Dengue in Pregnancy: A Southeast Asian Perspective.
Vanessa ChongJennifer Zi Ling TanValliammai Jayanthi Thirunavuk ArasooPublished in: Tropical medicine and infectious disease (2023)
Dengue cases have been rising in recent years. In 2019 alone, over 658,301 of the 5.6 million reported cases originated from Southeast Asia (SEA). Research has also shown detrimental outcomes for pregnant infected women. Despite this, existing literature describing dengue's effects on pregnancy in SEA is insufficient. Through this narrative review, we sought to describe dengue's effects on pregnancy systemically and emphasize the existing gaps in the literature. We extensively searched various journals cited in PubMed and Ovid Medline, national clinical practice guidelines, and governmental reports. Dengue in pregnancy increases the risk of pre-eclampsia, Dengue Hemorrhagic Fever (DHF), fetal distress, preterm delivery, Caesarean delivery, and maternal mortality. Vertical transmission, intrauterine growth restriction, and stillbirth are possible sequelae of dengue in fetuses. We found that trimester-specific physiological impacts of dengue in pregnancy (to both mother and child) and investigations and management methods demanded further research, especially in the SEA region.
Keyphrases
- zika virus
- dengue virus
- aedes aegypti
- pregnancy outcomes
- preterm birth
- systematic review
- pregnant women
- gestational age
- randomized controlled trial
- mental health
- low birth weight
- emergency department
- multidrug resistant
- quality improvement
- polycystic ovary syndrome
- preterm infants
- cardiovascular events
- birth weight
- meta analyses