Swine flu pregnancy tips reissued

A suppressed immune system makes pregnant women more vulnerable

The Department of Health has attempted to clarify its guidelines to expectant mothers and parents with children under five on how best to avoid swine flu.

Its advice to practise good hygiene by washing hands and surfaces regularly has been re-issued after a woman with the virus died soon after giving birth.

The Royal College of Midwives (RCM) says all expectant mothers should avoid crowded places and unnecessary travel.

But the DoH says only the “particularly concerned” should consider the advice.

Concern over the effects of swine flu on new and expectant mothers has heightened since the death of Ruptara Miah, 39, in London’s Whipps Cross Hospital on 13 July. Her baby is said to be very ill in intensive care.

Good hygiene

Another child under six months old, who died in London, is also among the latest victims of the virus.

The refreshed DoH advice has been given greater prominence on its website.

Health experts say expectant mothers could suffer possible complications if they contract swine flu, such as pneumonia, breathing difficulties and dehydration, because they have suppressed immune systems. Young children are also vulnerable.

Most mothers-to-be with swine flu are being prescribed Relenza, an inhaled antiviral drug which treats the virus without reaching the foetus. However, where it is particularly severe, doctors can offer Tamiflu instead.

The NHS website stresses that most expectant mothers who contract swine flu will only have mild symptoms and recover within a week.

Belinda Phipps, chief executive of the National Childbirth Trust (NCT), said that while the risks for expectant mothers were low, women needed information to make an informed decision.

“If you are pregnant, you are slightly more susceptible to all infections. One of them is swine flu.

“It is important that pregnant women know that – and particularly other members of the population know that – so that they behave responsibly and if they are sick they don’t go and put themselves close to a pregnant woman.”

If you are pregnant, you are slightly more susceptible to all infections. One of them is swine flu Belinda Phipps, NCT

The Department of Health said it advised women to plan their pregnancy carefully, but was not advising against trying to conceive.

“Mums-to-be are more vulnerable to any type of flu. It is particularly important that anyone who has existing health problems and is thinking about starting a family should talk to their GP first, as they normally would,” a DoH spokesman said.

Louise Silverton, deputy general secretary of the RCM, said women could not be expected to wait for the first wave of the pandemic to end before trying for a baby.

Speaking on BBC One’s Andrew Marr Show, Alan Johnson, the new home secretary, said an unexpected aspect of the virus was that it was attacking the young, not the elderly as with seasonal flu.

He called on parents to keep using their common sense, saying the “vast majority” had been following public health advice.

Twenty-nine people have now died in the UK after contracting swine flu – 26 in England and three in Scotland.

The government has warned that the number of deaths from the virus this winter in the UK could reach between 19,000 and 65,000.

However, during the 1999 to 2000 winter, seasonal flu deaths reached 21,000 and even during average winters there are normally anywhere between 6,000 to 8,000 deaths.

The National Flu Service will go live at the end of next week

---

We asked you whether you were concerned about the effects swine flu might have on expectant mothers. Here is a selection of your comments.

I am in the third trimester of pregnancy, and I am asthmatic. I am concerned that neither Tamiflu or Relenza will be suitable for me if I contract swine flu.
Louise, Nottingham

This is such stupid advice. I am pregnant and travel to work every day on a packed Tube. How am I supposed to avoid crowded places and unnecessary travel? It’s impossible. I can’t just stop going to work can I?
Laura, Hertfordshire

My daughter has a 4yr old son who has swine flu, she is 4 months pregnant and worried in case she catches it and it harms the baby, we are also worried about the treatments used in pregnant women. There is to much contradiction going around to know what to believe.
Tina, Essex

I am currently 24 weeks pregnant and have been ill and at home for 5 days now with bad cold symptoms. After consulting the doctor by phone I was told it could possibly be swine flu but how am I to know? I am usually very level headed in these situations but not sure that not swabbing pregnant women with symptoms is wise – at least if we know if we have it we can be better informed!
Anonymous, Wales

I am 36 weeks pregnant and came into contact with Swine flu last week. I experienced a slight sore throat spoke with a nurse at NHS direct and my GP and was completely reassured that I was fine and not displaying any symptoms. There is definitely some scaremongering going on but if you seek appropriate medical advice your fears can be eased.
Jo, Romford, Essex

I have got a 14 month old child and am currently pregnant. I’m very worried we could all catch the virus as a lot of people where we live are getting it. Also it is going round schools where my niece goes. I believe there should be vaccinations soon as possible for young children and those who it could endanger more than others
Nikki, Chelmsford, Essex

Sarah Palin: 10 things we’ve learnt

It has been a week since Alaska Governor Sarah Palin was catapulted from relative obscurity to center stage as US Republican John McCain’s choice for running mate. Here are 10 things we now know about her.

