Document Detail


Influenza-like illness during pregnancy: results from a study in the eastern townships, Province of Quebec.
MedLine Citation:
PMID:  14663536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: (1) To assess the frequency of influenza and influenza-like illness (ILI) during pregnancy; (2) to explore the associated risk of adverse maternal and fetal outcomes. METHODS: All women who delivered at the Sherbrooke University Hospital in the province of Quebec during the period of February 15 to April 30, 2002, were invited to complete a questionnaire. Medical records of participating women and of their infants were reviewed. Complement-fixing antibody titres against influenza A were measured in paired sera drawn during antenatal screening and at delivery. RESULTS: The study participation rate was 96.3%. Nine of 517 women stated that they had received the influenza vaccine during pregnancy, and only 3 of 47 women with a chronic pulmonary disease had been immunized. Overall, 464 ILI episodes were reported by 331 women, and a significant maternal complication occurred in 8 cases. ILI episodes resulted in medical consultations in 55.4% of cases, and in antibiotic prescriptions in 13.8% of cases. There was no indication of an increased frequency of adverse perinatal outcomes associated with ILI during pregnancy. Paired sera were available for 156 participants and seroconversion was observed in 6.6%. CONCLUSIONS: ILI during pregnancy was associated with health services utilization but complications were infrequent. More studies are needed to demonstrate the usefulness of routine vaccination of healthy pregnant women against influenza.
Authors:
Jean-de-Dieu Tuyishime; Philippe De Wals; Jean-Marie Moutquin; Eric Frost
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  25     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-09     Completed Date:  2004-02-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1020-5     Citation Subset:  IM    
Affiliation:
Clinical Research Centre, Sherbrooke University Hospital Centre, Sherbrooke, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Antibodies, Viral / blood
Female
Humans
Infant, Newborn
Influenza A virus / immunology
Influenza Vaccines / administration & dosage
Influenza, Human / complications,  epidemiology*,  prevention & control
Pregnancy
Pregnancy Complications, Infectious / epidemiology*
Pregnancy Outcome* / epidemiology
Quebec / epidemiology
Questionnaires
Risk Factors
Seroepidemiologic Studies
Vaccination
Chemical
Reg. No./Substance:
0/Antibodies, Viral; 0/Influenza Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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