H1N1 in pregnancy: Experience in a tertiary care hospital

Abstract

Introduction: The serious complication of influenza infection during pregnancy has been recognised for over a century. Because it is associated with high morbidity and mortality, we decided to undertake this study. Objectives: To assess maternal and perinatal outcome in women with H1N1 infection in pregnancy. Materials and Methods: This was a 1-year retrospective study conducted in Christian Medical College ( CMC) and Hospital, Ludhiana. All women infected with H1N1 virus anytime during pregnancy were included in the study. Results and Analysis: A total of 26 patients were included in our study. A majority of patients were in the age group of 20-25 years (84.61%). A total of 61.54% were primigravida and 69.23% were in the third trimester. Comorbidities like diabetes, asthma, and obesity were present in 19.23% patients. The commonest symptoms were cough (92.37%), sore throat, and breathlessness. The commonest maternal complication was preterm labor (30.76%), and fetal complication was intrauterine death (19.23%). The majority delivered vaginally (57.7%). There were seven maternal deaths in our study. Conclusions: H1N1 remains a grave risk in pregnancy, underlining the need for greater awareness, early diagnosis, and prompt treatment.

Keywords

• Antenatal and perinatal complications
• H1N1 infection
• pregnancy