Images of Sarah Palin, past and present

1. Her five children are named Track, Bristol, Willow, Piper and, last but not least, Trig Paxson Van Palin. According to the Washington Post newspaper, Track was named after the course of the sockeye salmon the family fishes off the town of Dillingham, while her eldest daughter’s name comes from Bristol Bay, an area known for its salmon fisheries. The name Willow relates to the state bird, the willow ptarmigan, and a nearby town, the paper says, while daughter Piper shares her name with the family’s small plane. Trig is the Norse word for “brave victory”, the Post adds.

2. Her rimless glasses are now a style phenomenon. The titanium Kawasaki 704 frames – designed in Japan, where they sell for $300 – are apparently flying off the shelves. Her upswept hair-do is also reportedly spawning imitators. LA Times fashion writer Booth Moore writes: “The untidiness of her updo has a can-do spirit that says, ‘I have more important things to do than worry about my hair, so I just twirled it into this clip so I could get to the real business of governing and shooting caribou and having babies and taking them to hockey practice.'”

3. John McCain picked someone who not only appeals to “Wal-Mart Moms” but is one herself, shopping for the family in a local branch. Not only that, writes New York Times columnist William Kristol, but “he picked someone who, in 1999 as Wasilla mayor, presided over a wedding of two Wal-Mart associates at the local Wal-Mart”.

4. Mrs Palin enjoys moose-hunting and salmon-fishing – and has said her favorite dish is moose stew. Former Republican senator and one-time presidential hopeful Fred Thompson described her as “the only nominee in the history of either party who knows how to properly field-dress a moose”. Cindy McCain, in her speech to the party’s national convention, said her husband John had “picked a reform-minded, hockey-mommin’, basketball-shooting, moose-hunting, salmon-fishing, pistol-packing mother-of-five for vice-president”.

5. A month before her fifth child, Trig, was due, Mrs Palin’s waters broke while she was in Texas to address a conference. She delivered her speech nonetheless and embarked on the long flight back to Alaska – changing planes in Seattle – before traveling an hour by road to hospital to give birth. She says she was not in “active labor” and her doctor said it was fine. Alaska Airlines allows women to travel in the late stages of pregnancy. Husband Todd – a commercial fisherman – is quoted by the s Anchorage Daily Newas saying: “You can’t have a fish picker from Texas.” Three days later, Mrs Palin was back at work.

6. As governor of Alaska, Mrs Palin ditched plans for a “bridge to nowhere” – a federally-funded project to link a handful of Alaskans to an airport at a cost of hundreds of millions of dollars. In her speech to the Republican National Convention, she said she had told the US Congress “thanks, but no thanks”. But US media say she appeared to support the project while running for governor in 2006, though she said the proposed design was too “grandiose”. And when she announced the cancellation of the bridge a year ago – after it gained notoriety as an example of wasteful spending – she hardly seemed to be turning down federal funds out of thrift. She explained the decision by saying, “It’s clear that Congress has little interest in spending any more money on a bridge between Ketchikan and Gravina Island.” The federal funding was diverted to other projects in Alaska.

Mrs Palin enjoys hunting, shooting and fishing for salmon

7. In a line that has gone down well at the Republican National Convention and on the campaign trail, she boasts of putting the previous governor’s “luxury jet” on eBay as a measure to cut wasteful spending. That is true. But what she has not always explained to her audience is that the plane failed to sell on the internet auction site and so aides had to broker a deal with a buyer.

8. She was baptised a Catholic as an infant but attended a Pentecostal church in Wasilla – her hometown since her parents moved to Alaska from Idaho when she was three months old – for many years. She now attends Wasilla Bible Church, a non-denominational, evangelical church. The Associated Press reports that the church is promoting a conference that promises to convert gays into heterosexuals through the power of prayer.

9. As hunters sometimes do, Mrs Palin has incurred the wrath of wildlife-lovers. It’s not just that she shoots moose and caribou, she has also backed legislation to encourage the aerial hunting of wolves, as a “predator control” measure. Plus, she has opposed the US government’s listing of a variety of animals as endangered, including the polar bear and the beluga whale. Unlike Mr McCain and to the horror of many environmentalists, she actively supports drilling for oil in the Arctic National Wildlife Refuge.

