Effects of Dengue During Pregnancy | Blog By Dr. Monica Agarwal, Paras Bliss, Panchkula

Dengue During Pregnancy – Causes, Symptoms and Treatment

Dengue During Pregnancy – Causes, Symptoms and Treatment

by: Dr. Monica Agarwal
Sr. Consultant Obstetrics & Gynecology - Paras Bliss, Panchkula

Dengue is an illness caused by a virus transmitted by a mosquito called as Aedes aegypti. Dengue can be mild, severe and fatal. It is highly prevalent in tropical countries because of the warm and humid climate which is favorable for the breeding of mosquito. It bites during daytime mostly early morning and late evenings. A collection of stagnant water promotes breeding and transmission of disease.

Symptoms associated with Dengue:

  • Fever with or without shivers
  • Headache
  • Pain behind eyes or on moving eyes
  • Fatigue
  • Joint pain
  • Myalgia
  • Rash on body
  • Bleeding from nose or gums

Severe disease of Dengue- 

It can turn into ‘Dengue Haemorrhagic Fever’ which is characterized by bleeding and low platelet count. This needs prompt diagnosis and treatment to lower mortality.

Lab tests associated with Dengue diagnosis-

 Usually, they are not needed as it is a clinical diagnosis. Dengue NS1 antigen and IgM antibody test can be done. Complete blood count is done to monitor the progress of the disease.

Treatment for Dengue –

No vaccine or medication available and treatment consists of supportive therapy

  • Rest
  • Fluid management to prevent dehydration. ORS, coconut water, shikanji, juice etc
  • Paracetamol for fever. Over the counter, drugs should be avoided. Do not take aspirin, ibuprofen etc
  • The Severe disease needs hospitalisation. Oxygen, IV fluids are given
  • Blood and platelet transfusion may be needed in some cases

Pregnancy with Dengue

It can lead to various complications like preterm delivery, low birth weight, miscarriage and can even be fatal. Dengue should be managed at tertiary care center as shock can occur. During the delivery lot of bleeding is expected, so blood and platelets are kept ready for transfusion. The risk of post partum hemorrhage is there and precautions are taken. A newborn is also monitored closely as the mother can transmit it to the baby.

Prevention of Dengue –

 As no vaccine or medication available, hence prevention is the key.

  • Maintain clean and hygienic surroundings
  • Do not let water stagnate in and around your house
  • Avoid insect bite by using mosquito repellent, nets
  • Wear full sleeved cotton clothing
  • Stay in air conditioned rooms as mosquitoes do not thrive in cold areas.
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