Important Facts About Pregnancy and the Flu

Preparing for a new baby is an exciting time, but as any expectant mom will tell you, it can also be stressful. And the news that the swine flu is striking pregnant women harder than other people doesn't help. So whether you just found out you're pregnant or are about to deliver, arm yourself with these facts to protect yourself and your growing baby from illness this winter.

Flu Fact No. 1: Pregnant women are more at risk for seasonal flu.
“There are complicated changes that occur in a woman's body to allow her to carry around a fetus and not reject it," says Dr. Nancy Cossler, an ob-gyn at Case Medical Center in Cleveland. "One change is that there is a tamping down of your immune system, which means you're more at risk for many illnesses, including the flu."

Flu Fact No. 2: Getting the flu shot is the most effective way to reduce your flu risk.
Pregnant women should get the seasonal flu vaccine. It's safe to get it at any point during your pregnancy. Just be sure you get the injected version, which is made with killed flu virus. The other type of vaccine, the nasal spray, is not approved for pregnant women because it is made with a live, weakened flu virus.

If, however, you got the nasal spray before you realized you were pregnant, you likely won't experience any problems. Nevertheless, tell your doctor about it.

In addition, although there is no evidence that thimerosal, a mercury preservative in vaccines, causes any harm to pregnant women or a fetus, there are some thimerosal-free vaccines available, if that's what you desire. The Centers for Disease Control and Prevention advises that pregnant women get vaccinated with either the regular or thimerosal-free vaccines.

Flu Fact No. 3: The flu shot also protects your growing baby.
When you get vaccinated, your body actually passes the vaccine's protective antibodies on to your developing fetus, which can boost your newborn's immunity during the first six months of life.

“Good studies show that pregnant women who get vaccinated against the seasonal flu give birth to babies who are less likely to get sick themselves," says Cossler. Another way to stretch out a vaccine's protective benefits: breastfeed. When you do, you'll continue to pass the antibodies you received from the vaccine on to your baby.

Flu Fact No. 4: Mitigating the spread of germs reduces your flu risk.
Do all you can to stop the spread of germs. When it comes to your hands: wash, wash and wash again -- as soon as you come home, before you eat, after running errands. It's a universal precaution that can prevent illness, says Cossler. If soap and water aren't handy, keep an alcohol-based sanitizer with you. Avoid people who are sick and try to touch fewer surfaces, such as door handles, elevator buttons and even your own nose. 

Flu Fact No. 5: Don't ignore any flu-like symptoms.
The most common flu indicators are fever, cough, sore throat, runny or stuffy nose, body aches, headaches, chills, fatigue and sometimes diarrhea or vomiting. If you have some or all of these, stay home, drink plenty of water and call your doctor right away. You may be given an antiviral medicine that safely treats the flu in pregnant women and can be taken at any time during pregnancy.

The bottom line is this: It's important to know that the flu isn't spread through the air you breathe, but by respiratory droplets that you touch and then spread to yourself by rubbing your eyes or nose. If you and everyone in your family take precautions and get vaccinated, you can avoid the flu this season. And that's good for you and your baby.

Photo by ???????? Janko Ferlič on Unsplash

Like this article? Get more by following us on Facebook at Beauty & Confidence.

Seasonal Flu Fundamentals

To keep your family healthy and safe this flu season, it's important to know all you can about the flu. Here are seasonal flu fundamentals on everything from symptoms to prevention.

Who's at Risk: Young children and people over 65 are most likely to contract the virus.

Symptoms: The flu virus usually triggers fever, cough, runny nose or congestion, and body aches.

Red-flag Warnings
Most people with seasonal flu get a mild illness that might make them feel miserable for a few days but isn't life-threatening. But it's important to watch for red-flag warning signs that suggest a person is developing severe complications.

In children, look for fast breathing or breathing difficulty. Also, act fast if skin appears bluish or the child has a fever with a rash. Failure to wake up or interact, and extreme irritability are also warning signs. In addition, symptoms that improve but then return with fever and a worse cough need immediate attention.

In adults, red flags include breathing difficulty, pain or pressure in the chest or abdomen, sudden dizziness, confusion, or severe or persistent vomiting.

