CDC interim guidance for prevention and control of influenza in the peri- and postpartum settings
The following guidelines should be considered interim recommendations from CDC on the prevention and control of influenza between infected mothers and their infants during the 2003-04 influenza season. The interim guidelines were developed to provide clinicians and public health officials with guidance and will be updated over time as more information becomes available and more experience is gained.
Pregnant women have been shown to be at increased risk of
hospitalization from complications secondary to influenza
infection. Infection control measures for hospitalized pregnant
and recently-delivered women and their infants are detailed
below. However, there are insufficient data on use of influenza
antiviral drugs in pregnant or recently-delivered women,
and CDC is unable to provide guidance on antiviral use in
- Prior to delivery, hospitalized influenza-infected
pregnant women should be placed on droplet
- Hospital visitors of influenza-infected pregnant
women should receive infection control education on droplet
precautions and hand
hygiene and should be asked
to practice these measures during their hospital visit.
- Pregnant women with influenza in the labor
and delivery suite should be placed on droplet
The pregnant woman does not need to wear a mask during
the time of delivery.
- After the infant is
born, the mother should put on a surgical mask and then
practice hand hygiene before
handling the baby.
persons who come within 3 feet of the mother should wear
a surgical mask and practice hand
hygiene before and after contact with
- All persons in the delivery room
should practice hand
hygiene before and after handling the
- Rooming-in with Mother: Newborn
infants of influenza-infected mothers should stay in the
same hospital room as the mother if possible, and should
be housed in an isolette when available. The isolette should
be placed at least 3 feet from the mother when she is not
interacting with the baby.
- Nursery: If
a newborn infant of an influenza-infected woman is housed
in the hospital nursery instead of the mother's room, the
infant should be placed on droplet
The infant should be placed in a private room in the nursery,
if available, and should be housed in an isolette when available.
If a private room is not available in the nursery, the newborn
should be kept 3 feet from other babies in the nursery and
in an isolette when available.
- Hospital visitors
of influenza-infected mothers and their infants should
receive infection control education on droplet
precautions and hand
hygiene and should be asked to practice these measures during their
Breast Feeding by Influenza-infected Mothers
- Influenza-infected mothers who are breast feeding
should put on a surgical mask and then practice hand
hygiene before each feeding or
other close contact with their infants. These practices
should continue for each feeding during the 7-day period
following the mother's symptom onset.
each feeding, the breasts should remain covered until the
mother has put on a surgical mask and practiced hand hygiene.