10. She is a self-described “average hockey mom”; a biography published a few months ago was entitled Sarah: How a Hockey Mom Turned Alaska’s Political Establishment on Its Ear. The hockey mom branding could prove useful come November in the swing states of Michigan and Minnesota, where ice hockey is a big game. Her best-known joke so far? “What’s the difference between a hockey mom and a pit bull? Lipstick.”

Bush backs McCain for president

President George W Bush has praised John McCain’s service and leadership in a speech to the Republican convention.

Speaking via video-link from the White House, he told delegates in St Paul, Minnesota, that Mr McCain was “a great American and the next president”.

Mr McCain is due to be nominated on Thursday as the party’s presidential candidate for November’s election.

The main talking point so far has been the news that the teenage daughter of Mr McCain’s running mate is pregnant.

Alaska Governor Sarah Palin, chosen as the vice-presidential nominee last week, announced on Monday that her 17-year-old daughter, Bristol, would have the baby and marry her boyfriend.

In his eight-minute address, Mr Bush described Mr McCain as a president ready to make the tough decisions needed “in a dangerous world”.

John McCain’s life is a story of service above self President George W Bush

“John McCain’s life has prepared him to make those choices. He is ready to lead this nation,” Mr Bush said.

He also spoke of Mr McCain’s life as “a story of service above self” and emphasized the “independence and character” he showed in backing the administration’s “surge” strategy of pouring more forces into Iraq.

Former Senator Fred Thompson, who ran against Mr McCain in the party’s primaries, opened a lively speech with criticism of the Democrats and the media for their scrutiny of Mrs Palin and her family.

He also spoke of Mr McCain’s military service, his courage while a prisoner of war in Vietnam and his commitment to reform in Washington.

Mr Thompson went on to attack the Democrats and their record since taking control of Congress in the 2006 mid-term elections.

Independent Senator Joe Lieberman, a former Democrat who was Al Gore’s running mate in 2000, spoke of Mr McCain as “the best choice to bring our country together and lead our country forward”.

Gustav appeal

Most of the first day’s political events were suspended out of respect for communities affected by Hurricane Gustav.

Instead, Mr McCain’s wife, Cindy, and First Lady Laura Bush made calls to support those under threat.

Mrs Bush told delegates that such events transcended party politics and reminded people that they were Americans first.

Gustav was downgraded to a tropical storm after making landfall on Monday west of New Orleans, where hundreds of thousands of people had been evacuated.

The storm came three years after Hurricane Katrina struck, killing more than 1,800 people and resulting in huge damage to the city and its surrounding area. President Bush was strongly criticised over his handling of the crisis.

Palin talking point

The Republican Party convention is now getting down to work after the uncertainty brought on by Hurricane Gustav.

Tuesday’s events are focusing on Mr McCain, a concentrated piece of political image building with a keynote speech from Joe Lieberman, the Democrat-turned-independent senator, who has decided to support the party’s candidate, our correspondent says.

Sarah Palin’s announcement has so far overshadowed the convention

President Bush cancelled his planned opening night speech amid concerns that overt political campaigning would play badly with voters at a time of potential crisis.

But many Republicans will be glad he is not here in St Paul in person, our correspondent says, and much of this week will be about defining Mr McCain as very different to his unpopular predecessor.

Meanwhile, media attention has continued to focus on Mrs Palin, who is facing an ethics investigation in her home state and whose daughter’s pregnancy made headlines on Monday.

The Associated Press reported on Tuesday that Bristol’s boyfriend, named as 18-year-old Levi Johnston, would be joining the Palin family at the convention in Minnesota.

The AP quotes Mr Johnston’s mother, Sherry, as saying he had been put under no pressure to marry and that the pair had been planning to wed before they knew she was pregnant.

Our correspondent says Mrs Palin’s selection as vice-presidential candidate has caused great excitement among social conservatives and evangelical Christians here.

But across the broader Republican Party there seems to be some unease – she is an unknown quantity, and when she is finally brought out on to the convention stage on Wednesday, many McCain supporters will be crossing their fingers and hoping she performs, he adds.

The 72-year-old Arizona senator is expected to formally accept his candidacy in a prime-time speech on Thursday evening.

---

What is your reaction to the Republican convention? Tell us your thoughts on the event so far