Women in later stages of pregnancy are at increased risk for serious influenza-related morbidity; thus, universal influenza vaccination of pregnant women is recommended. However, vaccine uptake in the United States has been suboptimal. We previously described the burden of severe influenza-related morbidity during pregnancy in the United States by examining hospitalizations of pregnant women with respiratory illness during influenza season. Nondelivery hospitalizations with respiratory illness had significantly longer lengths of stay than those without respiratory illness. Hospitalization characteristics associated with greater likelihood of respiratory illness were the presence of a high-risk condition for which influenza vaccination is recommended, Medicaid/Medicare as primary expected payer, and hospitalization in a rural area. These findings may be explained by these women being at higher risk of influenza-related morbidity or reflect disparities in receipt of influenza immunization. Universal vaccination of pregnant women to decrease influenza-related morbidity should be encouraged.

译文

:怀孕后期的妇女患严重流感相关疾病的风险增加;因此,建议对孕妇进行通用流感疫苗接种。但是,在美国,疫苗的摄取率不是最理想的。我们先前通过检查流感季节孕妇患有呼吸系统疾病的孕妇的住院情况,描述了美国怀孕期间与流感相关的严重疾病的严重负担。患有呼吸系统疾病的未分娩住院的住院时间比没有呼吸系统疾病的住院时间长得多。与呼吸道疾病可能性更大相关的住院特征是:建议进行流感疫苗接种的高风险病况;作为主要预期付款人的医疗补助/医疗保险;以及在农村地区的住院治疗。这些发现可能是由于这些妇女患流感相关疾病的风险较高,或反映了接受流感疫苗接种的差异。应鼓励孕妇普遍接种疫苗以减少与流感相关的发病率。

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