Abstract

The first influenza pandemic of the 21st century is now well upon us and several articles published in prominent journals in the past three months provide us with some information about the characteristics of H1N1 infection in the pregnant population. Although data from previous pandemics have significant limitations, it has repeatedly been shown that pregnant women are particularly prone to severe cases of influenza. 1,2 The following three reports appear to confirm this pregnancy-associated increase in influenza virulence and suggest the wisdom of early antiviral treatment for pregnant women with influenza-like illness. A summary of their findings can be found in Table 1.
Summary of findings of recent case series of H1N1 infections in pregnant and non-pregnant patients
CDC = Center for Disease Control and Prevention; ANZIC = Australian and New Zealand Intensive Care; ICU = intensive care unit
*Percentages do not add up to 100% because not all patients' trimesters were reported
