Special Populations
Pregnancy

• Pregnancy can increase the risk for serious medical complications of influenza.
• Women who will be pregnant during the influenza season should receive the inactivated influenza vaccine (TIV) - pregnancy category C
  • In 2000-2003, 2 million vaccinations of pregnant women with only 20 reported adverse events (17 mild, 3 miscarriages without proof of causality)
• Inactivated vaccine (TIV) is safe in breastfeeding.
• Live, attenuated vaccine (LAIV) is contraindicated in pregnancy.
• Oseltamivir and zanamivir are both "Pregnancy Category C" medications and have not been studied in pregnancy.  They should only be used if the benefits outweigh the risks.

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