Tdap for every pregnancy?

ho11yday · January 2014

I was just reviewing the CDC recommendations for vaccines and realized that in 2013 they changed the requirements for pregnant women; the CDC is now recommending that women receive a Tdap vaccine during each pregnancy between 27 and 36 weeks with the rationale that it better protects LO until LO can start their Dtap series.

Am I the only one who just realized this? Anyone yet hear from their doctors re: getting their tDap? Anyone getting theirs this pregnancy?

I know I won't be receiving one during this pregnancy as I've already had a serious site reaction before and has been recommended no more tetanus shots until my 10 years are up (which will be in 2019).

https://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule-6x4-5.pdf

Hallil · January 2014

I will not, and did not while pregnant with DD 3 years ago. It wasn't brought up or mentioned by any of my professional care givers, between two vaccine junky doctors or a midwife.

candrew05 · January 2014

I was well overdue for my shot so I got it at my last appointment. They were happy to do it knowing its been years, but never indicated it was recommended for every pregnancy.

mrspopsicle · January 2014

My doctor mentioned it at my first appointment. I got it when I had my daughter in 2012 and I will absolutely be getting it again.

getitdone · January 2014

My Dr recommended it at 30 weeks or later. He said you have it then because the baby will get some of the vaccine from getting it at that time. I am not sure if it is true or not, but I am getting it and DH is getting it as well.

MrsT2008 · January 2014

My ob mentioned this at my last appt and said they recommend it after 30-32 weeks. I will be getting it. With dd, they gave it to me in the hospital before I was discharged but he said they now prefer you have it before you deliver.

Nikkipal82 · January 2014

I'm getting it, DH already got it. I actually brought it up first, they said they'd wait until the third tri for reasons mentioned above.

bumpuser10194737 · January 2014

I got it in the hospital with my first two, but it sounds like the recommendations have changes. I'll ask my OB about it and if he recommends I'll get it before delivering this time.

Lild09 · January 2014

I did hear about this. I know i had my last booster about 4 years ago now so I'm not sure if I need another one. However, if they recommend it I'll definitely get it

Kris2011RN · January 2014

Yup, I've started telling all my patients about the new CDC recommendation.

Xath · January 2014

Yep. It helps jump start the baby's immunity. Also, TDAp is recommended with more frequency for anyone around young children because even though the tetanus resistance lasts for 10 years, recent research indicates the whooping cough immunity may fade after 2-3.

spinsoffresonance · January 2014

My doctor talked about it at my last appointment. She recommended getting it at 30w to pass on the antibodies to the baby. I got one two years ago also when I was pregnant with DD.

Laurab1686 · January 2014

Was just strongly recommended to me at my last appt (past tue 24wks). Was also recommended that anyone in close contact with LO get it as well. Like pp it was recommended for around 30wks

MrsT2008 · January 2014

gertiebarden said:
Yep. It helps jump start the baby's immunity. Also, TDAp is recommended with more frequency for anyone around young children because even though the tetanus resistance lasts for 10 years, recent research indicates the whooping cough immunity may fade after 2-3.

This is exactly what my OB told me when I asked since I wasn't sure he realized I'd had it with dd.

spacepotatoes · January 2014

My doctor gave me a Tdap booster back in Aug 2012 when I saw him about TTC (we'd just started). It hasn't come up at any of my appointments since getting pregnant and I honsetly haven't thought to ask about getting it again.

MrsT2008 · January 2014

Kimbus22 said:

I was planning to ask at my last appointment. They never brought it up with my last pregnancy until after I gave birth and they gave it to me in the hospital before they discharged me. This time I'd prefer it while pregnant.

DH had one my last pregnancy. So he needs another as well? It's been 3ish years since his...

My OB said yes to DH needing another one too.

Kay4244 · January 2014

My ob gave me a script for it at my last appt and said to get it at 30 weeks. The immunity will pass to the baby seeing they can not get the vaccine themselves until they are aroun 2 months.

ErikaLynn75 · January 2014

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/td-tdap.html

I'm confused because this is from the CDC as well, and it says something different. Maybe it is just outdated?

