Dengue Fever in Pregnancy Mimicking Obstetric Hemorrhage

Abstract

Dengue is a major public health problem in the tropical and subtropical area. Dengue fever is caused by one of the four dengue virus serotypes of the genus Flavivirus, family flaviviridae, RNA virus.1-3 Dengue is transmitted to humans by the mosquito Aedes aegypti. The principal maternal complications are abortion, premature labor, retroplacental hematoma leading to antepartum hemorrhage and hemorrhage during and after delivery. Fetal complications are prematurity, intrauterine fetal death (IUFD), acute fetal distress in labor, maternal-fetal (vertical) transmission and neonatal death. Management of dengue fever is conservative with intravenous fluid replacement and close observation of vital signs and bleeding.