Abstract

SAEZ CANTERO, Viviana et al. Behavior of maternal mortality due to Influenza A H1N1 disease in the intensive care unit. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.2, pp. 182-192. ISSN 0138-600X.

A cross-sectional, analytical and observational study was conducted in the "Enrique Cabrera" Teaching Hospital to characterize the maternal morbidity due to A H1Ni influenza in the pregnant patients admitted in the respiratory intensive care unit during the influenza pandemic in 2009. The admissions of pregnants and puerperants from September 1, 2009 to December 31, 2009 as regards the sociodemographic, obstetric, epidemiological and clinical variables, using the SPSS 11.5 system for Windows as the statistic processor. During the study period 103 patients were admitted in intensive care unit, 86 (83.5 %) pregnants and 17 (16.5 %) puerperants; the 87 % of pregnants were in the second and the third trimester of pregnancy. The 55.8 % of pregnants and the 47.1 % of puerperants had a pathologic background, the bronchial asthma was the more frequent one. The 69.9 % of patients started the antiviral treatment with more than 48 hours from the symptoms. Cough was the more prevalent symptom, in a significant way in the greater number of pregnants, 79 (91.9 %) than puerperants, 11 (61.7 %), followed in order the dyspnea (69.9 %) and fever (50.5 %). The major diagnoses for admission were pneumonia (36 % of pregnants and the 58.8 % or puerperants) and bronchopneumonia (33.7 % of pregnants and the 23.5 % of puerperants). The complications were more frequent in the puerperants, 9 (52.9 %). We conclude the multidisciplinary work and by teams contributed to the results obtained.

Keywords : A H1N1 Influenza; pandemic 2009; maternal morbidity due to influenza; influenza and pregnancy.

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