Prospective study of pyrexia with pregnancy

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Perinatology

Background:

• Fever in pregnancy is a frequent clinical issue.
• It elevates risks for maternal and fetal morbidity.
• Understanding associated complications is crucial for management.

Purpose of the Study:

• To investigate maternal medical complications in pregnant women with fever.
• To identify potential fetal complications arising from maternal pyrexia.

Main Methods:

• A prospective observational study was conducted.
• Fifty pregnant patients admitted with pyrexia were included.
• Data collected irrespective of age, parity, reproductive, or socioeconomic factors.

Main Results:

• Urinary tract and upper respiratory tract infections were the most frequent causes.
• Malaria, dengue, enteric fever, and pyrexia of unknown origin were also noted.
• Small for gestational age was the most common adverse outcome, with six perinatal deaths.

Conclusions:

• Pyrexia in pregnancy, from diverse etiologies, leads to a spectrum of maternal, fetal, and neonatal complications.
• Many identified causes of pyrexia are preventable.
• Prompt diagnosis and management are essential to mitigate adverse outcomes.