Prevention
The flu virus is transmitted through tiny amounts of mucus released when you talk, sneeze or cough, explains Dr. Robert W. Frenck Jr., professor of pediatrics in the division of infectious diseases at Cincinnati Children's Hospital Medical Center. You can prevent the spread of both flu viruses by developing these healthy habits:

  • Wash your hands. Several times a day, wash your hands with soap and water, especially before eating. If you don't have sink access, use an alcohol-based hand sanitizer.
  • Cover your cough. If you feel the urge to cough or sneeze, cover your mouth with a tissue and then throw the tissue away. If you don't have a tissue handy, cough into your elbow.
  • Stay home. If you get sick, plan on staying home for four days, or until the fever has been gone for 24 hours without the aid of fever-reducing medication.
  • Get vaccinated. "Vaccination is the best way to prevent seasonal flu," says Dr. Davis. To find flu vaccination clinics near you, contact your local or state health department.

Photo by Vladimir Fedotov on Unsplash

Like this article? Get more by following us on Facebook at Beauty & Confidence.

Bouncing Back After Being Sick

If you're getting over being under the weather, it can be tempting to put the pedal to the metal on the road to recovery. But if you really want to feel better, proceed with caution. Here's how to bounce back without risking a relapse.

1. Rest up.
Resist staying up past prime time when you're on the mend, suggests Dr. Mark Anderson, a family physician in Southlake, Texas."An early bedtime is more effective than trying to catch up on sleep in the morning, because the deep sleep you get before 2 a.m. is worth twice as much as sleeping in," he says.

Even when you're awake, take it easy. You may feel well enough to go back to work, but that doesn't mean you're ready to go out on the town. Instead, stay in and read, catch up with a friend over the phone or watch a DVD. Still suffering from a stuffy nose? Soak in the tub. Not only is it relaxing, but the steam may act as a decongestant.

2. Eat right.
Though it's often easier to just grab something quick when you're trying to catch up on the things you missed while you were sick, eating well can help you get completely healthy and provide you with a much-needed energy boost. Follow these tips:

  • Stay hydrated, which helps flush out any excess mucus from a cold or flu and replaces fluids lost as a result of nausea or diarrhea.
  • Stick to easily digestible foods like rice, dry toast, saltines, bananas and apples if you're just starting to eat again after a gastrointestinal bug.
  • Avoid dairy, since it thickens lingering mucus and can exacerbate nausea.
  • Eat plenty of fresh fruits and veggies: Their antioxidants boost your immune system, which can help ward off new or secondary infections.

3. Work it out.
As long as you're no longer running a fever, says Anderson, you can start exercising again. In fact, not only will the heat your body generates during exercise help keep any leftover mucus moving, but the endorphins produced can speed your recovery.

That said, listen to your body and don't take on too much too soon."Scale back your workout," suggests Anderson."If you're used to running 3 miles a day, try walking on a treadmill for 30 minutes instead."

4. Keep it to yourself.
Did you know you're contagious for up to a week after coming down with a cold or the flu? Even if you're feeling better, continue to follow the habits that can help prevent illness from spreading:

  • Keep a small bottle of antibacterial gel on hand and use it before touching your children.
  • Wash your hands with soap and water for at least 15 seconds after using the bathroom, after blowing your nose, before eating, and before and after handling food.
  • Have someone else cook (or order in) until you've been better for a few days. If that's not possible, wash your hands thoroughly before and after preparing food.
  • Cough or sneeze into the crook of your elbow, not your hand.
Kiss your kids on the top of the head, not on the face, until you're feeling 100 percent well again.

The Best Foods for Sick Kids

When your kid is miserable with a stuffy nose, fever or stomachache, it's tempting to feed her what she wants (ice cream!) or let her skip dinner altogether. But research reveals that eating the right comfort foods can soothe her symptoms and strengthen her immune system. Even if your little one doesn't have much of an appetite, encourage her to eat; in combination with symptom- and age-appropriate OTC remedies, she'll feel better in no time. Here, the best foods for sick kids:

For a stuffy nose … feed them soup.
"The hot, steaming broth loosens mucus, so your child can breathe easier," says Amy Jamieson-Petonic, a registered dietician and the director of wellness coaching at Cleveland Clinic. For even more relief, serve up a bowl of chicken soup: Researchers from the University of Nebraska Medical Center found that this childhood staple may relieve cold symptoms by inhibiting inflammation-causing cells in the body."Plus, chicken soup has carrots, celery and onions," says Jamieson-Petonic."These veggies provide vitamins and minerals that boost the immune system."

For a fever … feed them calorie-rich fare.
Forget starving a fever! "You'll only deprive the body of the nutrients it needs to get well," says Jamieson-Petonic. A feverish child uses more energy, she adds, so they need to consume additional calories. If your kid doesn't feel like eating, try adding nutritional bulk to every bite he takes: Slip banana slices into a peanut butter sandwich, mix dry milk powder in mashed potatoes or mac 'n' cheese, and blend flaxseed into a fruit smoothie.

