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.
Keyphrases
- preterm birth
- pregnancy outcomes
- pregnant women
- gestational age
- birth weight
- low birth weight
- newly diagnosed
- intensive care unit
- emergency department
- ejection fraction
- body mass index
- type diabetes
- risk assessment
- patient reported
- adipose tissue
- replacement therapy
- skeletal muscle
- prognostic factors
- mechanical ventilation
- sleep quality
- physical activity
- patient reported outcomes
- climate change
- smoking cessation
- weight gain