July 6, 2009 5:30 PM ET
This document has been developed to provide guidance for prevention and management of novel H1N1 flu infection in inpatient and out-patient obstetric settings.Severe illnesses among pregnant woman and infants have been reported in this outbreak, although the epidemiology and spectrum of illness among pregnant woman and infants are not fully understood at this time and are under investigation. Prevention of infection with novel influenza A (H1N1) virus in pregnant women and infants is the highest priority message in this guidance. Healthy pregnant women should have access to prenatal care and labor and delivery services in settings where they can be separated from persons who are ill or potentially ill with novel H1N1 flu infection. In addition, a cautious approach to the management of neonates with ill mothers is recommended which includes isolation and close observation. Recommendations are interim, based on current knowledge of the novel H1N1 flu outbreak in the United States, and may be revised as more information becomes available.
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General Considerations
A key concept for obstetric settings is to keep healthy pregnant women, in both inpatient and outpatient settings, separated from persons who are ill or potentially ill. Facilities should have a mechanism to identify and segregate ill patients, visitors, and staff.
Prenatal care, labor, and delivery services should be provided to healthy pregnant women in settings where the risk of exposure to novel H1N1 flu has been minimized.
Healthy pregnant women and infants who have not been in close contact with persons with suspected, probable, or confirmed novel H1N1 flu can be managed in the usual way in compliance with established infection control guidance. They should not be subject to the special considerations noted below.
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