Maternal-fetal complications of dengue fever during pregnancy: a public health challenge

Abstract

Introduction: Dengue is caused by the vectors Aedes Aegypti and Aedes Albopictus, producing mild to severe symptoms, including death. Mortality is associated with the circulating strain, the host's immunological characteristics, and the preparedness of the health system. The importance lies in preventing transmission to avoid and reduce complications and mortality. The objective was to identify maternal-fetal complications of dengue during pregnancy in patients at a public hospital in Paraguay. Materials and methods: Descriptive, observational, cross-sectional, retrospective. Criteria: Inclusion: Pregnant patients diagnosed with dengue; patients with complete medical records. English: Exclusion: Patients who registered not wanting to participate in research. Results: 40% of dengue diagnoses were in the age range of 26 to 30 years, with the third trimester being the most affected with 47%, affecting between 36 to 40 weeks, 55% of patients consulted for fever and 21% for fever and headache, among maternal complications were identified in 12% threatened premature delivery, 9% gestational hypertension and 5% of fetal complications was low birth weight. Discussion: Problems associated with dengue in pregnant women include pregnancy-related hypertension, risk of premature delivery and hemorrhages, have been identified as health emergencies due to their devastating impact on the health of the population. We recommend the elimination of mosquito breeding sites, personal protection against mosquito bites, use of mosquito nets; active participation of the community.