• Obstetrics and gynecology · May 2010

    Case Reports

    The effects of respiratory failure on delivery in pregnant patients with H1N1 2009 influenza.

    • Anahita Jafari, Elizabeth S Langen, Natali Aziz, Yair J Blumenfeld, Frederick Mihm, and Maurice L Druzin.
    • Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Stanford University School of Medicine, Stanford, California, USA.
    • Obstet Gynecol. 2010 May 1;115(5):1033-5.

    BackgroundThe majority of hospitalizations for H1N1 complications have been in people with high-risk comorbidities, including pregnancy. Here we describe the obstetric and critical care treatment of three patients with confirmed H1N1 influenza virus infection complicated by acute respiratory failure.CasesWe describe the clinical and therapeutic courses of three patients with confirmed H1N1 2009 influenza virus infection complicating singleton, twin, and triplet gestations, each of which were complicated by respiratory failure.ConclusionThese three cases illustrate that a high index of suspicion, prompt treatment, timing and mode of delivery considerations, and interdisciplinary treatment are integral to the care of pregnant patients with H1N1 influenza infections complicated by acute respiratory failure.

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