Patient N.T.N.T (26 years old, in Hanoi) is 10 weeks pregnant. Two days ago, the patient appeared cough with little sputum, with sore throat, unknown fever, painful pain, self -use of antipyretics and oresol at home but did not help. Worried about those abnormal signs, pregnant women went to the Medlatec Tay Ho General Clinic to visit.
On the grounds that the 2nd day fever in pregnant women for 10 weeks, the doctor consulted and explained to the patient the indications for diagnosis.
CRP test results increase, influenza A positive. Endoscopy nose and throat, in the throat there is hyperlike organization of the back wall, congested throat vessels. Ultrasound image 11 weeks 02 days, fetal heart rate 190 cycle / minute. Therefore, the patient has a diagnosis of influenza A/ fetus for 10 weeks and is indicated for hospitalization and treatment.
Assoc. This fever, fetal heart beats should be directed to hospital to avoid complications of pregnancy such as fetal movement, fetal heart failure, fetus ... At the same time, pregnant women need to be vaccinated with influenza vaccine, if before being carried The pregnancy has not been injected.
How is the pregnant woman with the influenza?
With his experience, Assoc.Prof. Dr. Tran Van Giang said: The pregnant women with the flu can completely use Tamiflu to treat and completely safe for the mother and fetus. Usage time is the first 48 hours, within 3-5 days.
In the case of pregnant women N.T.N.T, the dosage of oral medication is Tamiflu 7.5mmg/ day, divided 2 times, 12 hours apart and used, in this pregnant woman treated for 5 days is completely reasonable. In addition, pregnant women can safely use Tamiflu medicine and other symptomatic medications that patients feel uncomfortable.
At the same time, experts emphasized: The use of Tamiflu for pregnant women should be indicated and strictly managed by obstetricians. Because there are drugs that need to be indicated and contraindicated in pregnant women. In this case, it is necessary to treat to avoid maternity complications.
Experts added that the cases of obstetric Faculty of influenza A, or influenza B used tamiflu help symptoms reduce rapidly, limit serious complications, when the faster the virus clearance also brings meaning to the patient and the patient and the sick. the whole community. For the community reduces the spread of viruses from people with flu to healthy people.
