[Clinical course and outcomes of influenza A (H1N1) 2009 in pregnant women].

Autor: Tarbaeva DA, Kostinov MP, Iozefson SA, Zagorodnyaya ED
Jazyk: ruština
Zdroj: Zhurnal mikrobiologii, epidemiologii i immunobiologii [Zh Mikrobiol Epidemiol Immunobiol] 2011 Jul-Aug (4), pp. 71-6.
Abstrakt: Aim: Study of course of pregnancy, delivery, postpartum period and perinatal outcomes in pregnant women with influenza A (H1N1) 2009.
Materials and Methods: Course of pregnancy and outcomes in 16 women, who had influenza A (H1N1) 2009, were analyzed. Influenza A (H1N1) 2009 virus was detected by PCR.
Results: Influenza A (H1N1) 2009 had a severe course and high rates of complications: pneumonia (100%), respiratory distress syndrome (25%), placental deficiency (100%). Most of the neonates (87%) from mothers, who had influenza A (H1N1) 2009, had neonatal period disorders: congenital pneumonia--2 (12.5%), cerebral ischemia--10 (62.5%), hyperbilirubinemia--2 (12.5%), vegeto-visceral syndrome--4 (25%), hemorrhagic, convulsive and respiratory distress syndrome--1 (6.7%) each. Alteration in placenta was detected--influenza placentitis. Transplacental route of virus transmission was not detected.
Conclusion: Pregnant women are a high risk group for influenza and serious complications caused by the virus. Influenza A (H1N1) 2009 has a more severe course and a higher rate of complications in both mothers and neonates.
Databáze: MEDLINE