Caracterización clínico-epidemiológica de mujeres embarazadas con Chikungunya en un hospital público de Paraguay

Introduction: Chikungunya is in the group of arboviruses, it is a disease that appears in summer in tropical places, transmitted by the Aedes aegyptis mosquito. Pregnant women infected with the virus present preterm labor, preeclampsia and oligohydramnios. The aim of this study was to clinically and epidemiologically characterize pregnant women with chikungunya. Methodology: An observational, descriptive, cross-sectional, non-probabilistic sampling of consecutive cases of 200 pregnant women who presented with fever to the gynecology department of a public hospital in Paraguay from October 2022 to February 2023 was carried out. 26 pregnant women who presented with fever and tested positive for chikungunya were included. Results: The mean age was 15 to 20 years in 31%, 77% of the patients consulted for fever, 19% for joint pain and 4% for headache. The most affected gestational age was 21 to 30 weeks, which corresponds to 42%. In the first trimester there were: miscarriages in 15%, in the third trimester the complications presented were oligohydramnios in 46% and preterm delivery in 31%. The newborns presented fever in 100%. Conclusion: These results highlight the importance of early detection and proper management of Chikungunya virus during pregnancy, since it can lead to significant complications for both mother and fetus. The findings of this study could contribute to the development of prevention and care strategies that improve obstetric and neonatal outcomes in this setting.