H1N1 During Pregnancy

I am 32 weeks pregnant and concerned about H1N1 and concerned as well about the vaccine itself. I am a stay at home mom and my four year old is homeschooled, so our exposure to other people is somewhat limited. I would also say that our family is very healthy. I have known friends who have tested positive to H1N1 though. I did also hear that it takes 4-6 weeks for the vaccine to become effective. So I guess my question is two-fold- 1. Do you recommend the vaccine in my case and 2. Does it take 4-6 weeks to become effective?

The formation of your baby’s body may be considered finished at 32 weeks. So, even if you catch a viral infection before giving birth, it will not induce a fetal abnormality. Because there have never been valuable ‘randomised controlled trials’ of the ratio of benefits to risks of being vaccinated at the end of pregnancy compared the risks of having a seasonal viral infection, nobody can give you an advice based on hard data. Often, in medicine, when you don’t know what to do, it is better to wait and see.