The authors report no conflict of interest or relevant financial relationships.
Influenza Infection Control Practices in Labor and Delivery Units During the 2009 H1N1 Influenza Pandemic
Article first published online: 4 SEP 2013
© 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 42, Issue 5, pages 527–540, September/October 2013
How to Cite
Williams, J. L., Mersereau, P. W., Ruch-Ross, H., Zapata, L. B. and Ruhl, C. (2013), Influenza Infection Control Practices in Labor and Delivery Units During the 2009 H1N1 Influenza Pandemic. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 42: 527–540. doi: 10.1111/1552-6909.12243
- Issue published online: 10 SEP 2013
- Article first published online: 4 SEP 2013
- Manuscript Accepted: JUN 2013
- infection control;
- 2009 H1N1 pandemic;
- maternal and infant precautions;
To assess the presence and usefulness of written policies and practices on infection control consistent with the Center for Disease Control and Prevention's (CDC) guidance in hospital labor and delivery (L&D) units during the 2009 H1N1 influenza pandemic.
Of 11,845 eligible nurses, 2,641 (22%) participated. This analysis includes a subset of 1,866 nurses who worked exclusively in L&D units.
A cross-sectional descriptive evaluation was sent to 12,612 members from the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) who reported working in labor, delivery, postpartum, or newborn care settings during the 2009 H1N1 influenza pandemic.
Respondents (73.8%) reported that CDC guidance was very useful for infection control in L&D settings during the pandemic. We assessed the presence of the following infection control written policies, consistent with CDC's guidance in hospital L&D units, during the 2009 H1N1 influenza pandemic and their rate of implementation most of the time: questioning women upon arrival about recent flu-like symptoms (89.4%, 89.9%), immediate initiation of antiviral medicines if flu suspected or confirmed (65.2%, 49%), isolating ill women from healthy women immediately (90.7%, 84.7%), ask ill women to wear masks during L&D (67%, 57.7%), immediately separating healthy newborns from ill mothers (50.9%, 42.4%), and bathing healthy infants when stable (58.4%, 56.9%). Reported written policies for five of the six practices increased during the pandemic. Five of six written policies remained above baseline after the pandemic.
Respondents considered CDC guidance very useful. The presence of written policies is important for the implementation of infection control practices by L&D nurses.