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Influenza in Pregnancy — Medical Practice MCQ

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ModerateInfectious DiseasesInfluenza in Pregnancy

A 34-year-old woman presents with influenza-like illness within 36 hours of onset. She is pregnant and otherwise healthy. What is the recommended management?

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Correct answer: A — Start oseltamivir as soon as possible.

Pregnant patients are considered a high-risk group for influenza complications. Antiviral treatment, preferably with oseltamivir, should be initiated as soon as possible, ideally within 48 hours of symptom onset. Supportive care alone is insufficient. Zanamivir is an alternative antiviral, but the recommendation is not limited to hospitalized patients. Antibiotics are not indicated for uncomplicated influenza. Baloxavir is not the preferred agent in pregnancy, but this does not preclude the use of other antivirals.

Reference: Secondary Source: CDC (2024): Influenza Antiviral Guidance-Pregnancy