Information

Centers for Disease Control and Prevention

As of August 17, 2009 the following has been determined:  Influenza A is H1N1 - Swine Flu & the incubation period is seven to ten days, and more likely one to four days

During Pregnancy our pregnant patients who work in a Hospital setting should avoid the following procedures:

  • Endotracheal intubation
  • Aerosolized or nebulizer medication administration
  • Diagnostic Sputum induction
  • Bronchoscopy
  • Airway suctioning
  • BiPAP or CPAP
  • High frequency oscillatory ventilation

H1N1 symptoms are like the seasonal flu:

  • Fever (100.4 or >)
  • Cough
  • Sore Throat
  • Body Aches
  • Headache
  • Chills and fatigue
  • Sometimes, diarrhea and vomiting

Testing: any pregnant patients who have suspected Influenza A (H1N1) symptoms should be tested. However, treatment should not be delayed pending results of testing and treatment should not be withheld in absence of testing. This is because antiviral treatment is the most effective when started as early as possible after the onset of symptoms (within the first two days)

Treatment:

  • Tamiflu - Cat C (there is little information about the effects of antiviral drugs in pregnant women or their babies, but no serious side effects have been reported.  And the benefits outweigh the risks)
  • Pregnancy should not be considered a contraindication to antiviral use.
  • Family members and/or immediate contacts need to be treated within seven days of positive testing.

When to seek Emergency Medical Care:

  • Difficulty breathing or shortness of breathe
  • Pain or pressure in chest or abdomen
  • Sudden dizziness or confusion
  • Severe or persistent vomiting
  • Decreased or no fetal movement
  • High fever that is not responding to Tylenol

Mothers who are breastfeeding:

  • Yes, mothers can continue to breastfeed
  • Yes, mothers can take Tamiflu while breastfeeding
  • A mother’s milk is made to fight diseases in her baby.  This is really important in young babies when their immune system is still growing.
  • Be careful not to cough or sneeze in baby’s face and wash your hands often, with warm soap and water.
  • It will not hurt to wear a mask
  • If you are too sick to feed, you pump and have someone else feed the baby.

Local Lactation Consultant Resources
Hospital Lactation Consultant Services
Baptist Beaches (904) 874-6818
Baptist Downtown (904) 202-2298
Baptist Nassau (904) 321-3590
Baptist South (904) 821-6820
Memorial Hospital (904) 391-1538
NAS Jax (904) 542-7708/9671
Orange Park Medical Center (904) 622-6320
Shands Jacksonville (904) 244-2690
St. Luke’s Hospital (904) 296-5212
St. Vincent’s Medical Center (904) 308-7325

Private Practice Lactation Consultants
Loretta Haycock, RN/IBCLC (904) 874-6818
Silvia Ochs, RN/IBCLC (904) 881-4881
Kristin Gartner, LPN/IBCLC (904) 568-0581
Kathy Soler-Sala, IBCLC (904) 392-6179
Heather Huffman, RD/IBCLC (904) 838-0870

Community Lactation Resources
CIMS (888) 282-2467
MEDELA (800) 435-8316
LLL (800) LA-LECHE
Coast Birth/Breastfeeding (904) 949-2942

WIC/Community Based Lactation Services
Clay County WIC (904) 276-2610
Duval County WIC (904) 253-2083
Nassau/Baker County WIC (904) 845-2660
Seton Center - Riverside (904) 308-6359

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