Too Young and Too Pregnant to Die: H1N1 and Pregnancy
Article first published online: 14 JUN 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: 2012 Convention Proceedings
Volume 41, Issue s1, page S167, June 2012
How to Cite
Nueva, A., Boyle, C. J. and Mahoney, K. (2012), Too Young and Too Pregnant to Die: H1N1 and Pregnancy. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: S167. doi: 10.1111/j.1552-6909.2012.01363_8.x
- Issue published online: 14 JUN 2012
- Article first published online: 14 JUN 2012
- adolescent pregnancy
H1N1 is known to cause catastrophic complications in the pregnant population. In this case we review the presentation and sequelae of such a patient.
A gravida 1 para 0 17 year old with adequate prenatal care who refused a flu shot presented to labor and delivery with flu like symptoms early in the third trimester. The patient rapidly progressed to acute respiratory distress syndrome and plans were developed for an intensive care unit cesarean if needed. The patient ultimately did require an emergent delivery and died quickly thereafter. The case was complicated by the patient's age and culture.
Patient education is vital regarding the importance of flu vaccine. Multidisciplinary efforts were required to try to save this patient's life, care for her extremely preterm infant, and support her grieving family.