الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
In Egypt; an out break ofHINI A virus infection was detected by JUNE
,2009, when The first laboratory-confirmed case was recorded.
Case-load estimation started on March 31 ,20 I 0, which revealed that e total number of confirmed cases was 16172 (FluTrackers, 2010) and 239 :onfirmed cases in Minya governate”(Department Of Preventive Medicine, lfinistry of health and population, El Minya subdivision.2009).
This study aimed to evaluate HINI infection among pregnant women md readdress the problem, in addition to probing the risk factor(s) of that Jisease in a trial to present timely provision and dissemination of critical data relating to outcomes of infections with this novel influenza HINI virus among ~regnant women in Minya. So a descriptive study of Morbidity of swine flu ’nfection during pregnancy in Minya Governorate was established and data was statistically analyzed.
This study included fifty eight pregnant women recruited from hospitals of Minya Governorate, some were out patients attending antenatal care clinics, others were in patients.
The study started from Septamper 2009 to March 2010.
Included cases were subjected to detailed history taking, general and local examination. Also, ultrasound examination was done.
Data were recorded from 58 pregnant women who were classified into two groups depending on polymeraze chain reaction analysis.
Studied cases were followed up as regards any maternal or fetal complications by reviewing patients’ records in their hospitals or by personal communication with studied cases.
All pregnant patients (58[100%] ) were in the second or third trimester, and approximately one third (19 of 58[32,8%]) had established risk factors for complications from influenza other than pregnancy.
Ten positive HINI pregnant women and one negative HINI pregnant women (total 11 of 58 [18,9%] required intensive care unit suuport and ventilated, and two cases [3,4%] died. Four positive HINI pregnant women and 4 negative HINI pregnant women had preterm labour and delivery, 6 positive HINI pregnant women and 5 negative HINI pregnant women with post-term labour, 13 positive HINI pregnant women and 18 negative HINl pregnant women had been delivered at full term, while 3 positive HINI pregnant women and 2 negative HINI pregnant women had intrauterine fetal death.
HINI influenza- specific case fatality ratio was 7.1 in 2009 and maternal mortality ratio to causes not related to HINI influenza 59.7 in Minya Governorate.
The recorded results were compared to international reports in this
The retrieved data highlighted the problem of HINI among pregnant women locally in Minya Governorate and recommended vaccination of all pregnant women in this locality and disseminated strict advices for care givers in all reproductive health facilities for proper antenatal care and good monitoring of their fetuses, in a trial to optimize the health care program in Minya Governorate.