Obstet Gynecol. 2024 Feb 1;143(2):e24-e30. doi: 10.1097/AOG.0000000000005479.
Pregnant and postpartum individuals are at significantly higher risk of serious complications related to seasonal and pandemic influenza infections compared with nonpregnant people. The Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists (ACOG) recommend that all adults receive an annual influenza vaccine and that individuals who are or will be pregnant during influenza season receive an inactivated or recombinant influenza vaccine as soon as it is available. Although the influenza vaccine significantly lowers the risk of severe disease, it will not prevent all infections. Obstetrician-gynecologists and other obstetric health care professionals should consider both influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection for pregnant individuals who present with symptoms of respiratory illness. Antiviral treatment should not be delayed while awaiting respiratory infection test results, and a patient's vaccination status should not affect the decision to treat. Obstetrician-gynecologists and other obstetric care professionals can help reduce disparities in influenza vaccination rates as well as severe outcomes related to influenza infection by strongly recommending influenza vaccination to all patients.
与非孕妇相比，孕妇和产后妇女在季节性和大流行性流感感染方面发生严重并发症的风险明显更高。疾病控制和预防中心以及美国妇产科医师学会（ACOG）建议所有成年人每年接种流感疫苗，并且在流感季节期间或之后将怀孕的个人尽快接种灭活或重组流感疫苗。尽管流感疫苗大大降低了患重病的风险，但它并不能预防所有感染。对于出现呼吸道疾病症状的孕妇，妇产科医生和其他产科保健专业人员应同时考虑流感和严重急性呼吸系统综合征冠状病毒 2（SARS-CoV-2）感染。在等待呼吸道感染检测结果时，不应延迟使用抗病毒药物治疗，并且患者的疫苗接种状况不应影响治疗决策。妇产科医生和其他产科护理专业人员可以通过向所有患者强烈建议接种流感疫苗，帮助减少流感疫苗接种率以及与流感感染相关的严重后果方面的差异。
