Table 5.

Clinical management of women admitted with pneumonia secondary to H1N1 infection

Early involvement of obstetric anesthetist, respiratory physician, hematologist and a microbiologist

Rule out other associated pregnancy related complications such as chorio-amniotis, severe urinary tract infection, malaria etc.

Exclude complications of pregnancy: such as Pre-eclampsia, venous thromboembolism and PE.

Be prepared to deal with: DIC, post viremia encephalitis

Anti microbial therapy should be based upon bacteriological sensitivities-be cautious with the use of Augmentin in women with ruptured membranes

The anti viral treatment should be started ASAP

Maternal pyrexia should be treated with paracetamol

Consider antenatal steroids for preterm labour