Human Papillomavirus (HPV) Vaccine Uptake Among Commercially Insured Postpartum Women, 2006–2012 [20J]

Abstract

RESULTS: Three cases of MERS in pregnancy have been reported. One led to stillbirth at 20 weeks, the second resulted in maternal death immediately after cesarean section, and the third delivered and recovered without any long term complications. Because of limited numbers of MERS cases, SARS cases were examined. In the twelve reported cases of SARS in pregnancy, the case fatality rate of 25%, ICU admission (50%) and mechanical ventilation (33%), compared with the non-pregnant population (20%). Also, 57% of patients had spontaneous miscarriage, and 84% who presented after 24 weeks were delivered preterm. CONCLUSION: MERS has the potential to be a serious epidemic. Our recommendations for pregnant patients with MERS include: 1) Standard supportive measures for critically ill respiratory infection 2) Early delivery to better permit ventilation 3) Preventive measures at delivery, including nasopharyngeal suction and cleansing to reduce the viral load. Cesarean section at this time is not encouraged 4) Isolation of the mother from neonate until incubation period (14 days) is completed 5) Delay breast feeding until antibodies are detected in breastmilk.