Chikungunya in Pregnancy
Chikungunya Virus Infection during Pregnancy , what are effects on mother and effects on baby , how to manage chikungunya during pregnancy
DR QAZI FAHIM SHEZAD, MD, MSc, DMRD, M.Phil Fellow
9/21/20242 min read


Chikungunya Virus Infection during Pregnancy.
What is Chikungunya?
Chikungunya is a mosquito-borne viral infection that causes severe joint pain, fever, and discomfort.
For details of Chikungunya visit , https://qazihe.com/chikungunya
Risks During Pregnancy:
Pregnant women if infected with Chikungunya, they are at risk for:
1. Maternal morbidity, means they are ill and have severe symptoms like fever and joint pain.
2. Preterm labor, means Increased risk of premature birth ( birth before full term of pregnancy ) which leads to many disorders of baby.
3. Low birth weight, Baby may be born underweight , if baby born with low weight there may be need of incubator ( commonly known as shisha )
4. Fetal distress, Baby may experience distress during pregnancy which is a risk of baby death.
5. Vertical transmission, Up to 50% risk of passing the infection to baby during delivery.
Pregnancy Complications:
1. Spontaneous abortion, Increased risk of miscarriage ( matlab bacha zaya hojaeyga khud bakhud)
2. Intrauterine growth restriction (IUGR):, Baby's growth may be restricted ( baby not receiving proper nutrition and blood from mother so baby become small from actual age )
3. Preterm premature rupture of membranes (PPROM), Increased risk of premature water break ( water leak from baby bag )
Prevention:
1. Wear protective clothing, Cover whole body with long-sleeved shirts and pants.
2. Apply insect repellent, Use DEET, picaridin, or oil of lemon eucalyptus ( kiry makory machar bahgany wali spray wghera )
3. Eliminate standing water, Prevent mosquito breeding ( khara pani khatm karin machar pyda hi ni hungy )
4. Use mosquito nets, Protect woman and new coming baby.
Symptoms:
1. Sudden onset of fever
2. Joint pain and swelling ( starting from small joints )
3. Headache
4. Muscle pain
5. Rashes with body itching
6. Back pain ( back pain is very common during pregnancy while chikungunya elevate it )
What to Do If Infected:
1. Seek medical attention: Consult with Qualified and registered healthcare provider.
2. Rest and hydrate: Drink plenty of fluids.
3. Take medication: Acetaminophen for fever and pain relief.
For details of Chikungunya visit , https://qazihe.com/chikungunya
Pregnancy-Specific Precautions:
1. Avoid NSAIDs and corticosteroids, Consult with Qualified and registered healthcare provider.
2. Monitor liver function and platelet count, Regular blood tests ( LFTS, CBC)
Stay Informed:
1. World Health Organization (WHO) ( https://www.who.int/ )
2. Centers for Disease Control and Prevention (CDC) https://www.cdc.gov/index.html
3. DR QAZI FAHIM SHEZAD YouTube channel.
Share this information with pregnant women and families to raise awareness about Chikungunya risks and prevention.
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