Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1097/GRF.0000000000000880
Sarah K Dotters-Katz
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引用次数: 0

Abstract

Influenza(flu) in pregnancy is associated with higher rates of hospitalization, ICU admission, and death and with increased odds of congenital anomalies and stillbirth, but not preterm birth. Clinical manifestations of flu in pregnancy are the same as nonpregnant patients. Pregnant individuals with flu-like symptoms or flu exposure should be treated with antivirals. Diagnostic testing is not needed. Oseltamivir is the mainstay of treatment(and prophylaxis), and when given within 48 hours of symptom onset, it decreases morbidity and mortality. Influenza is associated with worse maternal, obstetric, and neonatal outcomes. These risks are mitigated by early oseltamivir treatment and maternal vaccination; hence the recommendation for universal vaccination in pregnancy.

妊娠期流感:妊娠期流感:孕产妇、产科和胎儿的影响、诊断和管理》(Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.
妊娠期流行性感冒(流感)与较高的住院率、重症监护室入院率和死亡率有关,与较高的先天性畸形和死胎几率有关,但与早产无关。妊娠期流感的临床表现与非妊娠期患者相同。有流感样症状或接触过流感的孕妇应接受抗病毒治疗。无需进行诊断测试。奥司他韦是治疗(和预防)的主要药物,在症状出现 48 小时内服用可降低发病率和死亡率。流感与产妇、产科和新生儿的不良预后有关。早期的奥司他韦治疗和孕产妇疫苗接种可以降低这些风险;因此建议在孕期普及疫苗接种。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
186
审稿时长
3 months
期刊介绍: Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.
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