Dengue epidemics and adverse obstetrical outcomes in French Guiana: a semi-ecological study.: Dengue and adverse obstetrical outcomes

Matthieu Hanf 1, * Eleanor Friedman 2 Celia Basurko 1 Amaury Roger 1 Pascal Bruncher 3 Philippe Dussart 4 Claude Flamand 5 Gabriel Carles 6 Pierre Buekens 2 Gerard Breart 7 Bernard Carme 1 Mathieu Nacher 1
* Auteur correspondant
1 CIC - Antilles Guyane - Centre d'investigation clinique Antilles-Guyane
2 Department of Epidemiology
3 Protection Maternelle et Infantile
4 CNR - Centre National de Référence pour les Arbovirus - Laboratoire associé de Virologie
5 Cellule de l'InVS en Région Antilles Guyane
6 Service de Gynécologie Obstétrique
7 UMR_S 953 - Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
Abstract : OBJECTIVE: To determine whether dengue epidemics are associated with an increase in adverse obstetrical outcomes. METHODS: Semi-ecological study combining individual data on obstetrical events from the perinatal registry and aggregated exposure data from the epidemiologic surveillance of dengue in Cayenne, French Guiana between 2004 and 2007. RESULTS: After adjustment for individual risk factors, analysis showed that an epidemic level of dengue transmission during the first trimester was associated with an increased risk of post-partum haemorrhage and preterm birth. The associated risks seemed to depend on the epidemic level. CONCLUSIONS: Despite its limitations, this study suggests that dengue in the first trimester may be related to preterm birth and to post-partum bleeding, thus leading to specific hypotheses that should be tested in prospective studies.
Keywords : Dengue fever pregnancy preterm birth postpartum hemorrhage French Guiana
Type de document :
Article dans une revue
Tropical Medicine and International Health, Wiley-Blackwell, 2014, 19 (2), pp.153-8. 〈10.1111/tmi.12240〉
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Soumis le : lundi 23 décembre 2013 - 17:37:38
Dernière modification le : vendredi 15 février 2019 - 13:48:02
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Matthieu Hanf, Eleanor Friedman, Celia Basurko, Amaury Roger, Pascal Bruncher, et al.. Dengue epidemics and adverse obstetrical outcomes in French Guiana: a semi-ecological study.: Dengue and adverse obstetrical outcomes. Tropical Medicine and International Health, Wiley-Blackwell, 2014, 19 (2), pp.153-8. 〈10.1111/tmi.12240〉. 〈inserm-00922102〉

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