Maternal and perinatal outcomes of dengue in PortSudan, Eastern Sudan.
Maternal and perinatal outcomes of dengue in PortSudan, Eastern Sudan.
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DOI：
10.1186/1743-422x-7-153
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发表时间：
2010-07-13
期刊：
影响因子：
4.8
通讯作者：
Karsany MS
中科院分区：
文献类型：
--
作者：
Adam I;Jumaa AM;Elbashir HM;Karsany MS
调查苏丹东部苏丹港和Elmawani医院登革热的孕产妇和围产期结局（孕产妇死亡、早产、低出生体重和围产期死亡率）。这是一项回顾性队列研究，审查了登革热妇女的医疗档案。有10820例分娩和78例（0.7%）确诊登革热IgM血清学的孕妇，平均（SD）胎龄为29.4（8.2）周。虽然这些妇女中的大多数患有登革热（46，58.9%），但出血热和登革热休克综合征分别在这些妇女中的18（23.0%）和12（15.3%）中出现。有17例（21.7%）产妇死亡。这78名妇女中有14名（17.9%）早产，19名（24.3%）新生儿入住新生儿重症监护室。19名（24.3%）妇女生下低出生体重婴儿。有7例（8.9%）围产期死亡。8例（10.2%）患者因各种产科指征而剖腹产。因此，在这种情况下，登革热对孕产妇和围产期的影响很差。应在该地区采取预防登革热的措施，并需要对怀孕期间的登革热进行更多的研究。
To investigate maternal and perinatal outcomes (maternal death, preterm delivery, low birth weight and perinatal mortality) of dengue at PortSudan and Elmawani hospitals in the eastern Sudan. This was a retrospective Cohort study where medical files of women with dengue were reviewed. There were 10820 deliveries and 78 (0.7%) pregnant women with confirmed dengue IgM serology at the mean (SD) gestational age of 29.4(8.2) weeks. While the majority of these women had dengue fever (46, 58.9%), hemorrhagic fever and dengue shock syndrome were the presentations in 18 (23.0%) and 12, (15.3%) of these women, respectively. There were 17(21.7%) maternal deaths. Fourteen (17.9%) of these 78 women had preterm deliveries and 19 (24.3%) neonates were admitted to neonatal intensive care unit. Nineteen (24.3%) women gave birth to low birth weight babies. There were seven (8.9%) perinatal deaths. Eight (10.2%) patients delivered by caesarean section due to various obstetrical indications. Thus dengue has poor maternal and perinatal outcomes in this setting. Preventive measures against dengue should be employed in the region, and more research on dengue during pregnancy is needed.