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Published on: August 4, 2023
MEASLES IN PREGNANCY IN THE REPUBLIC OF KAZAKHSTAN: CLINICAL AND LABORATORY MANIFESTATIONS AND OUTCOMES
B Kosherova1, Sh Abbozova2, M Smagul3
11Ministry of Health of the Republic of Kazakhstan, Medical University of Astana, Kazakhstan.
Purpose:
to study clinical and laboratory manifestations of measles in pregnant women, prognosis and outcomes of the disease in Kazakhstan (January 2023 - February 2024).
Methods:
334 medical records of women (20-43 years old) with confirmed diagnosis of measles (ELISA) were analyzed. General, biochemical blood tests and inflammatory markers were investigated.
Results:
- 20% of pregnant women were treated as inpatients and the rest as outpatients. - A spike in hospitalizations was recorded during winter months. - Low immunization: 48% of pregnant were unvaccinated and 52% had unknown vaccination status. - Complications included marked intoxication, bacterial infections and perinatal disorders (miscarriages, premature births, fetal deaths).
Conclusions:
Low vaccination rates and increased morbidity increase the risk of severe measles in pregnant women. Pre-pregnancy vaccination remains the only effective prevention method for mother and child.
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