Edward McCabe, chief medical officer at the March of Dimes, stated in a news launch from the business. ‘Healthcare providers should offer all their pregnant individuals a flu shot each year and if indeed they don’t offer it, then ladies should require it.’ This is the time for pregnant ladies to make a scheduled appointment for a flu shot to make sure they get vaccinated early in the flu time of year, McCabe said. Pregnant women should have the flu shot rather than the nasal spray vaccine, which is manufactured with the live flu virus, according to the U.S. Centers for Disease Avoidance and Control, and the American University of Gynecologists and Obstetricians. The March of Dimes said along with getting a flu shot, pregnant women can reduce their threat of flu by limiting connection with others who have the flu; not really touching their eyes, nose and mouth; washing hands with drinking water and soap; using hands sanitizers; using hot, soapy water or a dishwasher to clean utensils and dishes; and never sharing dishes, glasses, utensils or toothbrushes.The adjudicated reason behind death was related to respiratory events in 8 of the 9 patients. Assessment of safety showed that treatment-related adverse occasions were common, with 129 patients reporting in least 1 adverse event . Serious adverse events occurred more often in the combination-therapy group than in the placebo group . Individuals receiving the three-drug program who had a significant adverse event were more likely to discontinue a report medication than were those getting placebo. Discussion Combined immunosuppression and NAC has been a widely used, regular approach to the treatment of idiopathic pulmonary fibrosis,3 despite conflicting recommendations simply by international guidelines.1,6 In our study, we discovered that the combined three-medication program of prednisone, azathioprine, and NAC, weighed against placebo, was connected with increased all-cause mortality, all-cause hospitalizations, and treatment-related severe adverse events.