Hello, it seems this question gets asked just about every year! With over 1,000 lab-confirmed cases of seasonal flu in our area and several hundred hospitalizations, and 5 deaths, and a higher rate of complications in younger people because most of the flu right now is H1N1, I'm looking for the most current guidelines or advice on H1N1/seasonal flu for breastfeeding mothers. CDC still has 2009 guidelines up, and most of the rest of what I have found is based on those 2009 guidelines. I'm concerned about continuing to share information from 2009 as the CDC seems to encourage separation of mother and baby. Jack Newman's handout, also from 2009, refers to this and disagrees with it. Last year Liz Brooks helpfully retrieved the CDC's "Guidance for the Prevention and Control of Influenza in the Peri- and Postpartum Settings" which provides specific guidelines for separation after delivery mother is ill with suspected or confirmed influenza: http://www.cdc.gov/flu/professionals/infectioncontrol/peri-post-settings.htm I don't know how useful this is for mothers who are in a home setting and I am concerned about breastfeeding relationships being sabotaged by conflicting information about separation. CDC 2009 advice http://www.cdc.gov/h1n1flu/infantfeeding.htm (Archived, refers to CDC seasonal flu website but there is no specific breastfeeding advice there that I can find.) Newman http://www.nbci.ca/index.php?option=com_content&view=article&id=103&Itemid=49 This eastern Ontario handout isn't dated or references but appears to be more current and doesn't recommend separation. http://www.eohu.ca/segments/topics_e.php?segmentID=23&topicID=285 LLL Canada has this on their website, produced here in Alberta and I'm inclined to share it but want to make sure it's still current. http://s.lllc.ca/files/H1N1.pdf Thanks, -- Jodine Chase Edmonton, Alberta, Canada PS Of interest, this study was released today: "Flu shots while pregnant tied to lower preterm birth risk: Vaccination rates highest when pregnant women receive recommendation from health care provider CBC New <http://www.cbc.ca/news/cbc-news-online-news-staff-list-1.1294364>Posted: Jan 06, 2014 12:13 PM ET Pregnant women who received a flu shot were less likely to deliver early or have babies with low birth weight, say researchers .... " http://www.cbc.ca/news/health/flu-shots-while-pregnant-tied-to-lower-preterm-birth-risk-1.2485613 *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome