H1N1 病毒和流感病毒：为什么孕妇可能对接种疫苗犹豫不决。
H1N1 and influenza viruses: why pregnant women might be hesitant to be vaccinated.
出版信息
Can Fam Physician. 2011 Sep;57(9):1003-4.
QUESTION
I have been encouraging pregnant women to receive both the H1N1 and influenza vaccines since I became aware of Health Canada's guidelines. However, some of the women in my practice have heard conflicting information, often from media sources, and they are hesitant to be vaccinated. What is the evidence behind these guidelines, and should I really be convincing these women to be vaccinated?
ANSWER
Pregnant women and growing fetuses are considered a population vulnerable to H1N1 and influenza viruses. Health Canada published a report in late 2010 estimating that this population was at increased risk of hospitalization and severe outcomes of H1N1 infection. Recommendations included pregnant women as a priority group to receive the H1N1 vaccine as well as the influenza vaccine. This information should be explained unambiguously to pregnant women, and they should be made aware of the sensationalism of media reports, which are often based on opinion and not evidence.
问题
自从我了解到加拿大卫生部的指导方针后，我一直在鼓励孕妇接种 H1N1 和流感疫苗。然而，我的一些病人从媒体等渠道听到了相互矛盾的信息，他们对接种疫苗犹豫不决。这些指导方针的依据是什么？我真的应该说服这些妇女接种疫苗吗？
答案
孕妇和正在发育的胎儿被认为是易感染 H1N1 和流感病毒的人群。加拿大卫生部在 2010 年底发布了一份报告，估计该人群因感染 H1N1 而住院和出现严重后果的风险增加。建议将孕妇列为优先接种 H1N1 疫苗和流感疫苗的人群。应向孕妇明确解释这些信息，并让她们意识到媒体报道的耸人听闻往往基于意见而不是证据。
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