News Moms Need

The American College of Obstetricians and Gynecologists (ACOG) today announced new guidelines on Pap smears and cervical cancer screenings. The organization says that women can wait until they’re age 21 to have their first Pap tests. ACOG also says that women between the ages of 21 and 30 should have a Pap test and cervical cancer screening once every two years instead of once every year. Women aged 30 and older who’ve had no previous complications in their last three screenings can have a Pap test once every three years.

The organization revised its recommendations based on the latest research about Pap tests and cervical cancer rates, showing that most cervical cancer cases come from women who don’t regularly see health care providers. ACOG also says that data shows testing at two and three year intervals can be just as effective at preventing cervical cancer.

While these recommendations represent a shift in women’s health care, talk to your health provider about what is best for you.

When was the last time you ever heard of someone getting the mumps? While most of us can say it’s been a while (if not, never), the Centers for Disease Control and Prevention (CDC) is reporting the largest outbreak of mumps in three years. Most of these outbreaks took place in New York and New Jersey.

Friendly reminder – the best way to protect kids from getting the mumps is by getting kids vaccinated. The combination measles-mumps-rubella immunization helps protect kids against these illnesses, which are less common thanks to the large number of kids and people who’ve been vaccinated over the years. Women who aren’t sure if they’ve been vaccinated against the mumps can also talk to their health providers about getting this vaccine before getting pregnant (this vaccine cannot be given during pregnancy). It’s important that the immunization rates in our population stay at high levels to avoid the opportunity for this and other diseases to return with full force.

Learn more about other important immunizations for your child.

About 1 million Maclaren strollers have been recalled. Twelve children have placed their fingers in hinges on the strollers and have had to have their fingertips amputated.

The affected models include Volo, Triumph, Quest Sport, Quest Mod, Techno XT, TechnoXLR, Twin Triumph, Twin Techno and Easy Traveller. The strollers were sold between 1999 and 2009.

The Consumer Product Safety Commission has more information.

Some H1N1 flu vaccines have a preservative called thimerosal. Although some people have suggested a link between thimerosal and autism,  medical experts from the Institutes of Medicine (IOM) have thoroughly researched the issue and concluded that thimerosal-containing vaccines are NOT associated with autism. However, if you’re still concerned, a thimerosal-free version of the H1N1 vaccine is available.

The 2009 H1N1 influenza vaccines that FDA is licensing (approving) will be manufactured in several formulations. Some will come in multi-dose vials and will contain thimerosal as a preservative. Multi-dose vials of seasonal influenza vaccine also contain thimerosal to prevent potential contamination after the vial is opened.

Some vaccine manufacturers will be producing 2009 H1N1 influenza vaccine in single-dose units, which will not require the use of thimerosal as a preservative. In addition, the live-attenuated version of the vaccine, which is administered intranasally (through the nose), is produced in single-units and will not contain thimerosal.  The nasal spray version, however, is not recommended for pregnant women.

Do you get a knot in your stomach when you hear about people getting sick from eating unsafe hamburger meat? Do you worry when you hear that some canned food has been recalled?

Well, now there’s one place to help you get answers. Several federal agencies are working together on a new Web site about food safety.  Everything in one place. Great idea!

And here are some March of Dimes resources:

   * Food-borne risks in pregnancy
   * Food safety dring pregnancy
   * Feeding and food safety for baby

You may have seen our previous post explaining how flu (both seasonal and H1N1) affects women during pregnancy, or understanding the facts vs. myths about flu vaccines. Earlier this week, the New York Times published an article about one woman’s tragic experience with H1N1 during her pregnancy. The young woman featured in this piece tells her sad story in an effort to encourage pregnant women to get both the seasonal and H1N1 flu vaccines.

Some areas of the country have started to receive their shipments of the H1N1 vaccine. But other areas are still waiting. My husband, who works in health care, is among those who should get the H1N1 vaccine first. But when he called his doctor last week to make an appointment, he was told they still hadn’t received the H1N1 vaccine shipment. They asked him to call back in November.

While some people may have a delay in access to the H1N1 vaccine, keep calling your health provider, watch for news reports or contact your local health department to find out when the vaccine is coming to your area. In the meantime, follow these tips to help avoid the flu. If you’re pregnant and have flu-like symptoms, contact your health provider right away so that s/he can start you on flu medications. You must have a prescription from your health provider to get this medication. 

Also, beware of any advertisements for H1N1 flu products that you may see either online or in print. Some of these products are fake and may contain ingredients that can be harmful to your pregnancy. Again, only your health provider can prescribe your flu medication. Never take any medications or herbal remedies without talking with your health provider first.

Plum Organics has recalled one batch of its Apple & Carrot Portable Pouch baby food. The company is concerned that the food may be contaminated with the bacteria that can cause botulism. Botulism can be a life-threatening disease.

The following code appears on the bottom of the packages: 890180001221. The food has been sold at Toys-R-Us and Babies-R-Us stores.

No illnesses have been reported. The recall is a precaution.

Symptoms of botulism include weakness, dizziness, double vision and trouble speaking or swallowing. People with these problems should get medical care immediately.

