Author | Paixao, Enny Santos da | |
Author | Harron, Katie | |
Author | Campbell, Oona | |
Author | Teixeira, Maria da Glória Lima Cruz | |
Author | Costa, Maria da Conceição Nascimento | |
Author | Barreto, Maurício Lima | |
Author | Rodrigues, Laura C. | |
Access date | 2018-08-15T18:30:57Z | |
Available date | 2018-08-15T18:30:57Z | |
Document date | 2018 | |
Citation | PAIXÃO, Enny Santos da et al. Dengue in pregnancy and maternal mortality: a cohort analysis using routine data. Scientific Reports, v. 8, n. 1, p. 1-6, 2018. | pt_BR |
ISSN | 2045-2322 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/28158 | |
Sponsorship | National Council for Scientific and Technological Development (CNPq-Brazil); LCR is partially funded by the European Union’s Horizon 2020 research and innovation program under Zika- PLAN grant agreement No. 734584; KH is funded by the Wellcome Trust (grant number 103975/Z/14/Z) | pt_BR |
Language | eng | pt_BR |
Publisher | Springer Nature | pt_BR |
Rights | open access | pt_BR |
Subject in Portuguese | Dengue | pt_BR |
Subject in Portuguese | Gravidez | pt_BR |
Subject in Portuguese | Mortalidade materna | pt_BR |
Subject in Portuguese | Saúde pública | pt_BR |
Subject in Portuguese | Humanos | pt_BR |
Subject in Portuguese | Feminino | pt_BR |
Title | Dengue in pregnancy and maternal mortality: a cohort analysis using routine data | pt_BR |
Type | Article | pt_BR |
DOI | 10.1038/s41598-018-28387-w | pt_BR |
Abstract | Dengue is a mosquito-borne disease with major public health importance due to its growing incidence and geographical spread. There is a lack of knowledge on its contribution to maternal death. We conducted a population-based cohort study to investigate the association between symptomatic dengue during pregnancy and deaths in Brazil from 2007 to 2012. We did this by linking routine records of confirmed dengue cases to records of deaths of women who had a live birth. Using the Firth method, we estimated odds ratios for maternal deaths associated with dengue during pregnancy. Dengue increased the risk of maternal death by 3 times (95%CI,1.5-5.8) and dengue haemorrhagic fever increased the risk of maternal death by 450 times (95%CI,186.9-1088.4) when compared to mortality of pregnant women without dengue. The increase in risk occurred mostly during acute dengue 71.5 (95%CI,32.8-155.8), compared with no dengue cases. This study showed an increased risk of adverse outcomes in pregnant women with dengue. Therefore in areas where dengue is circulating, the health of pregnant women should be not only a public health priority, but health professionals attending pregnant women with dengue should more closely observe these patients to be able to intervene in a timely way and avoid deaths. | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, WC, United Kingdom / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, WC, United Kingdom. | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, WC, United Kingdom. | pt_BR |
Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. | pt_BR |
Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | pt_BR |
Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, WC, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. | pt_BR |
Subject | Dengue | pt_BR |
Subject | Pregnancy | pt_BR |
Subject | Maternal mortality | pt_BR |
Subject | Public health | pt_BR |
Subject | Humans | pt_BR |
Subject | Female | pt_BR |