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Dengue, the most prevalent mosquito-borne viral infection has a wide range of clinical presentation and the incidence is on the rise in the recent past. There is a concern that dengue infection in pregnancy might be associated with adverse maternal and perinatal outcome however there is paucity in the literature available. The aim of the present study was to analyze the outcome of dengue infection which required hospitalizations and were managed in a tertiary care center. A total of 52 pregnant women of confirmed dengue infection were studied for the severity of dengue, the clinical course and obstetric outcome. Out of 52 women, 34 (65.3%) had either severe dengue or some warning sign and there were 4 maternal deaths (7.7%). Thrombocytopenia was seen in 69.2% (n = 36) of women and 21.2% required platelet transfusions. Oligohydramnios was seen in 21.3% (n = 12) and 26.9% (n = 14) of women had PROM. The caesarean section rate was 44.2% (n = 22) and there were 2 stillbirths (3.8%). Adverse maternal and perinatal outcome was more in women with severe forms of dengue especially when they present near term gestation. Prompt diagnosis and appropriate supportive management are extremely important and avoiding interventions during the critical phase equally prevents maternal morbidity and mortality. ReSeaRch aRTicle

Clinical Characteristics and Obstetric Outcome of Symptomatic Dengue Infection in Pregnancy from a Tertiary Care Center in South India