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H1N1 Pandemic Flu Hits Pregnant Women Hard
Date:5/24/2010

Study underscores need for expectant moms to get flu shot, expert says

MONDAY, May 24 (HealthDay News) -- Pregnant women who get the H1N1 pandemic strain of flu are at high risk of experiencing serious complications for themselves and their unborn child, a new study finds.

According to the report, there has not been much data about the effect of the novel H1N1 flu on pregnant women and their fetuses, and what data exists is conflicting. In other pandemic flus -- in 1918 and 1957 -- pregnant women were at a high risk of being hospitalized and dying, the researchers noted.

"In keeping with prior pandemics, pregnant women don't do well with pandemic flu, because they have a compromised immune response," said influenza expert Dr. Marc Siegel, an associate professor of medicine at New York University in New York City.

In addition, they don't do as well because they lack immunity to these new flu strains. "So, if you put together that they don't have the immune response that you would like, plus they don't have previous immunity, it's a bad combination," he said.

The report is published in the May 24 issue of the Archives of Internal Medicine.

For the study, a team led by Dr. Andrew C. Miller, of the State University of New York Downstate Medical Center and Kings County Hospital Center in Brooklyn, looked at data on 18 pregnant women with H1N1 flu admitted to hospitals between May 18, 2009, and June 24, 2009.

These women were compared with pregnant women who had the 1918 and 1957 pandemic flu strains.

All the women in the current study were started on the antiviral drug oseltamivir (Tamiflu) when they were admitted to the hospital, the researchers noted.

Among these women, three were admitted to intensive care. In addition, seven women gave birth while they were in the hospital -- six prematurely.

Of the six premature births, five newborns had fetal dist
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