Dengue During Pregnancy & Associated Complications on the Foetus

Dengue During Pregnancy & Associated Complications on the Foetus

Dengue Fever
Dengue fever is caused by the flavivirus and is transmitted to humans by Aedes Aegyptis mosquito.

Fever happens in three stages:

  • Febrile phase
  • Critical phase and
  • Recovery phase
  • Febrile phase lasts for 1-7 days with high-grade fever, redness of skin, body pains persistent lethargy joint pains, restlessness, decreased urine output, mucosal bleeding, epistaxis, red spots all over the skin. Ash looks like flushed skin 1-2days later looks like measles.
  • Fever subsides with the onset of critical phase 3 to 7th day. Persistent nausea vomiting abdominal pain, increase in the size of the liver with tenderness. There is a fall in WBC count platelet count and rise in PCV (hematocrit). Untreated patient during this stage may enter decompensated shock stage and die.
  • Recovery phase lasts for next 24-48 hours if early intervention has happened.

Dengue during Pregnancy
Dengue is a serious health condition, and especially so for pregnant women because they can transmit the virus to their baby. Dengue can cause various complications, including abortions, preterm delivery, maternal mortality, low birth weight, neonatal admissions, and fetal anomalies. Timely intervention can improve the maternal as well as the fetal outcome.

Diet
No specific diet is necessary for patients with dengue fever. Patients who are able to intake oral fluids should be encouraged to drink oral rehydration solution, fruit juice, and water to prevent dehydration from fever, lack of oral intake, or vomiting. Return of appetite after dengue hemorrhagic fever (DHF) is a sign of recovery.

Preventive Measures

  • Avoid travelling, and if you have to travel take personal prophylactic measures to prevent mosquito bites.
  • Close the windows at active mosquito times to prevent mosquitoes from entering your home.
  • Prefer to stay in air-conditioned or well-screened places.
  • Wear protective clothing like long pants and long-sleeved shirts.
  • Use mosquito repellent creams, liquids, coils, mats at your home.
  • Prevent mosquitoes from breeding, drain out stored water regularly
  • Seek early consultation, if you notice any of the symptoms mentioned above.