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H1N1 Flu (Swine Flu) Virus and Vaccine Information for Pregnant Women

The H1N1 flu virus is contagious. Similar to the seasonal flu, it can spread from human to human by breathing in droplets from coughs or sneezes, or by touching a surface that has the virus on it then touching one's own mouth, nose or eyes. The Centers for Disease Control and Prevention (CDC) is concerned that the new H1N1 flu virus could result in a particularly severe flu season this year. A vaccine for the H1N1 virus will be available in October 2009.

Pregnant women with seasonal flu are at increased risk for complications like early labor or severe pneumonia. Therefore, the H1N1 flu should also be taken very seriously.

The following information reviews what the swine flu is and how it may affect pregnant women.


What is the H1N1 (Swine flu) virus?
2009 H1N1 (referred to as "swine flu") is a new influenza virus. This new virus was first detected in people in the United States in April 2009. This virus is spreading from person-to-person worldwide, probably in much the same way that regular seasonal influenza viruses spread. On June 11, 2009, the World Health Organization (WHO) signaled that a pandemic of 2009 H1N1 flu was underway.

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What if I get the H1N1 virus and I am pregnant?
Pregnant women with seasonal flu are at an increased risk for complications including early labor, severe pneumonia or even death. Therefore, the H1N1 virus should be taken very seriously. Pregnant women who are vaccinated may potentially provide protection to infants who are too young to be vaccinated. For the latest information about the H1N1 flu specific to pregnancy, log on to http://www.cdc.gov/h1n1flu/pregnancy.

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Who should receive an H1N1 flu vaccination?
The following people should receive the H1N1 flu vaccination:

  • Pregnant women
  • Household contacts and caregivers for children younger than 6 months of age (infants under 6 months cannot be vaccinated)
  • Health care and emergency medical services personnel
  • All people from 6 months through 24 years of age
  • People age 25 through 64 who have health conditions associated with higher risk of medical complications from influenza. Current studies indicate that the risk for infection among people age 65 and older is less than the risk for younger age groups.

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Does the seasonal flu vaccine also cover the H1N1 flu strain?
The seasonal flu vaccine is unlikely to provide protection against the H1N1 influenza. An H1N1 vaccine is currently in production and will be ready for the public by fall 2009. The H1N1 vaccine does not replace the seasonal flu vaccine — it should be used in combination with the seasonal flu vaccine.

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What are the symptoms of the H1N1 virus?
Symptoms are similar to the seasonal flu and include the following:

  • Fever
  • Headaches
  • Cough
  • Body aches
  • Sore throat
  • Chills and fatigue
  • Sometimes, diarrhea and vomiting

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How can I protect myself from the H1N1 virus?

  • Cover your nose and mouth with a tissue when you cough or sneeze.
  • Wash your hands often with soap and water. Alcohol-based hand cleaners are also effective.
  • Avoid touching your eyes, nose or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.

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What do I do if I become ill?
If you get sick with flu-like symptoms, stay home, limit contact with others, and call your doctor. The CDC recommends that you stay home for at least 24 hours after your fever is gone. For many, the H1N1 virus can be treated at home with fever reducers (e.g. Tylenol®), increased fluid intake, or antiviral drugs (e.g. Tamiflu® and Relenza®). Your doctor will determine what testing or treatment options are needed.

If you have any of these signs, seek emergency medical care right away:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness or confusion
  • Severe or persistent vomiting
  • Decreased or no movement of your baby (if pregnant)
  • A high fever that is not responding to fever-reducing drugs

Please contact your health care provider for more information or visit the CDC's website for the most current H1N1 recommendations at http://www.cdc.gov/h1n1flu.

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