Swine Flu (Influenza A H1N1 2009) infection in pregnancy- a profile of cases at a large tertiary centre in Dubai

During the H1N1 -2009 Influenza A pandemic, 96 pregnant and postpartum women confirmed positive by nasopharyngeal swab polymerase chain reaction were managed at Al Wasl Hospital, a tertiary referral centre in Dubai between 3^_rd august to 17^th December 2009.we studied the characteristics, immediate outcome and complications of these cases. Majority presented with high fever, headache and one or more respiratory symptoms. They were managed according to WHO guidelines. 49% women needed hospitalisation. Most had mild illness and recovered completely. One case had severe illness needing ICU admission, culminating in maternal death. We conclude that the effect of swine flu in our cohort was mild. Co morbidity and delay in seeking treatment led to worsening disease. Vaccination with Pandemrix (single dose vaccine) is recommended for all pregnant women and their health providers if there is onset of a new wave of infection.