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Dengue infection during pregnancy and adverse maternal, fetal, and infant health outcomes in Rio Branco, Acre State, Brazil, 2007-2012.

Abstract The effects of dengue infection during pregnancy have not been previously studied in Rio Branco, Acre State, Brazil. The aim of this study was to determine the risks of maternal, fetal, and infant complications resulting from dengue infection during pregnancy. The study compared two cohorts of pregnant women, exposed versus unexposed to dengue virus, from 2007 to 2012. Incidence rates and risk ratios were estimated for maternal, fetal, and infant complications. In the exposed cohort there were 3 fetal deaths and 5 neonatal deaths. Two maternal deaths were identified in the exposed cohort, as opposed to none in the unexposed group (p = 0.040). The exposed cohort showed a risk ratio (RR) of 3.4 (95%CI: 1.02-11.23) for neonatal death. The risk ratio for early neonatal death was 6.8 (95%CI: 1.61-28.75). Ten infant deaths occurred in children of exposed pregnant women and 7 in unexposed (RR = 6.0; 95%CI: 2.24-15.87). Women infected with dengue virus in pregnancy showed increased risk ratio for maternal, neonatal, and infant mortality.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title cadernos de saude publica
Publication Year Start




PMID- 28614453
OWN - NLM
STAT- MEDLINE
DA  - 20170614
DCOM- 20170705
LR  - 20170705
IS  - 1678-4464 (Electronic)
IS  - 0102-311X (Linking)
VI  - 33
IP  - 5
DP  - 2017 Jun 12
TI  - Dengue infection during pregnancy and adverse maternal, fetal, and infant health 
      outcomes in Rio Branco, Acre State, Brazil, 2007-2012.
PG  - e00178915
LID - S0102-311X2017000505009 [pii]
LID - 10.1590/0102-311X00178915 [doi]
AB  - The effects of dengue infection during pregnancy have not been previously studied
      in Rio Branco, Acre State, Brazil. The aim of this study was to determine the
      risks of maternal, fetal, and infant complications resulting from dengue
      infection during pregnancy. The study compared two cohorts of pregnant women,
      exposed versus unexposed to dengue virus, from 2007 to 2012. Incidence rates and 
      risk ratios were estimated for maternal, fetal, and infant complications. In the 
      exposed cohort there were 3 fetal deaths and 5 neonatal deaths. Two maternal
      deaths were identified in the exposed cohort, as opposed to none in the unexposed
      group (p = 0.040). The exposed cohort showed a risk ratio (RR) of 3.4 (95%CI:
      1.02-11.23) for neonatal death. The risk ratio for early neonatal death was 6.8
      (95%CI: 1.61-28.75). Ten infant deaths occurred in children of exposed pregnant
      women and 7 in unexposed (RR = 6.0; 95%CI: 2.24-15.87). Women infected with
      dengue virus in pregnancy showed increased risk ratio for maternal, neonatal, and
      infant mortality.
FAU - Feitoza, Helena Albuquerque Catao
AU  - Feitoza HAC
AD  - Secretaria Municipal de Saude de Rio Branco, Rio Branco, Brasil.
AD  - Secretaria Estadual de Saude do Acre, Rio Branco, Brasil.
FAU - Koifman, Sergio
AU  - Koifman S
FAU - Koifman, Rosalina Jorge
AU  - Koifman RJ
AD  - Escola Nacional de Saude Publica Sergio Arouca, Fundacao Oswaldo Cruz, Rio de
      Janeiro, Brasil.
FAU - Saraceni, Valeria
AU  - Saraceni V
AD  - Superintendencia de Vigilancia em Saude, Secretaria Municipal de Saude, Rio de
      Janeiro, Brasildagger Falecido.
LA  - por
LA  - eng
PT  - Journal Article
TT  - Os efeitos maternos, fetais e infantis decorrentes da infeccao por dengue durante
      a gestacao em Rio Branco, Acre, Brasil, 2007-2012.
DEP - 20170612
PL  - Brazil
TA  - Cad Saude Publica
JT  - Cadernos de saude publica
JID - 8901573
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Brazil/epidemiology
MH  - Case-Control Studies
MH  - Cohort Studies
MH  - Dengue/*complications/*mortality
MH  - Female
MH  - Fetal Death
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Maternal Mortality
MH  - Middle Aged
MH  - Perinatal Death
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/*mortality/*virology
MH  - Retrospective Studies
MH  - Socioeconomic Factors
MH  - Young Adult
EDAT- 2017/06/15 06:00
MHDA- 2017/07/06 06:00
CRDT- 2017/06/15 06:00
PHST- 2015/10/20 [received]
PHST- 2016/06/24 [accepted]
AID - S0102-311X2017000505009 [pii]
AID - 10.1590/0102-311X00178915 [doi]
PST - epublish
SO  - Cad Saude Publica. 2017 Jun 12;33(5):e00178915. doi: 10.1590/0102-311X00178915.