Prevention of mother-to-infant transmission of influenza during the postpartum period

Joseph B. Cantey, Susan L. Bascik, Nicholas G. Heyne, Jon R. Gonzalez, Gregory L. Jackson, Vanessa L. Rogers, Jeanne S. Sheffield, Sylvia Treviño, Dorothy Sendelbach, George D. Wendel, Pablo J. Sánchez

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objectives The optimal management of infants born to mothers with peripartum influenza infection is not known. The objective of this study is to describe our experience with a practice guideline that promotes rooming-in and breast-feeding and to determine whether infants managed in this way acquire influenza infection. Study Design All mothers diagnosed with influenza infection within 8 days of delivery and their infants were included. Demographics, clinical characteristics, and outcome data were collected. Mothers were contacted at ~1 month after giving birth to determine if their infants had developed any signs suggestive of influenza infection. Results Forty-two women were diagnosed with peripartum influenza over the 2003 to 2005 and 2009 to 2010 seasons. Median onset of symptoms was 3 days before delivery, and median day of diagnosis was 1 day before delivery. The 42 infants had a median gestational age of 39 weeks; none were born earlier than 35 weeks. Ninety-five percent of the infants roomed-in with their mothers. Follow-up information was available on 95% of infants by 1 month; no infants had illness suggestive of influenza through the follow-up period. Conclusion A guideline for the management of infants born to mothers with peripartum influenza infection, based on attention to hand hygiene, antiviral treatment for mothers, and encouragement of rooming-in and breast-feeding, was not associated with mother-to-infant influenza transmission over three separate influenza seasons.

Original languageEnglish (US)
Pages (from-to)233-240
Number of pages8
JournalAmerican Journal of Perinatology
Volume30
Issue number3
DOIs
StatePublished - Jan 1 2013

Keywords

  • breast-feeding
  • infant
  • infection control
  • influenza
  • perinatal infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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    Cantey, J. B., Bascik, S. L., Heyne, N. G., Gonzalez, J. R., Jackson, G. L., Rogers, V. L., Sheffield, J. S., Treviño, S., Sendelbach, D., Wendel, G. D., & Sánchez, P. J. (2013). Prevention of mother-to-infant transmission of influenza during the postpartum period. American Journal of Perinatology, 30(3), 233-240. https://doi.org/10.1055/s-0032-1323585