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Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 11

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Ginecol Obstet Mex 2024; 92 (11)

Extreme maternal morbidity in adolescents due to severe dengue fever

Ambrosio ÁMJ, Garrido AA, Ruz SGM

Language: Spanish
References: 22
Page: 476-482
PDF size: 185.87 Kb.


ABSTRACT

Objective: To report the incidence of extreme maternal morbidity due to severe dengue fever in adolescents in southeastern Mexico.
Materiales and Methods: Observational, cross-sectional, descriptive study conducted in patients with a diagnosis of severe dengue who attended the obstetric intensive care unit of the Hospital General Dr. Agustín O'Horán between January 1 and December 31, 2023.
Results: Among a group of 643 adolescents with a mean age of 15 years, 14 cases of dengue virus infection were recorded from 4380 hospital admissions of pregnant patients, with a mean intensive care unit stay of 6.3 days. The predominant serotype was DENV3.
Conclusion: The reported incidence of the sample studied confirms that pregnant adolescents, by virtue of their age group alone, are a risk factor for pregnancy complications. When the rispoñl.k,k of dengue virus infection is added to this, greater caution is required, hence the need to care for these patients in the intensive care unit to reduce the possibility of complications and extreme maternal morbidity. Prevention of pregnancy in adolescents should be a priority public health task, as well as care to avoid dengue virus infection.


REFERENCES

  1. Dirección General de Epidemiología. Manual de procedimientosestandarizados para la vigilancia epidemiológicade la morbilidad materna extremadamente grave. 2023.https://epidemiologia.salud.gob.mx/gobmx/salud/documentos/manuales/19_Manual_VE_SIVEMorbilidadMaternaSevera.pdf

  2. Say L, Souza RC, Pattinson. WHO working group on MaternalMortality and Morbidity classifications. Maternalnear miss -towards a standard tool for monitoring qualityof maternal health care. Best Pract Res Clin ObstetGynaecol 2009; 23: 287-96. https://dx.doi.org/10.1016/j.bpobgyn.2009.01.007

  3. American College of Obstetricians and Gynecologists andthe Society for Maternal-Fetal Medicine, Kilpatrick SK,Ecker JL. Severe maternal morbidity: screening and review.Am J Obstet Gynecol 2016; 215: B17-B22. https://dx.doi.org/10.1016/j.ajog.2016.07.050

  4. Franco-Y CE, Hernández-Pacheco JA. Monitoreo de morbilidadmaterna extrema (near miss) como compromiso internacionalpara complementar la calidad de la atención ensalud materna Perinatología y Reproducción Humana 2016;30 (1): 31-38. https://doi:10.1016/j.rprh.2016.03.004

  5. Pattinson R, Say L, Souza JP, Broek NV, et al. WHO maternaldeath and near-miss classifications. Bull WorldHealth Organ 2009; 87 (10): 734. https://doi.org/10.2471/blt.09.071001.

  6. SINAVE Salud. Sistema de Vigilancia Epidemiológica deMorbilidad Materna Extremadamente Grave (SIVEMMEG),2024. Semana epidemiologica 22. https://www.gob.mx/cms/uploads/attachment/file/921933/MMEG_2024_SE22.pdf

  7. Mulik V, Dad N, Buhmaid S. Dengue in pregnancy: Reviewarticle. Eur J Obstet Gynecol Reprod Biol 2021; 261: 205-10.https://doi: 10.1016/j.ejogrb.2021.04.035

  8. Gehlot H, Yadav OP, Sharma S, et al. A study of denguefever in pregnancy and its maternal and fetal prognosis.IJRCOG 2017; 6 (8): 3414. https:// doi:10.18203/2320-1770.ijrcog20173454

  9. Secretaría de Salud. Panorama epidemiológico de dengue.Semana epidemiológica 35 de 2023. https://www.gob.mx/cms/uploads/attachment/file/854960/Pano_dengue_35_2023.pdf

  10. Secretaría de Salud. Análisis Complementario de laSituación Epidemiológica de Dengue en México 2024.https://www.gob.mx/salud/documentos/analisis-complementario-de-la-situacion-epidemiologica-de-dengueen-mexico-2024

  11. Secretaría de Salud. Panorama epidemiológico de dengue.Semana epidemiológica 36 de 2024. https://www.gob.mx/cms/uploads/attachment/file/942980/MM_2024_SE36.pdff

  12. Sosa-Medellín MA Luviano-García JA. Terapia de reemplazorenal continua. Conceptos, indicaciones y aspectos básicosde su programación. Med Int Méx 2018:34 (2): 288-98.https://doi.org/10.24245/mim.v34i2.1652

  13. Oliveira LC, Costa AA. Maternal near miss in the intensivecare unit: clinical and epidemiological aspects.Rev Bras Ter Intensiva. 2015; 27 (3): 220-7. https://doi.org/10.5935/0103-507X.20150033

  14. Manual de procedimientos estandarizados para la vigilanciaepidemiológica de las enfermedades transmitidas porvector (ETV) 2021. https://epidemiologia.salud.gob.mx/gobmx/salud/documentos/manuales/36_Manual_ETV.pdf

  15. Organización Panamericana de la Salud. Aceleración mundialde las medidas para promover la salud de los adolescentes(Guía AA-HA): Orientación para la aplicación en lospaíses. 2018. https://iris.paho.org/handle/10665.2/49181

  16. Escalante R, Tejeda MW, García HG, Betanzos RF, et al.Morbilidad materna extrema (near miss) por dengue grave.Reporte de un caso. Ginecol Obstet Méx 2022; 90 (4): 364-70. https://doi.org/10.24245/gom.v90i4.6850

  17. Moreno-Santillán AA, Briones-Vega CG, Díaz de León MA,Bravo-Topete E, et al. Morbilidad extrema (near-miss) enobstetricia. Revisión de la literatura. Rev Mex Anestesiol2020; 43 (1): 53-56. https://doi.org/10.35366/cma201i

  18. Paixao ES. Dengue in pregnancy and maternal mortality:a cohort analysis using routine data. Scientific reports2018: 1-6. https://www.nature.com/articles/s41598-018-28387-w

  19. Rathore SS, Oberoi S, Hilliard J, Raja Ret al. Maternal andfoetal‐neonatal outcomes of dengue virus infection duringpregnancy. TMIH 2022; 27 (7): 619-629. https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13783

  20. Nava GE, Nungaray GL, Salcedo ., Cisneros RF, ,et al. Morbilidadmaterna extrema: intervenciones médico-quirúrgicas eindicadores para evitar la muerte materna. Ginecol ObstetMex 2020; 88 (9): 606-14. https://doi.org/10.24245/gom.v88i9.4246

  21. Machain-Williams C, Raga E, Baak-Baak C, Sungmin K,et al. Maternal, fetal, and neonatal outcomes in pregnantdengue patients in Mexico. BioMed Research Int2018; (1): 9643083. https://onlinelibrary.wiley.com/doi/10.1155/2018/9643083

  22. Consejo Nacional de Evaluación de la Política de DesarrolloSocial (CONEVAL). El embarazo en la adolescencia y el accesoa educación y servicios de salud sexual y reproductiva:un estudio exploratorio. Ciudad de México: CONEVAL,2022. https://www.coneval.org.mx/InformesPublicaciones/Documents/Estudio_Exploratorio_embarazo_adolescencia.pdf




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