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Influenza A/H1N1

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There has been a surge of deaths due to influenza in recent years. Pregnant women have been found to be seven times more likely to die from this illness than non‐pregnant women in the same age group. Among this population:

 Minority ethnic groups were over‐represented

 Clinical co‐morbidities contributed, e.g. asthma, paraplegia, scoliosis

 None of the women who died had been vaccinated

 Presenting features were similar to any severe illness with tachycardia, tachypnoea and variable hypoxia

 CRP was unusually raised – which is not common with viral infections

Managing Medical and Obstetric Emergencies and Trauma

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