<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412024001100476</article-id>
<article-id pub-id-type="doi">10.24245/gom.v92i11.9726</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad materna extrema en adolescentes debida a dengue grave]]></article-title>
<article-title xml:lang="en"><![CDATA[Extreme maternal morbidity in adolescents due to severe dengue fever.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ambrosio Ávila]]></surname>
<given-names><![CDATA[Mariel Jesus]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido Avelarde]]></surname>
<given-names><![CDATA[Anabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruz Sierra]]></surname>
<given-names><![CDATA[Gladys Minu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Doctor Agustín O&#8217;Horán  ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Doctor Agustín O&#8217;Horán  ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>92</volume>
<numero>11</numero>
<fpage>476</fpage>
<lpage>482</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412024001100476&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412024001100476&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412024001100476&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Reportar la incidencia de morbilidad materna extrema por dengue grave en adolescentes del sureste mexicano.  MATERIALES Y MÉTODOS: Estudio observacional, transversal y descriptivo efectuado en pacientes con diagnóstico de dengue grave atendidas en la unidad de cuidados intensivos obstétricos del Hospital General Dr. Agustín O´Horán entre el 1 de enero y el 31 de diciembre de 2023.  RESULTADOS: Se registraron 14 casos de infección por virus dengue entre un grupo de 643 adolescentes con edad media de 15 años, de 4380 ingresos hospitalarios de pacientes embarazadas, con promedio de días de estancia en cuidados intensivos de 6.3. El serotipo predominante fue la variedad DENV3.  CONCLUSIÓN: La incidencia reportada de la muestra estudiada confirma que las adolescentes embarazadas constituyen, solo por su grupo etario, un factor de riesgo de complicaciones del embarazo. Si a ello se agrega el riesgo de la infección por virus dengue, mayores cuidados de atención demandan, de ahí la necesidad de atender a estas pacientes en la unidad de cuidados intensivos, a fin de disminuir la posibilidad de complicaciones y de morbilidad materna extrema. La prevención del embarazo en las adolescentes debe ser una tarea prioritaria de salud pública, lo mismo que de los cuidados para evitar la infección por virus dengue.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To report the incidence of extreme maternal morbidity due to severe dengue fever in adolescents in southeastern Mexico.  MATERIALS AND METHODS: Observational, cross-sectional, descriptive study conducted in patients with a diagnosis of severe dengue who attended the obstetric intensive care unit of the Hospital General Dr. Agustín O&amp;apos;Horán between January 1 and December 31, 2023.  RESULTS: Among a group of 643 adolescents with a mean age of 15 years, 14 cases of dengue virus infection were recorded from 4380 hospital admissions of pregnant patients, with a mean intensive care unit stay of 6.3 days. The predominant serotype was DENV3.  CONCLUSION: The reported incidence of the sample studied confirms that pregnant adolescents, by virtue of their age group alone, are a risk factor for pregnancy complications. When the risk of dengue virus infection is added to this, greater caution is required, hence the need to care for these patients in the intensive care unit to reduce the possibility of complications and extreme maternal morbidity. Prevention of pregnancy in adolescents should be a priority public health task, as well as care to avoid dengue virus infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dengue grave]]></kwd>
<kwd lng="es"><![CDATA[adolescentes]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos obstétricos]]></kwd>
<kwd lng="es"><![CDATA[pacientes embarazadas]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[morbilidad materna, sureste de México]]></kwd>
<kwd lng="en"><![CDATA[Severe dengue fever]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Obstetric Intensive Care Unit]]></kwd>
<kwd lng="en"><![CDATA[Pregnant patients]]></kwd>
<kwd lng="en"><![CDATA[Incidence]]></kwd>
<kwd lng="en"><![CDATA[Maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[South East Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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