Evidence of swine flu risk to pregnant women rises Evidence of swine flu risk to pregnant women rises - pg.3 | allnurses

Evidence of swine flu risk to pregnant women rises - page 3

Evidence of swine flu risk to pregnant women rises; experts urge early treatment Remember that the CDC is now recommending special considerations for pregnant HCW. Most hospitals and health... Read More

  1. Visit  indigo girl profile page
    #26 0
    Palm Beach County, Florida

    http://www.cbs12.com/news/woman-4719...nant-h1n1.html

    No C-section yet, but it would not be a surprise if this happens.

    Quote from www.cbs12.com/new

    For the second time in recent days another pregnant woman in Palm Beach County has been diagnosed with the H1N1 virus, also known as swine flu.

    In this case the woman got so sick, so fast that her husband knew she had to go straight to the emergency room.

    This was no ordinary flu. A spokesman with the Palm Beach County Health Department confirmed for us tonight that this pregnant woman, Aubrey Opdyke of West Palm Beach, does in fact have the H1N1 virus.

    They got the test results back which confirmed it late Friday.

    Now, this 27 year old West Palm Beach woman is in the ICU at Wellington Regional Medical Center, on life-support, and according to her husband she is in a drug-induced coma battling the effects of the H1N1 virus.

    Aubrey is 26 weeks pregnant, with a baby girl.

    "It doesn't look like we're gonna have to do an emergency C-section unless for some reason Aubrey starts to go downhill," he said.

    Aubrey has been hospitalized for the past week at Wellington Regional with H1N1, where doctors are treating her with a prescription drug Tamiflu.

    "She started feeling a bit of a sore throat. She started coughing a little bit, so she went to the doctor, they checked her out and nothing checked out as anything major," Bryan explained.

    So she went home. That was about two weeks ago. But instead of getting better, she got worse.

    "I was talking to her, she wasn't responsive, she was disoriented. She couldn't answer basic simple questions, so I told her get dressed, we're going to the hospital," Bryan said.

    He took her to the emergency room last Sunday July 5 and she's been in the hospital ever since.

    "They're just gonna try to keep the baby in as long as possible and they're gonna try and save Aubrey and if they can save her and the baby, like I said that's a bonus at this point. I would love to have both of 'em," Bryan said.

    She is now the second pregnant mother to be hospitalized with H1N1 in our area. Another woman passed away June 27, but doctors saved the baby and delivered it prematurely.

    Bryan says doctors give his wife a 50-60% chance of survival right now. He says she's in critical but stable condition.

    He says Aubrey has shown some small signs of improvement, but he says it's possible she could be hospitalized for up to a month yet.

    He says doctors want to keep the unborn baby in the mother for another two weeks until at least 28 weeks, because the baby's chances of survival would be greater at 28 weeks.
  2. Visit  oramar profile page
    #27 0
    Quote from indigo girl
    Palm Beach County, Florida

    http://www.cbs12.com/news/woman-4719...nant-h1n1.html

    No C-section yet, but it would not be a surprise if this happens.
    Oh goodness, it makes you feel so bad to hear a story like this.
  3. Visit  indigo girl profile page
    #28 0
    Yes, and these cases are only the ones that we know about.

    I can remember people arguing that severe flu cases would never be an issue in a modern country like the United States because we have modern medicine, and drugs. We don't sleep with chickens and pigs like villagers in Indonesia.

    Hard to imagine the reality of this actually happening in Florida in July, isn't it?
  4. Visit  indigo girl profile page
    #29 0
    Caramel, Uruguay

    http://www.flutrackers.com/forum/sho...79&postcount=1

    Another somewhat poor machine translation:

    Quote from www.flutrackers.com

    July 13 2009, 11:54 Montevideo, July 13 (PL) A woman who performed a cesarean section to seven months of pregnancy because they carry the virus A (H1-N1) today became the tenth victim of fatal the dreaded influenza.

    According to Radio Carve is a young mother of 22 years to birth a child, whose health is not worrying.

    The woman was admitted with flu symptoms at a hospital in the town of Caramel (250 km northwest of Montevideo) and after the caesarean operation worsened until death.

    The baby was transferred immediately to a mutualist of the capital be premature.
  5. Visit  indigo girl profile page
    #30 0
    More Translations on Argentine Cases

    http://www.flutrackers.com/forum/sho...9&postcount=12

    We seldom hear of how it must feel for the medical team to lose these patients, as most reports just give us the data. Not so, in this article. It is difficult to read this without sharing in their sadness.

