tetano
Editor, Senior Moderator
Obstet Gynecol. 2010 Feb;115(2 Pt 2):412-4.
Severe influenza A virus (H1N1) infection in pregnancy.
Brown CM.
Department of Women's Health, William Beaumont Army Medical Center, El Paso, Texas 79920, USA. cathleen.m.brown@us.army.mil
Abstract
BACKGROUND: H1N1 influenza is an emerging threat that is life threatening to pregnant women in the third trimester. Six third-trimester maternal deaths with severe H1N1 pneumonia and acute respiratory distress syndrome (ARDS) have been reported in the literature. CASE: A young woman at 33 weeks of gestation was admitted for bilateral pneumonia with increasing hypoxia. Shortly after admission, she decompensated, requiring transfer to the intensive care unit. After testing confirmed H1N1, her respiratory status declined rapidly, necessitating intubation, mechanical ventilation, and emergent bedside preterm cesarean delivery. After delivery, she developed ARDS, requiring prolonged mechanical ventilation, yet she survived and has recovered. CONCLUSION: H1N1 influenza is especially dangerous to pregnant women.
PMID: 20093862 [PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/20093862
Severe influenza A virus (H1N1) infection in pregnancy.
Brown CM.
Department of Women's Health, William Beaumont Army Medical Center, El Paso, Texas 79920, USA. cathleen.m.brown@us.army.mil
Abstract
BACKGROUND: H1N1 influenza is an emerging threat that is life threatening to pregnant women in the third trimester. Six third-trimester maternal deaths with severe H1N1 pneumonia and acute respiratory distress syndrome (ARDS) have been reported in the literature. CASE: A young woman at 33 weeks of gestation was admitted for bilateral pneumonia with increasing hypoxia. Shortly after admission, she decompensated, requiring transfer to the intensive care unit. After testing confirmed H1N1, her respiratory status declined rapidly, necessitating intubation, mechanical ventilation, and emergent bedside preterm cesarean delivery. After delivery, she developed ARDS, requiring prolonged mechanical ventilation, yet she survived and has recovered. CONCLUSION: H1N1 influenza is especially dangerous to pregnant women.
PMID: 20093862 [PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/20093862