a short-term diagnosis, postpartum hemorrhage was treated with platelets and FFP. There were two deaths in newborns. Conclusion: although in most cases only conservative treatment is needed, the correlation of the duration of pregnancy with outcome and complications must be considered. Keywords: Dengue, Pregnancy, Adverse effects.

FULL TEXT