    Quote from www.flutrackers.com

    On Sunday afternoon the feeling of authorities, doctors and nurses Acute Hospital Interzonal "San Jose" from the nearby town of Pergamino was facing the inevitable disappointment, between Friday and died Sunday morning of three of the six patients were placed in the Intensive Care Unit for Adults with pictures of the establishment suspected influenza A.

    A young man and two pregnant women, hospitalized in a parchment but residing in the town of San Pedro, and Acevedo, who last week the medical team had managed to save the life of her baby, then to remain in therapy Neonatal Intensive Care for several days in the last hours, had been discharged neonatal.

    "The feeling I have and that all members of the health team is experiencing a marked frustration that made all efforts to save these lives, even the patients had experienced some improvement, and then everything began to get complicated until you get to this outcome" confessed Gerardo Monacci statements in the media, who said that "obviously this virus puts the medical community against the unknown, facing a disease that has an attitude and an evolution that in many cases not fully known."
    (Many thanks to Shiloh at flutrackers for the many hours spent translatiing these reports.)
  6. Visit  indigo girl profile page
    #31 0
    Australia

    http://www.mja.com.au/public/issues/...u10748_fm.html

    This report is taken from some Australian case studies. Of note, some of the patients in the report were otherwise healthy until infected with swine flu.

    This young mother and the baby survived despite her premature labor at 26 weeks. She had refused Tamiflu possibly because she was vomiting, and Tamiflu, itself can cause nausea in some patients.

    Quote from www.mja.com.au

    An 18-year-old pregnant woman presented with a 4-day history of cough, fever, and persistent vomiting without diarrhoea. Oseltamivir therapy for possible H1N1 influenza infection was discussed with the patient, but not administered. After intravenous rehydration, she was discharged home, but she returned several hours later in premature labour. Her WCC was 8.2 109/L but her CRP level was high (90 mg/L). She was given steroids for fetal lung immaturity and transferred to a tertiary obstetric/neonatal hospital. Twenty-four hours after delivering a 26-week live infant, she developed hypoxic respiratory failure with tachypnoea (respiratory rate, 35 breaths/min) and bilateral pulmonary infiltrates. She required a high level of inspired oxygen therapy (Fio2, 0.6) by face mask, and monitoring in the ICU. The mother, but not her baby, had a positive polymerase chain reaction (PCR) test result for H1N1 influenza 09, and both were treated with broad-spectrum antibiotics and oseltamivir.
    Last edit by indigo girl on Jul 15, '09
  7. Visit  misswoosie profile page
    #32 0
    We have had 17 deaths in the UK related to swine flu, but up till a week ago they were all in people who had underlying chronic illnesses. In the last week a GP (well I think up until contracted virus) and a 6 year old girl who was well until she developed a sore throat and fever and was dead within 3 days I think.

    My husband is living in the US and he told me it had been really quiet regarding the virus over there.

    Here, acc' to this article, we are planning to start vaccinating next month with Health care workers and those with diabetes and asthma some of the first to be given the vaccine.

    I cam back from the US 3 months ago and had to report to my manager,but was told no problem unless I had any symptoms. I think we may be shutting the stable door after the horse has bolted, but then that would be nothing new.I hope I am wrong.

    Aol article below.

    I am going to do some rooting around for info.

    http://news.aol.co.uk/minister-in-sw...15931904189403
  8. Visit  indigo girl profile page
    #33 0
    Quote from misswoosie
    We have had 17 deaths in the UK related to swine flu, but up till a week ago they were all in people who had underlying chronic illnesses. In the last week a GP (well I think up until contracted virus) and a 6 year old girl who was well until she developed a sore throat and fever and was dead within 3 days I think.

    My husband is living in the US and he told me it had been really quiet regarding the virus over there.

    Here, acc' to this article, we are planning to start vaccinating next month with Health care workers and those with diabetes and asthma some of the first to be given the vaccine.

    I cam back from the US 3 months ago and had to report to my manager,but was told no problem unless I had any symptoms. I think we may be shutting the stable door after the horse has bolted, but then that would be nothing new.I hope I am wrong.

    Aol article below.

    I am going to do some rooting around for info.

    http://news.aol.co.uk/minister-in-sw...15931904189403
    Yes, the little girl was previously healthy. It was a case of misdiagnosis, so that she did not receive Tamiflu which might have saved her. The GP, however, from his photos appeared to be somewhat obese, and this might have contributed to his death.

    It will be interesting to see if the UK actually does begin vaccinating that soon, and how many doses they will have to offer, but I would not bet any money on this happening by next month. October, November...maybe. We shall see.
  9. Visit  oramar profile page
    #34 0
    Quote from indigo girl
    More Translations on Argentine Cases

    http://www.flutrackers.com/forum/sho...9&postcount=12

    We seldom hear of how it must feel for the medical team to lose these patients, as most reports just give us the data. Not so, in this article. It is difficult to read this without sharing in their sadness.