Why is the booster shot just TD, when pertussis is the one where your immunity fades (as gertiebarden said) and the one that's so dangerous to babies? Why don't they just give everyone the Tdap every 10 years?

Not trying to argue. I'm just genuinely confused and trying to understand. I haven't spoken to my doctor about it yet, but I will.

Unknown · January 2014

This content has been removed.

MrsT2008 · January 2014

ErikaLynn75 said:

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/td-tdap.html

I'm confused because this is from the CDC as well, and it says something different. Maybe it is just outdated?

Why is the booster shot just TD, when pertussis is the one where your immunity fades (as gertiebarden said) and the one that's so dangerous to babies? Why don't they just give everyone the Tdap every 10 years?

Not trying to argue. I'm just genuinely confused and trying to understand. I haven't spoken to my doctor about it yet, but I will.

that info sheet is 2 years old, so yes, I'm guessing just outdated based on the new recommendations for pregnant women.

Technically, it is the recommendation to get your Tdap every 10 years, always has been as far as I know. The problem is, like gertiebarden said, the pertussis part of it apparently wears off much quicker (I don't know if they're just realizing this, hence the new recommendation?), but there is no separate vaccine or booster for just pertussis.

LLolaBean · January 2014

Myself, DH and our nanny will be getting it when I'm a bit further into the pregnancy.

ErikaLynn75 · January 2014

MrsT2008 said:

ErikaLynn75 said:

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/td-tdap.html

I'm confused because this is from the CDC as well, and it says something different. Maybe it is just outdated?

Why is the booster shot just TD, when pertussis is the one where your immunity fades (as gertiebarden said) and the one that's so dangerous to babies? Why don't they just give everyone the Tdap every 10 years?

Not trying to argue. I'm just genuinely confused and trying to understand. I haven't spoken to my doctor about it yet, but I will.

that info sheet is 2 years old, so yes, I'm guessing just outdated based on the new recommendations for pregnant women.

Technically, it is the recommendation to get your Tdap every 10 years, always has been as far as I know. The problem is, like gertiebarden said, the pertussis part of it apparently wears off much quicker (I don't know if they're just realizing this, hence the new recommendation?), but there is no separate vaccine or booster for just pertussis.

Is the pertussis part of the vax not important for people who are not around babies? I just don't get why the "Td booster" even exists. For the regular adult schedule it says you only get Tdap one time. So you only get to have pertussis immunity for a few years of your whole life? It just seems silly.

MrsT2008 · January 2014

ErikaLynn75 said:

MrsT2008 said:

ErikaLynn75 said:

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/td-tdap.html

I'm confused because this is from the CDC as well, and it says something different. Maybe it is just outdated?

Why is the booster shot just TD, when pertussis is the one where your immunity fades (as gertiebarden said) and the one that's so dangerous to babies? Why don't they just give everyone the Tdap every 10 years?

Not trying to argue. I'm just genuinely confused and trying to understand. I haven't spoken to my doctor about it yet, but I will.

that info sheet is 2 years old, so yes, I'm guessing just outdated based on the new recommendations for pregnant women.

Technically, it is the recommendation to get your Tdap every 10 years, always has been as far as I know. The problem is, like gertiebarden said, the pertussis part of it apparently wears off much quicker (I don't know if they're just realizing this, hence the new recommendation?), but there is no separate vaccine or booster for just pertussis.

Is the pertussis part of the vax not important for people who are not around babies? I just don't get why the "Td booster" even exists. For the regular adult schedule it says you only get Tdap one time. So you only get to have pertussis immunity for a few years of your whole life? It just seems silly.

Pertussis is one of those things that's so much more severe to have as an infant/toddler than an adult, so that's probably why.
https://www.cdc.gov/features/pertussis/

MrsT2008 · January 2014

Also, as adults we only get tdap once (or however many times you're pregnant/around infants), but kids get them regularly until age 6.
"For best protection against whooping cough, children need five doses of DTaP—one dose at each of the following ages:

2 months
4 months
6 months
15 through 18 months
4 through 6 years"

ykristos · January 2014

Hmmm, I got one around 12 weeks because I sliced my hand on a metal can. I'll probably have to get another if this is the case

. Womp, womp.