A few weeks ago, I was having dinner with family when the topic of the flu, particularly the H1N1 (swine) flu vaccine, came up. My in-laws (one is a mom, the other is a nurse) talked about their concerns with both the seasonal flu and H1N1 flu vaccines and whether or not they or their children should get them. I quickly realized that there’s a lot of misinformation floating around out there. To help get through all of the confusion, it might help to know the myths from facts.

Myth: You can get a cold or flu from the seasonal or H1N1 flu vaccine.
Fact: The flu vaccines CANNOT get you sick with a cold or flu. My in-law said that the last time her son got his seasonal flu vaccine, he got a runny nose and cough a few days later and had to stay home from school. But the truth is that the two situations are unrelated. The reason it’s called “flu season” is because lots of people tend to come down with the flu at around the same time period. In the case of my in-law, it’s most likely that her son caught a cold at around the same time he got his vaccine, but the symptoms didn’t show until a few days later.

Myth: The H1N1 vaccine hasn’t been tested enough, so it can’t be safe.
Fact: The H1N1 vaccine is made exactly the same way the seasonal flu vaccine is made every year. And the seasonal flu vaccine has been thoroughly tested for years. The H1N1 flu is simply a new virus strain. Millions of Americans get the seasonal flu vaccine each year without any problems. To be doubly careful, the National Institutes of Health (NIH) and the vaccine makers have conducted more rigorous tests on the H1N1 vaccine than they do on other flu vaccines. The clinical trials conducted have shown that the new H1N1 vaccine is both safe and effective.

That said, there are certain people who shouldn’t get the H1N1 vaccine. Generally, these are the same people who shouldn’t get the seasonal flu vaccine. For example, people with egg allergies shouldn’t get the flu vaccines because eggs are used to make both flu vaccines. Learn more by visiting the CDC Web site.

Myth: Getting the seasonal or H1N1 vaccine during pregnancy may be the reason I miscarried.
Fact: Sadly, miscarriages are more common than we think. Everyday, about 2,000 miscarriages occur. In fact, as many as 2 out of 5 pregnancies may end in miscarriage because many losses occur before a woman realizes she is pregnant. It’s common to want to understand why something like this happened.  But please know that getting the H1N1 vaccine doesn’t increase your risk of miscarriage or any other health-related event like heart attacks or strokes. It’s important to know that one event doesn’t necessarily cause the other. 

Remember: it’s very important that pregnant moms get both the seasonal and H1N1 flu vaccines. If you have questions, talk to your health provider. You can also submit a question to one of our health information specialists.

There’s a lot of discussion around the flu and why it’s important to get your seasonal and H1N1 flu vaccines, especially  if you’re pregnant. To understand why you should get these two flu shots during pregnancy, it might be helpful to know some of the reasons why pregnant women are more likely to get the flu during pregnancy.

One reason has to do with your immune system, the natural defense mechanism that helps protect you from illnesses and diseases in life. During pregnancy, your immune system isn’t as responsive as it was before pregnancy. Part of this is because your body is carrying something that it considers foreign and isn’t normally part of you (in this case, your baby). Usually when this happens, your immune system wants to protect you and will do its best to fight off this foreign element. However, since your body doesn’t want to reject your baby, it naturally lowers the immune system’s ability to defend and respond. But, a lowered immune system means you’re more vulnerable to illnesses like the flu.

A second reason is that pregnant women often spend much time around little children. And since kids spend so much time with other kids, are usually in close proximity to each other and are always putting things in their mouths, this makes them perfect little Petri dishes of germs and bacteria. These germs can eventually make their way to you. And as we know, your immune system during pregnancy isn’t as tough as it is when you’re not pregnant.

Another reason is that during pregnancy, especially in your second and third trimesters, you need more oxygen than before because you’re supplying it to both you and baby. Your growing belly puts more pressure on your lungs, making them work harder in a smaller space. You may even find yourself feeling some shortness of breath at times. Your heart is working very hard, too! It’s busy supplying blood to you and baby. All of this means your body is stressed during pregnancy. This stress on your body can increase your risk of getting an illness like the flu.

Unfortunately, getting the flu during pregnancy puts you and baby at special health risks. These risks can be very harmful and, in some cases, deadly. That’s why it’s very important to prevent this by getting both the seasonal and H1N1 flu vaccines during pregnancy.

You’ll also do baby a service! By getting the two vaccines during pregnancy, you’ll be able to pass your immunity to your baby so that when he’s born, he’s less likely to get the flu in his first months of life.

Some pregnant moms might be concerned about vaccines potentially causing harm to you or baby. But given the issues as explained above, there’s a bigger chance of putting mom and baby’s health at risk by not getting the two flu vaccines during pregnancy. The benefits of the vaccines far outweigh any potential risk.

So please, get your seasonal and H1N1 flu vaccines. For more information, read our seasonal flu and H1N1 articles or talk to your health provider. You can also visit Flu.gov for the latest updates on the seasonal and H1N1 flu.

Some Tylenol products for babies and children have been recalled because of possible contamination with bacteria. The products were made between April and June 2008. No illnesses have been reported by patients who used these products. The recall is a precautionary measure.

To see a list of the recalled products, visit the Web site of McNeil Consumer Healthcare. To find the lot number, look at the bottom of the box or on the sticker that surrounds the bottle.