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Differentiating and Managing Emerging Tropical Vector-Borne Diseases During Pregnancy
Spencer C Darveau1, Naima T Joseph, Laura E Riley
1Department of Obstetrics and Gynecology, Weill Cornell Medical School, NewYork-Presbyterian Hospital, New York, New York; and the Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts.
Obstetrics and Gynecology
|November 13, 2025
Summary
Obstetricians face rising risks from vector-borne diseases like dengue and Zika during pregnancy. This guidance offers evidence-based strategies for diagnosis, management, and prevention to improve maternal and fetal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- Vector-borne diseases (e.g., dengue, Zika, chikungunya, Oropouche) present significant risks to pregnant individuals and fetuses.
- Expanding vector habitats increase the likelihood of obstetricians encountering these infections.
- Clinical presentation can overlap with other obstetric conditions, necessitating accurate diagnosis.
Purpose of the Study:
- To provide evidence-based clinical guidance for diagnosing and managing tropical vector-borne diseases in pregnant patients.
- To emphasize risk stratification based on epidemiological factors.
- To highlight the importance of early detection for mitigating adverse pregnancy outcomes.
Main Methods:
- Clinical risk stratification based on epidemiologic risk factors.
- Evidence-based recommendations for diagnosis and management.
- Review of preventive measures including vector control, repellents, and vaccination.
Main Results:
- Identification of key vector-borne diseases relevant to obstetric practice.
- Framework for clinical risk assessment and management.
- Emphasis on differential diagnosis considering obstetric syndromes.
Conclusions:
- Early detection and appropriate management of vector-borne diseases are crucial for preventing adverse maternal and fetal outcomes.
- Clinical guidance is essential for obstetricians managing these infections in pregnant populations.
- Preventive strategies are vital components of mitigating disease impact.
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