    (Many thanks to Shiloh at flutrackers for the many hours spent translatiing these reports.)
    I was just thinking about that. Losing those expectant mothers and sometimes babies not to mention young healthy people, well it would be hard to work through that.
  10. Visit  misswoosie profile page
    #35 0
    Quote from indigo girl
    Yes, the little girl was previously healthy. It was a case of misdiagnosis, so that she did not receive Tamiflu which might have saved her. The GP, however, from his photos appeared to be somewhat obese, and this might have contributed to his death.

    It will be interesting to see if the UK actually does begin vaccinating that soon, and how many doses they will have to offer, but I would not bet any money on this happening by next month. October, November...maybe. We shall see.
    Yep, you are correct.
    As is very usual our minister got it wrong-which doesn't give confidence.
    I went to the WHO site yesterday evening and this is the latest
    http://www.who.int/csr/disease/swine.../en/index.html
    and to day AOL says
    http://news.aol.co.uk/swine-flu-vacc...22908373674038

    So the vaccine is still in the clinical trial phase.I assume a phase 2 and 3 combined-but wonder if they will have adequate safety data, ie how many people have been enrolled?
    There was a poll on aol a while ago, asking us how confident we were that the DOH could deal with a pandemic.Most people said "not at all". Reflects the publics confidence, or lack of
  11. Visit  indigo girl profile page
    #36 0
    New South Wales, Australia

    http://www.abc.net.au/news/stories/2...tion=australia

    Quote from www.abc.net.au

    Health authorities in New South Wales are now urging expectant mothers to take extra care - and go to their doctors early if they have flu symptoms.

    Three pregnant swine flu patients in New South Wales are in intensive care.

    Two women with swine flu have given birth prematurely, one of those patients is also in intensive care.
    (hat tip crofsblogs)
  12. Visit  indigo girl profile page
    #37 0
    Israel

    http://crofsblogs.typepad.com/h5n1/2...pregnancy.html

    Quote from crofsblogs.typepad.com

    A 25-year-old woman in her 36th week of pregnancy was hospitalized Sunday at Assaf Harofeh Hospital with swine flu after developing breathing problems. This is the third serious case of swine flu in Israel.

    The woman, from the center of the country, was placed on a respirator on Monday and doctors decided to deliver the baby in a Caesarean section. The baby was healthy and in good condition.

    Only yesterday afternoon were the swine flu results confirmed by laboratory tests, and she was still in serious condition and on a respirator last night.
  13. Visit  indigo girl profile page
    #38 0
    Bay Area Pregnant Nurse Recalls Ordeal

    http://cbs5.com/local/h1n1.pregnant....2.1087638.html

    Quote from cbs5.com

    Since April, 350 pregnant women in California have been infected with the H1N1 Swine Flu. 38 were so sick they had to go to intensive care units, and three have died. One Bay Area woman who went to intensive care due to H1N1 spoke exclusively to CBS 5 HealthWatch.

    31-year-old Lori Tritto of San Francisco showed off the ultrasounds that are posted on her fridge. The scans reveal the baby is a boy. Tritto is 27 weeks pregnant, and she's glad to be home.

    Three weeks ago, Tritto was at UCSF Medical Center in intensive care, infected with the swine flu and struggling to breathe.

    Both Tritto and her husband were very scared. "There were two times where I was very close to being intubated," Tritto recalled. "They were going to come back in thirty minutes and if my oxygen wasn't better that was going to be it and that was very scary."

    Tritto is a surgical oncology nurse at UCSF, but the last thing on her mind was a swine flu infection.

    She said the experience was a major shock, adding that "I think my husband and I are still trying to figure it out."

    Dr. Allison Bryant of UCSF is an assistant Professor of Obstetrics and Gynecology and treated Tritto. She said that at UCSF, concern was high, explaining how this swine flu is a new condition and a new disease to many health care providers.

    Dr. Bryant said little is known about how the new H1N1 virus acts in pregnant women. However, she said, "we know when a woman has the flu or pneumonia when a woman doesn't get enough oxygen that the fetus may also suffer and be compromised."

    Tritto had this message for pregnant women: Take swine flu very seriously. It can be devastating and if you are infected, act quickly. That means call your doctor if you have symptoms. A fever, a cough and sore throat are the most common. In addition, be mindful of your surroundings, practice good hygiene and stay away from sick people.

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