For a sore throat … feed them soft foods.
Does it hurt to swallow? Scrambled eggs, oatmeal, soup and yogurt can coat a painful throat while providing nutrition. Another soother for children above the age of one: honey. According to a recent study published in the Archives of Pediatrics; Adolescent Medicine, this sweet substance can also lessen nighttime coughing and improve sleep. So if your child can't stop hacking, swirl a spoonful into a mug of herbal tea or a glass of warm milk.

For a stomachache … feed them crackers.
"Bland foods stabilize digestion and gradually get the system up and running again," says Connie Evers, a registered dietician in Portland, Ore. Once the worst is over, she recommends moving on to more substantial fare, like bananas, rice, applesauce and toast. Also steer clear of colas: The caffeine content can make nausea even worse.

For any type of illness … feed them popsicles.
For sick kids, proper hydration is key."Sleeping for long periods of time -- as well as running a fever -- can lead to fluid loss," says Evers. To make sure your child sips often, place a water bottle on her bedside stand. Evers also suggests freezing 100-percent cranberry and orange juices into homemade popsicles; the treat serves up extra liquids along with a dose of vitamin C.

For recovery … feed them balanced meals.
Even if they ask for it, don't serve them their favorite fast-food meal or sugary dessert."Foods high in sugar or saturated fat can increase inflammation in the body," explains Jamieson-Petonic."That can make kids feel worse -- and even slow the healing process." Fill her plate with vitamin-rich produce, whole grains and lean proteins instead."These foods strengthen the immune system, which helps fight viruses," she says."It can also help lower the risk of complications, like bronchitis."

Photo by Piotr Miazga on Unsplash

When to Keep a Sick Child Home

It's cold and flu season, which means plenty of moms are facing that age-old parenting dilemma: Do I send my coughing, sniffly child to school? And if I make the wrong choice, will the school nurse call a few hours later asking me to take him back home?

Figuring out when to keep your child home from school and when he's well enough to go back isn't always easy, says Dr. Loraine Stern, associate clinical professor of pediatrics at UCLA School of Medicine in California.

“The truth is, you can't always tell how sick a child really is," says Stern. For instance, some kids may seem totally fine at breakfast but take a quick turn for the worse and end up very sick two hours later.

What to Do With a Flu
Of course, when it comes to such flu symptoms as high fever, vomiting and body aches, the answer is a no-brainer."If your child is running a fever, you should keep her home because she's not going to be able to sit at her desk and pay attention," says Stern. This applies to seasonal flu as well as H1N1 virus (swine flu), she adds.

What to Do With a Cold
When your child has run-of-the-mill cold symptoms like a runny nose and cough, deciding whether to send or keep him home isn't always cut and dry, says Stern."Let's face it, if you wait for children to have noses that are completely clear, they're never going to go to school," she says.

So, as long as your child doesn't have a fever and is acting normal, it's fine to send him to school with a minor cold. Even nasal discharge, as unpleasant as it may be, isn't reason enough to keep a child home.

“Young children often have this at the end of a cold, and it's perfectly normal and not contagious," says Stern."If the discharge goes on for seven to 10 days, it may be a sign of a sinus infection, but that's not something that's contagious either."

On the other hand, a cough that's bad enough to disturb other kids in the classroom is a good reason to keep a child home.

More Signs to Stay Home 
Some signs to stay home are more clear-cut. For example, keep your child home if she has a highly contagious infection such as strep throat or conjunctivitis, says Stern. With strep throat, kids need to be on antibiotics for 24 hours before they can return to school. But with conjunctivitis (pinkeye), kids need only be under treatment, and they can go back to class."That means the condition is getting better with medication but not necessarily cleared up yet," says Stern.

Since ear infections are not contagious, there's no reason to keep your child home when she has one, even if she's taking antibiotics."Yet the current thinking is that the majority of ear infections get better by themselves without antibiotics," notes Stern.

Quick Reference Guide
Here's Stern's cheat sheet on the do's and don'ts of keeping a sick child home.

Keep your children home if they:

  • Have a fever.
  • Are unable to concentrate on schoolwork due to symptoms.
  • Have symptoms (such as diarrhea) that disrupt activities  or distract classmates (such as a hacking cough).

Send your children to school if they:

  • Had a fever that has been gone for 24 hours.
  • Are alert and able to pay attention in class.
  • Don't require a teacher to provide extra care.

And if you do have a sick child at home, try to see the silver lining."Enjoy the time at home with him," says Stern."It's a chance to do the kinds of things you don't have a chance to do when everyone's so busy -- like curling up on the couch with your child in your lap and reading books together."

Photo by Kyle Nieber on Unsplash