According to the Dutch Association of Lactation Experts (NVL), there's no need to separate a mother and baby if one is infected with the flu virus. Both have likely been exposed before symptoms show, and influenza transmission through breast milk has never been demonstrated.
The mother produces extra antibodies upon infection, which pass to the baby in high concentrations via breast milk—just as with other infections. Breastfeeding can continue even on antiviral medications. The NVL advises standard hygiene practices, like frequent handwashing and avoiding adults placing pacifiers in their mouths. For more: www.nvlborstvoeding.nl.
Pregnant women face no higher risk of contracting the flu. However, emerging international evidence shows they may experience more severe H1N1 flu courses, including complications like pneumonia.
Contact your GP by phone immediately if symptoms appear—early antiviral treatment can be considered. England recommends Relenza for pregnant women, as unlike Tamiflu, it isn't absorbed into the bloodstream and poses fewer risks to the fetus. Neither drug has been tested in pregnant women, prompting caution. The Netherlands' National Institute for Public Health and the Environment (RIVM) will soon release specific guidelines.
