Special Situation

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Effect on pregnancy

Chikungunya fever appears to have a direct impact on pregnancy with rare reports of spontaneous abortions and mother-to-child transmission in perinatal period.

Effect on neonates

Mothers afflicted with Chikungunya fever in the perinatal period (−4 days to +1 days before/after delivery) can transmit Chikungunya fever to neonates by vertical transmission. Caesarean section does not appear to prevent transmission. Neonatal CHIK fever is associated with fever, poor feeding, pain, distal edema, various skin manifestations, seizures, meningoencephalitis, and echocardiographic abnormalities in the newborn. No infants are found to be infected with chikungunya virus through breast feeding. Mothers are encouraged to breast feed their infants.