Influenza A & pregnant women
Posted on October 29, 2009
Filed Under H1N1 Causes, H1N1 News | Leave a Comment
The island of Taiwan a few days ago a pregnant woman infected with influenza A H1N1 influenza, because of a serious condition, must rely on in vitro cardiopulmonary bypass machine to sustain life. After 3 weeks efforts, maternal condition is stable, but more than 6 months old fetus aborted, unfortunately, the pregnant women had to carry out surgical induction of labor.
It was also reported in Brazil in late August of 557 people died of influenza, there are 58 cases of pregnant women, accounting for 10% of the total number of deaths. A stream in the suffering of 480 pregnant women, the case fatality rate of 12.1%, the case fatality rate of pregnant women suffering from a stream were higher than the average 2 percentage points.
Why do pregnant women infected with A flow of a higher death rate?
The latest issue of “Lancet” magazine published in an American scholar, studies have shown that pregnant women infected with a flow of major causes of death was pneumonia and subsequent acute respiratory distress syndrome. The study of the United States infected with influenza A H1N1 influenza virus in 34 cases of pregnant women in the clinical manifestations and causes of death analysis of the above findings. The researchers suggested that influenza A H1N1 influenza virus infection in pregnant women should be given to anti-influenza virus drug treatment.
Pregnant women how to apply the anti-influenza virus drugs?
August 21, 2009, WHO published a stream of antiviral treatment A User Guide. They point out that the pandemic virus, oseltamivir (Tamiflu) and zanamivir are still sensitive.
Evidence suggests that the Group of Experts, the correct use of issuing a prescription oseltamivir, can greatly reduce the risk of pneumonia (a pandemic influenza and seasonal influenza, the first cause of death) risk, but also significantly reduce the need for hospitalization.
For serious illness or the patient has begun to deteriorate, the WHO recommends the use of oseltamivir as soon as possible for treatment. Preferably after the onset of symptoms within 48 hours to give early treatment to improve their results are closely related with the drug sooner or later. In respect of critically ill patients or patients condition has deteriorated in terms of, even if started late and have treatment. In the absence of oseltamivir, or in any case can not be used when oseltamivir, zanamivir treatment is available.
This recommendation applies to all groups of patients, including pregnant women and infants and young children. As pregnant women are high-risk groups of the column, WHO recommends that pregnant women developed symptoms after receiving anti-viral treatment as soon as possible.
Influenza vaccination of pregnant women be able to do?
Generally considered desirable to advance the injection of 3 months before pregnancy is completed, it can be said that in 3 months after vaccination, the better not pregnant.
But the “international journal of virology,” recently published an article entitled “Pregnant women suffering from influenza and its immunization to prevent harm,” the article said, research has shown that at any time during pregnancy vaccination of inactivated influenza vaccines are safe and effective will not increase the risk of post-natal complications and adverse pregnancy. Influenza vaccination during pregnancy can protect infants and young children. The study found that pregnant women vaccinated with influenza vaccine and its protective antibodies can be passed to the fetus through the placenta. If the woman in the mid-or late pregnancy, vaccination, the antibody would be able to provide an average two after birth to 3 months protection.
Pregnant women, according to local influenza outbreak and their own physical condition, by your doctor decide whether to take influenza vaccine defensive attack.
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