April 30, 2009
The Centers for Disease Control and Prevention (CDC) provide guidance and information on background, risks, suggested treatments, and other considerations for pregnant women and N1H1, or Swine Flu. The CDC currently reports, "Pregnant women are also known to be higher risk for seasonal influenza complications and during prior pandemics, and it is reasonable to assume that pregnant women are also at higher risk for swine influenza complications.
"Evidence that influenza can be more severe in pregnant women comes from observations during previous pandemics and from studies among pregnant women who had seasonal influenza. An excess of influenza-associated deaths among pregnant women were [sic] reported during the pandemics of 1918-1919 and 1957-1958. Adverse pregnancy outcomes have been reported following previous influenza pandemics, with increased rates of spontaneous abortion and preterm birth reported, especially among women with pneumonia. Case reports and several epidemiologic studies conducted during interpandemic periods also indicate that pregnancy increases the risk for influenza complications for the mother and might increase the risk for adverse perinatal outcomes or delivery complications.
"Many pregnant women will go on to have a typical course of uncomplicated influenza. However, for some pregnant women, illness might progress rapidly, and might be complicated by secondary bacterial infections including pneumonia. Fetal distress associated with severe maternal illness can occur. Pregnant women who have suspected swine influenza A (H1N1) virus infection should be tested (http://www.cdc.gov/swineflu/specimencollection.htm), .... "....."...fever in pregnant women should be treated."
The CDC information goes on to include breastfeeding considerations and other ways to reduce the risk of infection of pregnant women..