Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov 1;140(5):874-877.
doi: 10.1097/AOG.0000000000004948. Epub 2022 Oct 5.

Medically Attended Influenza During Pregnancy in the 2019-2020 and 2020-2021 Influenza Seasons

Affiliations

Medically Attended Influenza During Pregnancy in the 2019-2020 and 2020-2021 Influenza Seasons

Stephanie A Irving et al. Obstet Gynecol. .

Abstract

Influenza testing and case-confirmation rates in pregnant populations have not been reported during the coronavirus disease 2019 (COVID-19) pandemic. Using electronic medical record data from a cohort of nearly 20,000 pregnancies in the United States, this retrospective cohort study examines the frequency of acute respiratory or febrile illness encounters, influenza testing, and influenza positivity during the 2020-2021 influenza season, which occurred during the COVID-19 pandemic, compared with the 2019-2020 influenza season, which largely did not. The ratios of influenza tests to acute respiratory or febrile illness visits were similar in the 2019-2020 and 2020-2021 influenza seasons (approximately 1:8 and 1:9, respectively) but were low and varied by study site. Although influenza testing in pregnant patients continued in the 2020-2021 season, when severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) circulation was widespread in the United States, no cases of influenza were identified in our study cohort.

PubMed Disclaimer

Conflict of interest statement

Financial Disclosure Flor M. Munoz disclosed that money was paid to their institution from NIH, Pfizer, Gilead, and the CDC. They received payment from DSMB Moderna and royalties from UpToDate. Erin Nicholson received payment from Novavax. Allison L. Naleway's institution received funding from Pfizer and Vir Biotechnology for unrelated studies. Ms. Hadden, Ms. Juergens, Dr. Newes-Adeyi, and Mr. Reichle conducted this work through their employment with Abt Associates. The other authors did not report any potential conflicts of interest.

References

    1. Centers for Disease Control and Prevention. Influenza Hospitalization Surveillance Network (FluSurv-NET). Accessed July 7, 2022. https://www.cdc.gov/flu/weekly/influenza-hospitalization-surveillance.htm
    1. Olsen SJ, Azziz-Baumgartner E, Budd AP, Brammer L, Sullivan S, Pineda RF, et al. Decreased influenza activity during the COVID-19 pandemic—United States, Australia, Chile, and South Africa, 2020. MMWR Morb Mortal Weekly Rep 2020;69:1305–9. doi: 10.15585/mmwr.mm6937a6 - DOI
    1. Arriola CS, Li DK, Muñoz F, Daugherty M, Doughty-Skierski CD, Ellington S, et al. Factors associated with hospitalization with symptomatic COVID-19 illness among pregnant individuals: a multicenter retrospective cohort study. Open Forum Infect Dis 2022;9:ofac308. doi: 10.1093/ofid/ofac308 - DOI
    1. Dawood FS, Garg S, Fink RV, Russell ML, Regan AK, Katz MA, et al. Epidemiology and clinical outcomes of hospitalizations for acute respiratory or febrile illness and laboratory-confirmed influenza among pregnant women during six influenza seasons, 2010–2016. J Infect Dis 2020;221:1703–12. doi: 10.1093/infdis/jiz670 - DOI

Publication types