TITLE:
Dengue and Pregnancy: Epidemiological, Clinical, Therapeutic and Prognostic Aspects at the University Regional Hospital Center of Ouahigouya (URHC/OHG) from July 1 to December 31, 2023
AUTHORS:
Ouédraogo Issa, Kiemtoré Sibraogo, Sib Sansan Rodrigue, Sawadogo Yobi Alexis, Sanogo Moussa, Yiho Wendpasamdé Tychique, Millogo Traore François Danielle
KEYWORDS:
Dengue-Pregnancy-Evolution-Prognosis-(URHC/OHG)
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.4,
April
27,
2025
ABSTRACT: Objective: To describe the epidemiological, clinical, therapeutic and prognostic aspects of dengue occurring during pregnancy at the University Regional Hospital Center of Ouahigouya from July 1 to December 31, 2023. Methodology: This was a retrospective, cross-sectional, descriptive study from July 1, 2023 to December 31, 2023. Pregnant women with positive dengue serology were included in the study by the rapid diagnostic test detecting non-structural antigen 1 (Ag NS1) and immunoglobulins M and G (IgM, IgG) during the study period. Results: A total of 51 cases were identified. The mean age was 25.78 ± 7.57 years, with extremes of 16 and 43 years. Patients were educated in 50.98% of cases and housewives in 80.39%. However, pregnancies in the 3rd trimester accounted for 43.14%, and those presumed to be full term for 25.49% of cases. Patients were multigestational, multiparous in 58.82% and 37.25% of cases respectively. IPT was performed in 82.35% of cases. Twenty-eight (28) patients presented with very early infection, six (06) with primary dengue and seven (07) with secondary dengue. The proportion of group A dengue was 47.06%, group B and group C 37.25% and 15.69% respectively. All patients presented with fever. The major maternal complications were anemia, premature delivery, hemorrhage and maternal death in 17.65%, 7.84%, 5.88% and 5.88% respectively. Dengue caused induced prematurity and fetal death in 15.69% and 3.92% respectively. Conclusion: Dengue remains a reality in pregnant women. It is responsible for maternal-fetal complications that can be extremely serious and life-threatening.