ACOG Statement
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Pandemic (H1N1) 2009
Influenza
In the wake of
the Pandemic (H1N1) influenza (formerly known as Swine Flu)
outbreak, the College has compiled pertinent clinician guidance and
resources, including information for pregnant women, and updates
this regularly.
College President Gerald F.
Joseph, Jr. MD FACOG has issued important information about H1N1 and
seasonal influenza to Fellows:
http://www.acog.org/departments/dept_notice.cfm?recno=30&bulletin=4902
Special Webcast for Pregnant
Women and New Moms
Join a webcast 1-2 PM ET Thursday, August 27, with experts from the Centers for Disease Control and Prevention, the National Institute of Health, and an OB/GYN. Hosted by the U.S. Department of Health and Human Services, the show airs live on www.flu.gov. More details can be found at http://www.flu.gov/general/h1n1pregnantwomeninvite.pdf CDC advisors issued recommendations for use of vaccine against Novel H1N1 at the ACIP meeting July 29, 2009 that includes pregnant women as a key population to receive vaccine when it becomes available.
Press release: http://www.cdc.gov/media/pressrel/2009/r090729b.htm Transcript and Audio from Press Conference: http://www.cdc.gov/media/transcripts/2009/t090729b.htm Published Guidelines:
Use of Influenza A (H1N1) 2009 monovalent vaccine. Recommendations of
the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR
Recomm Rep 2009;58(RR-10):1-8. Available at:
http://www.cdc.gov/mmwr/pdf/rr/rr5810.pdf.
Retrieved August 27, 2009.
CDC's key points on the article, H1N1 2009 Influenza Virus Infection During Pregnancy in the USA that was published in the online edition of The Lancet on July 29, 2009 and officially published in the Lancet August 8, 2009: Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, et al. H1N1 2009 influenza virus infection during pregnancy in the USA. Novel Influenza A (H1N1) Pregnancy Working Group. Lancet 2009;374:451-8. Abstract available at:http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61304-0/fulltext. Retrieved August 27, 2009.
On July
6, 2009 the Centers for Disease Control and Prevention (CDC) posted
updated guidelines on pregnant women infected with novel influenza A
(H1N1) (formerly known as swine flu) for obstetric settings http://www.cdc.gov/h1n1flu/guidance/obstetric.htm.
On June 30
CDC released new guidelines for clinicians on treatment of pregnant
women with H1N1 at
http://www.cdc.gov/h1n1flu/clinician_pregnant.htm.
CDC's highest priority
message is to "treat pregnant women with influenza-like illness as
soon as possible; treatment should not be withheld pending results
of testing for influenza, if testing is done." CDC
states that "case reports of adverse pregnancy
outcomes and maternal deaths have been associated with severe
illness."
CDC has
published case reports on 3 pregnant women infected with novel
influenza A (H1N1) at
http://www.cdc.gov/mmwr/pdf/wk/mm58d0512.pdf.
CDC has
resources for pregnant women at
http://www.cdc.gov/h1n1flu/pregnancy and
general information on H1N1 at
http://www.cdc.gov/h1n1flu.
The College Resource Center has
compiled a list (WebTreats) of resources on H1N1.
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