Keywords :
Disease outbreaks, Influenza, Pregnancy, World Health Organization
Citation Information :
Unnithan J, Sathyamoorthy G, Andluru SJ. Swine Flu in Pregnancy with Severe Adult Respiratory Distress Syndrome on Ventilator—Normal Delivery. J South Asian Feder Obs Gynae 2019; 11 (3):217-219.
We report a 29-year-old primigravida at 31 weeks with severe dyspnea needing noninvasive ventilation. Chest X-ray revealed upper lobe infiltration, hence the patient was treated for atypical pneumonia for a day but ventilated due to poor saturation. D-Dimer was elevated hence heparinized and CTPA and echo done, but no evidence of pulmonary embolism. Suspected as H1N1 and started on Tamiflu after sending throat swabs, which came out as positive for H1N1. She was deteriorating despite respiratory and other supports. Hence labor was induced with prostaglandins and oxytocin with prophylactic steroids. She delivered normally with intact perineum on ventilator with atracurium. She made a dramatic recovery post delivery. Patient and baby were discharged home without any morbidity on the 15th post-natal day. We present this case for its good outcome despite the highest prediction of maternal mortality.
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