Pregnancy with severe influenza A (H1N1) related acute respiratory distress syndrome: Report of three cases from a rural critical care unit in India

Handyal, Harish; Sánchez, Laura; Babu, Rajesh V.; Mekala, Jyothisuchithra

doi:10.4103/0972-5229.171416

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…This study highlights the need for increased awareness about the ill-effects of influenza infection in pregnant women not only among the health care providers but in the general public as well. There are many studies [11,12,13,14] on the maternal and perinatal outcome in pregnant women with seasonal influenza however there are very few Indian studies on the maternal and perinatal outcome in pregnant women admitted to intensive care [15,16] with H1N1 infection particularly in rural area. In the current study more than 50% of patients were in the 25-30 years age group.…”

Section: Discussionmentioning

confidence: 99%

A retrospective study of critically-ill pregnant women with H1N1 infection in a tertiary care rural medical college of Gujarat

Sapre¹,

Raithatha²,

Bhattacharjee³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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Introduction: H1N1 influenza infection is known to cause severe morbidity and mortality in pregnant women. Perinatal morbidity and mortality is also increased due to neonatal disease, prematurity and stillbirth. World Health Organization has identified pregnant and postpartum women as a high risk group. Method: A retrospective observational study was carried out to study the clinical profile and maternalperinatal outcome in pregnant women critically -ill with H1N1 infection at a tertiary care rural medical college of Gujarat. Results: 13 patients fulfilled the admission criteria. There were 4 maternal deaths in the study group. Delay in reporting to the hospital, associated co-morbidities like anemia, bronchial asthma, gestational hypertension was the common factor in pregnant women succumbing to influenza. None of the pregnant women admitted to Intensive care had received Influenza vaccination. Conclusion: Delay in diagnosis and management is associated with poor maternal and perinatal outcome. Influenza vaccination awareness among high risk groups can help in reducing morbidity and mortality due to H1N1 infection.

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Section: Discussionmentioning

confidence: 99%

A retrospective study of critically-ill pregnant women with H1N1 infection in a tertiary care rural medical college of Gujarat

Sapre¹,

Raithatha²,

Bhattacharjee³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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“…ARDS caused by H1N1 infection was more common in the third trimester and post-partum [21][22][23][24] . The average days of mechanical ventilation varied from 8 to 25 days [21][22][23][24] . Better outcomes were associated with early onset antiviral agent administration.…”

Section: Ardsmentioning

confidence: 99%

“…Better outcomes were associated with early onset antiviral agent administration. Prone position was used in one study in some patients 23 . ECMO was used in some patients who had severe ARDS from which 66% survived 22 .…”

Section: Ardsmentioning

confidence: 99%

Similarities and differences of Acute Respiratory Distress Syndrome (ARDS) caused by H1N1 versus SARS-CoV-2 in pregnancy: A systematic review of cohort studies

Papadopoulou,

Psathas,

Chantziara

et al. 2024

Pneumon

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Both H1N1 and SARS-CoV-2, two primarily respiratory viruses, resulted in many cases of patients with Acute Respiratory Distress Syndrome (ARDS). ARDS according to the Berlin Criteria (2012), is defined as respiratory distress of acute onset (within a week of a clinical incident), with diffuse lung infiltrates on chest X-ray, without underlying cardiac failure or abnormally positive fluid balance. The activation and dysregulation of multiple pathways of injury and inflammation, including coagulation, are the main constituents of ARDS pathophysiology 3 . Also, partial pressure of oxygen in the arterial blood to the fraction of inspired oxygen concentration PaO 2 /FiO 2 should be ≤300 4 . Causes of ARDS are divided into pulmonary, which could be respiratory tract infection or lung injury, and extrapulmonary, like burns, prior non-thoracic operation, extrapulmonary infection etc. In terms of hospital mortality, it is 34.9% for mild disease, 40.3% for moderate, and 50.4% for severe ARDS5. Finally, ARDS is the primary cause of Intensive Care Unit (ICU) admissions.According to the World Health Organization (WHO), risk factors for worse prognosis for H1N1 virus disease are young

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Demographic and laboratory variables and their effect on mortality in influenza A (H1N1)pdm09 outbreak in 2015 in Rajasthan, India

Nawal

Agrawal

Agarwal

et al. 2017

Indian Journal of Medical Specialities

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Pregnancy with severe influenza A (H1N1) related acute respiratory distress syndrome: Report of three cases from a rural critical care unit in India

Cited by 4 publications

References 8 publications

A retrospective study of critically-ill pregnant women with H1N1 infection in a tertiary care rural medical college of Gujarat

A retrospective study of critically-ill pregnant women with H1N1 infection in a tertiary care rural medical college of Gujarat

Similarities and differences of Acute Respiratory Distress Syndrome (ARDS) caused by H1N1 versus SARS-CoV-2 in pregnancy: A systematic review of cohort studies

Demographic and laboratory variables and their effect on mortality in influenza A (H1N1)pdm09 outbreak in 2015 in Rajasthan, India

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