VIBHA - THE FAMILY HOSPITAL MUMBAI

Pregnancy and Swine Flu

A recent CDC study found that pregnant women are four times more likely to be hospitalized and are at higher risk of mortality and complications of swine influenza than the general population. So scary as it sounds, experts say that the majority of pregnant women who are sick with influenza H1N1 swine is not a serious problem. If you are pregnant, that's what you need to know.

Why pregnant women are at higher risk of swine flu?

Experts are not entirely sure, but assuming that the fetus grows and develops, there is more pressure on his mother's breathing and lung function, increases the risk of developing a second infection such as pneumonia. Most maternal deaths from the swine flu occurred in the third quarter.

In addition to changes that occur in the immune system of a woman when she was pregnant, which may make it more susceptible to infections such as influenza.
Can pregnant women be able swine influenza vaccine, as it is available?

Yes. Pregnant women are "high risk" category, in accordance with the guidelines of CDC. Vaccine Advisory Committee recommends that pregnant women and to manage and live with young children, the vaccine may be the first in the queue.
No vaccine is available, what is the best way for someone who pregnant pigs to prevent the flu?

"I recommend my patients to avoid contact with all those who have flu-like symptoms, including fever, muscle aches, and upper respiratory symptoms. I tell my patients to warn about someone close whose relatives are similar symptoms, especially children," said Rebecca Yee , MD, Ob-gynecology at San Francisco. Pregnant women should wash their hands frequently and avoid touching their eyes, nose and mouth. They should avoid crowded settings to an outbreak of swine flu.

If a pregnant woman is in contact with the virus, then he should talk to your doctor about pre-emptive use of Relenza.

If a pregnant woman receives the swine flu, which is better care?

He Tamiflu as soon as possible, even before the results of swine influenza H1N1 in his return to the test.
Can these drugs cause harm to her unborn child?

Some side effects have been reported in pregnant animals given Tamiflu, but the relationship between drug use and side effects in pregnant women has not been confirmed.

"Gratuitous risk of flu complications far outweigh any theoretical risks associated with accepting or Tamiflu or Relenza," said Mark Phillippe, MD, MHCM, professor and chairman of department of obstetrics, gynecology and reproductive science at the University of Vermont College of Medicine.
Can a pregnant woman to move swine flu, her unborn child?

"In serious infections, and pandemic strain of influenza, it is possible that the virus can infect the placenta, which carries the blood of the fetus," says Philip. Although soon know a lot about how swine flu affects the fetus, female swine flu did not seem at higher risk of preterm birth. In the past, influenza pandemics pregnant women higher stillbirth, miscarriage and premature birth.

Influenza comes with a fever. Studies have shown that the temperature during the first trimester of pregnancy doubles the risk of neural tube defects and may be associated with other adverse effects. The risk of birth defects associated with fever can be reduced through the use of antipyretic drugs and / or a multivitamin containing folic acid, but limited data.
What happens if a woman comes to the pig influenza before the birth of the child, or when a child is a newborn?

He must make a child in the hospital that is ready for such delivery. Surgical masks should be given to poor mothers in childbirth, and it should be considered to avoid close contact with the child until he received antiviral drugs for 48 hours and his fever finally resolved. This reduces, but does not exclude the risk of transmission of H1N1 to the child.

Infants are considered to be at increased risk of serious disease, if they get a swine flu, and very little is known about prevention in children. If possible, adults only, who must also care for children, such as passes.

If she gets sick after taking her infant should be considered in the face, and until he feels better, and at least seven days after the start of symptoms. He can start breast-feeding (or, if you can not breastfeed, bottle-feeding), and should be used as a mask.
Will the new mother breastfeeding her child from the swine flu?

Breastfeeding is an alternative if the patient mothers had recovered sufficiently from the virus. The risk of transmission through breast milk is unknown, but likely to be rare. Actively infected women, who can express their milk bottle feedings should be given to having a healthy family member passes. If the mother has to take anti-viral drugs, he can still breastfeed. But he antivirals for at least 48 hours.

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Vibha - The Family Hospital- A Multispeciality Hospital at Mumbai-India.