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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 06

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Ginecol Obstet Mex 2023; 91 (06)

Characterization and factors associated with the care of pregnant women with dengue in Cali, Colombia

Arango-Orozco L, Otálora-Perdomo M, Pérez-Gómez N, Quintero-Florez S, Rodríguez-Zúñiga T, Hernández-Carrillo M

Language: Spanish
References: 20
Page: 402-410
PDF size: 308.50 Kb.


ABSTRACT

Objective: To describe the sociodemographic and clinical characteristics and to determine the factors associated with hospitalization and timeliness of consultation in pregnant women notified with dengue fever in Cali, Colombia.
Materials and Methods: Observational, analytical and retrospective populationbased study. Description of the sociodemographic and clinical characteristics of pregnant women with dengue reported to the Public Health Surveillance System (SIVIGILA). A logistic regression model was applied to identify factors associated with hospitalization and SPSS version 26 was used for statistical processing.
Results: A total of 674 pregnant women with dengue were studied, 63.9% (n = 431) without alarm signs, 36.1% (n = 243) with alarm signs and no cases of severe dengue. In terms of behavior, 42.3% ( n = 285) were treated on an outpatient basis, 39.5% (n = 266) in hospital;12.5% (n = 84) remained under observation, 1.9% (n = 13) required referral to another health center for hospitalization and 3.9% (n = 26) required intensive care.
Conclusions: In pregnant women, dengue infection increases morbidity; the main factors associated with hospitalization were: thrombocytopenia, hypotension, abdominal pain, rash, and vomiting. On the part of the health entities and the community, effective interventions focused on waste handling and education and insistence on the main warning signs for which they should seek medical consultation are required.


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