Viral respiratory disease in pregnancy
- 1 April 2007
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Obstetrics and Gynecology
- Vol. 19 (2), 120-125
- https://doi.org/10.1097/gco.0b013e328028fdc7
Abstract
Recently there has been an increased concern over viral respiratory infections and their potential for a pandemic. This concern makes it important to review the most current guidelines for the management of viral respiratory diseases in pregnancy. The topics covered are influenza, avian influenza, and severe acute respiratory syndrome. Pregnant women have an increased susceptibility to viral respiratory diseases. The most common respiratory virus to infect pregnant women is influenza. All women who intend to become pregnant or are pregnant should receive the influenza vaccine. If a pregnant woman develops influenza she should be treated with supportive care. Antiviral medications should be reserved for cases where the benefits outweigh the risks. Avian influenza (H5N1) is a new emerging virus usually contracted from direct contact with diseased birds. There is no commercially available vaccine at this time to prevent infection. Pregnant women should be treated aggressively with supportive care and antiviral medications, as the significant risk of maternal mortality outweighs the potential fetal risks. Pregnant women diagnosed clinically with severe acute respiratory syndrome should be treated empirically, as a serologic diagnosis can take weeks to confirm. The treatment of pregnant women with severe acute respiratory syndrome should be without ribavirin.Keywords
This publication has 52 references indexed in Scilit:
- Pregnancy complications and delivery outcomes of pregnant women with influenzaThe Journal of Maternal-Fetal & Neonatal Medicine, 2006
- Maternal influenza during pregnancy and risk of congenital abnormalities in offspringBirth Defects Research Part A: Clinical and Molecular Teratology, 2005
- Pneumonia in pregnancyCritical Care Medicine, 2005
- Eye AnomaliesEpidemiology, 2005
- Maternal morbidity and perinatal outcomes among pregnant women with respiratory hospitalizations during influenza seasonAmerican Journal of Obstetrics and Gynecology, 2003
- Prevention and Treatment of InfluenzaNew England Journal of Medicine, 2000
- Impact of Influenza on Acute Cardiopulmonary Hospitalizations in Pregnant WomenAmerican Journal of Epidemiology, 1998
- Deaths from Asian influenza associated with pregnancyAmerican Journal of Obstetrics and Gynecology, 1959
- Maternal mortality in the epidemic of Asian influenza, New York City, 1957American Journal of Obstetrics and Gynecology, 1958
- INFLUENZA OCCURRING IN PREGNANT WOMENJournal of the American Medical Association, 1919