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Presse Med. 2013 May 15. pii: S0755-4982(13)00561-7. doi: 10.1016/j.lpm.2013.01.064. [Epub ahead of print]
[Influenza infection and pregnancy.]
[Article in French]
Anselem O, Floret D, Tsatsaris V, Goffinet F, Launay O.
Source
Maternit? Port-Royal, universit? Paris Descartes, DHU risques et grossesse, PRES Sorbonne Paris Cit?, service de gyn?cologie et obst?trique de Port-Royal, groupe hospitalier Cochin Broca H?tel-Dieu, Assistance publique-H?pitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France(1). Electronic address: olivia.anselem@cch.aphp.fr.
Abstract
Pregnant woman have an increased risk of respiratory complications and hospitalization related to influenza. The flu, like any systemic infection, may also be responsible for uterine contractions constituting a threat of miscarriage or premature labor according to gestational age at which it occurs. There is no specific recommendation regarding the management of influenza-like illness in pregnant women, but a nasopharyngeal sample can be performed in the presence of respiratory or general symptoms occurring during an epidemic to search influenza and establish if a specific treatment with oseltamivir (Tamiflu?). Surveillance in hospital or intensive care unit may be necessary. Vaccination against influenza provides a satisfactory immunity in pregnant women and reduces the risk of respiratory complications. Transplacental passage of maternal antibody protects newborns who are more likely to have severe influenza infection and because the vaccine cannot be administered before the age of 6months. The available data show good tolerance influenza vaccination performed during pregnancy. Since 2012, vaccination against seasonal influenza is recommended for pregnant women, whatever the stage of pregnancy at the time of the vaccination campaign.
Copyright ? 2013. Published by Elsevier Masson SAS.
PMID:
23683385
[PubMed - as supplied by publisher]
[Influenza infection and pregnancy.]
[Article in French]
Anselem O, Floret D, Tsatsaris V, Goffinet F, Launay O.
Source
Maternit? Port-Royal, universit? Paris Descartes, DHU risques et grossesse, PRES Sorbonne Paris Cit?, service de gyn?cologie et obst?trique de Port-Royal, groupe hospitalier Cochin Broca H?tel-Dieu, Assistance publique-H?pitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France(1). Electronic address: olivia.anselem@cch.aphp.fr.
Abstract
Pregnant woman have an increased risk of respiratory complications and hospitalization related to influenza. The flu, like any systemic infection, may also be responsible for uterine contractions constituting a threat of miscarriage or premature labor according to gestational age at which it occurs. There is no specific recommendation regarding the management of influenza-like illness in pregnant women, but a nasopharyngeal sample can be performed in the presence of respiratory or general symptoms occurring during an epidemic to search influenza and establish if a specific treatment with oseltamivir (Tamiflu?). Surveillance in hospital or intensive care unit may be necessary. Vaccination against influenza provides a satisfactory immunity in pregnant women and reduces the risk of respiratory complications. Transplacental passage of maternal antibody protects newborns who are more likely to have severe influenza infection and because the vaccine cannot be administered before the age of 6months. The available data show good tolerance influenza vaccination performed during pregnancy. Since 2012, vaccination against seasonal influenza is recommended for pregnant women, whatever the stage of pregnancy at the time of the vaccination campaign.
Copyright ? 2013. Published by Elsevier Masson SAS.
PMID:
23683385
[PubMed - as supplied by publisher]
