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                     Copperstate OB/GYN H1N1 Update
 
Influenza A H1N1 is potentially going to affect many people this year and pregnant women are among the highest risk for infection and serious complications. Copperstate OB/GYN is being proactive in identifying and treating this high risk category of patient. We encourage all pregnant patients to use strict handwashing, avoid contact with persons who exhibit any cold symptoms or fever and avoid unnecessary public places.
 
Copperstate OB/GYN recommends that all pregnant patients receive the seasonal flu vaccine and the H1N1 flu vaccine.
 
 
Pregnant women with symptoms of: cough, fever (100.4)and one of the following: runny nose, sore throat, HA, muscles ache need to contact the office right away. These calls will be directed to our OB nurse and she will direct the patient on what to do. Any patient with the following: Shortness of breath, difficulty breathing, change of mental status, or fever of >3days should report directly to St. Joseph’s Hospital.


We will plan to bring in all patients calling with symptoms at the end of the day i.e. after 3pm for evaluation. Any family member with symptoms will be asked to wait outside during the patient’s visit. All patients exhibiting any symptoms of cold or flu will be asked to wear a mask for the entire visit at Copperstate OB/GYN. Please understand that while we encourage family participation in all aspects of our patient’s healthcare, during this time for the benefit of other patients and our staff we ask that all family members with any symptoms of cold: i.e. runny nose, cough, sore throat or fever to please stay home or plan to wait outside during the office visit. We thank you in advance for your support.
 
Treatment


All patients with symptoms <48 hours are to receive a nasal swab for rapid testing and receive the antiviral medication for prophylaxis of tamiflu(oseltamivir) 75 mg tablet by mouth 2 times daily for 5 days. Please remember that the nasal swab is not overly sensitive and can have false negatives. Therefore the Center for Disease Control (CDC) is recommending treatment for symptoms only regardless of the result of the nasal swab. Should one of our patients then require hospitalization, then further testing can be done to confirm H1N1 or possibly the traditional Influenza A (seasonal flu). Outside the 48 hours, treatment can be started on a case by case basis as determined by your physician.
 
Please also be aware that all family members including siblings under the age of 13 will not be allowed at St. Joseph’s hospital during the flu season for any reason.

This information may change on a daily or weekly basis , so please check periodically for updates and please visit the website below for further information from the CDC.