Infections in pregnancyFree in the app

Dengue in pregnancy

Seasonal outbreaks in Karachi, Lahore, Rawalpindi and Peshawar.

Source: WHO · national dengue guidance

Warning signs: abdominal pain, persistent vomiting, fluid build-up, mucosal bleeding, lethargy, liver enlargement, rising haematocrit with falling platelets.

Pregnancy dilutes the blood, so follow serial haematocrits rather than one value.
Calculate fluids on pre-pregnancy weight; careful crystalloids.
Paracetamol only — no NSAIDs or aspirin.
No prophylactic platelets if not bleeding; keep above 50,000 for birth or surgery.
Avoid induction or CS during the critical leak phase unless life-saving.
High PPH risk: deliver in a unit with blood. Watch the baby if infected near term.

A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.