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[Influenza and pregnancy].

M Dumont1

  • 1Clinique Gynécologique et Obstétricale à la Faculté de Medecine de Lyon, Caluire.

Revue Francaise De Gynecologie Et D'Obstetrique
|July 1, 1989
PubMed
Summary

Differentiating benign from severe influenza in pregnant women is crucial. Severe flu can impact fetal development and increase mortality, though modern treatments and vaccination offer protection.

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Public Health

Context:

  • Influenza poses significant risks during pregnancy, historically linked to high mortality rates during severe epidemics.
  • Distinguishing between uncomplicated and complicated (pulmonary) influenza is vital for maternal and fetal outcomes.
  • Modern medical interventions like antibiotics and ventilation have reduced mortality but risks remain.

Purpose:

  • To highlight the differential diagnosis between benign and severe influenza in pregnant women.
  • To review the impact of severe influenza on pregnancy, fetus, and newborn.
  • To emphasize the importance of influenza vaccination in pregnant populations.

Summary:

  • Severe influenza, particularly complicated by pulmonary disease, historically caused high mortality in pregnant women, a risk reduced by modern medical care.
  • Influenza virus can transmit from mother to fetus, potentially causing abortions, premature deliveries, and intrauterine growth delays; fetal malformations are suspected but unconfirmed.
  • While maternal mortality has decreased, concerns persist regarding potential long-term effects like childhood neoplasia following in-utero influenza exposure.
  • Influenza vaccination is strongly recommended for pregnant women, especially those with underlying pulmonary conditions or during epidemic periods.

Impact:

  • Informing clinical practice regarding influenza management in pregnant women.
  • Underscoring the importance of vaccination as a preventive measure against severe influenza and its complications.
  • Guiding public health strategies for protecting vulnerable pregnant populations during flu seasons and epidemics.

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