Severe acute respiratory infection with influenza A (H1N1) during pregnanacy
During an eleven day period we admitted twelve obstetric patients with complicated H1N1. Five patients had acute lung injury and required invasive ventilation and inotropic support. Three patients required Continious Positive Airway Pressure (CPAP) support with no inotropes needed. Three of the obstetric patients admitted to critical care units died. Influenza A (H1N1) should not be underestimated in pregnancy. Prevention strategies, early oseltamivir, carefull observation and early transfer to critical care facilities when indicated will decrease maternal and perinatal mortality.
Eduard Langenegger, University of Stellenbosch
Andre Coetzee, University of Stellenbosch
Alrisah Le Roux,
H1N1; pregnancy; respiratory failure; critical care admission
Cite this article
South African Medical Journal 2009;99(10):713.
Date submitted: 2009-09-09
Date published: 2009-09-30
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