title: Guillain-Barré Syndrome after H1N1 Shot in Pregnancy: Maternal and Fetal Care in the Third Trimester-Case Report.
abstract: Guillain-Barré syndrome is a rare neurological disease of progressive installation, usually following a previous acute infectious state, has a rare incidence, especially in pregnancy, and can induce major complications and high mortality risk. Its occurrence, after immunization to influenza during the last trimester pregnancy, has not been reported before. We presented a case of a 36-year-old pregnant woman that was immunized to H1N1 in the last trimester; 10 days later she developed shoulder and lumbar spine's pain, limbs weakness and facial paralysis with unfavorable clinical evolution and was submitted to intensive therapy care. We described clinical and obstetrical approach, pointing out peculiarities involved in this pathology in pregnancy.
authors.affiliation: Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (UNIFESP), Alameda das Boninas, 299 Apartamento 112, Vila Mariana, 05303-000 São Paulo, SP, Brazil.
authors.forename: Felipe Favorette
authors.initials: FF
authors.lastname: Campanharo
authors.forename: Eduardo Felix Martins
authors.initials: EF
authors.lastname: Santana
authors.forename: Stephanno Gomes Pereira
authors.initials: SG
authors.lastname: Sarmento
authors.forename: Rosiane
authors.initials: R
authors.lastname: Mattar
authors.forename: Sue Yazaki
authors.initials: SY
authors.lastname: Sun
authors.forename: Antonio Fernandes
authors.initials: AF
authors.lastname: Moron