IBackBevo · January 2014

I just had mine in September 2012. I probably won't get another. When I researched it with DS, the research was very questionable as to whether it passed any immunity to the baby and at that time there was a disclaimer elsewhere on the cdc website saying they weren't sure if it was safe for pregnant women but they felt like the benefits on a nationwide level were worth recommending it despite its unproven safety. Therefore, I won't be getting it again while pregnant. Plus, with having May babies, they will have some immunity by the time the winter months hit because they will have gotten 3 vaccines of it by then. I also think the best way to prevent it is to make sure all or most adults your LO comes into contact with in those first few months are vaccinated.

ErikaLynn75 · January 2014

@MrsT2008 Thank you. It makes more sense now.

I like to be at least a little informed before I talk to my doctor about things. I feel like I make the best use of his time that way.

RickiLea25 · January 2014

savannah_girl said:
Yes, I will be getting it. It helps to pass some immunity to baby before she can get her own vax.

This.

IBackBevo · January 2014

I also had DH look it up on his physician resources that cites to several studies. One he is looking is a study in a pediatric physician's journal and it found antibody levels were still readily detectable at 5 years. So, according to this, you would not need one every 2 to 3 years.

He also said tdap was only licensed in 2005 so we don't even have long term data available on it. So no one can even say with certainty it doesn't last for ten years. Regardless, within 5 years you are ok.

PattyTC · January 2014

I asked my doctor bc I had read online that some hospitals give it to visitors of infants. She said our hospital doesn't but she does recommend it for anyone with close contact with babies. The OBGYN practice gives it to pregnant patients at their 28-30 week checkup bc it passes some immunity to the baby. (Her words-not mine) She gave me a sheet about the research to read but I'm not sure where it is right now.

Ziegeficker · January 2014

I hadn't heard this but will talk to my doctor about it. I do live in an area that has been affected by a pertussis outbreak.

usernewname · January 2014

Don't you get it every 10 years? We do in Canada.

I had my booster a year and half ago and DH had his a few months ago so we're covered. But if we ever go to the hospital cut by metal we get the shot anyway as well.

awisern · January 2014

I got it in 2007 at work when there was a huge pertussis outbreak and I take care of infants. If we didn't get it and we came down with pertussis they wouldn't pay for our time out of work. I then got it again in 2011 with DS and my OB told me at my last appointment that recommendations have changed and it's now recommended with every pregnancy. I will be getting it at one of my next two appointments.

babyaotw · January 2014

Our OB mentioned that DH and I would need to do it during third tri. We will go ahead and do it, since it's been quite some time for both of us since we last had it.

kshampeny · January 2014

I just had one in 2009 for my work (infectious disease lab), but will definitely be getting one in my third trimester. I actually asked my doctor about it when I first saw him, since I was already up on the latest info. about pertusis. He said it's recommended for all pregnant women, but not until the third trimester, as this is when you can confer some of the immunity to your baby. We have actually had a few different whooping cough outbreaks in our community and state in the last few years, so maybe if your doctor hasn't recommended it, it's because your area hasn't. I would definitely get one, though, and am going to have my parents and in-laws get it, as well. If anyone has any other questions about vaccines, diseases, etc. send me a PM, and I'd be happy to answer questions or direct you to relevant information. I worked in disease research for ~6 years up until last December, so am pretty up on the recent developments.

RedInLove · January 2014

I'm a FTM, when I discussed the tdap with my OB's office they did say to wait until after 27 weeks, but they didn't mention needing one for each pg. Perhaps for me, that will be discussed when I am pg for the 2nd time though. DH got his tdap shot a couple weeks ago, and they told him he should be good for the 10 years.

mileswithmyles · January 2014

My doctor recommended I get it. He said that time period is important because it passes the immunity to the baby.

ETA- apparently spelling and punctuation are hard for me on mobile.

MrsT2008 · January 2014

florassecret said:

Don't you get it every 10 years? We do in Canada.

I had my booster a year and half ago and DH had his a few months ago so we're covered. But if we ever go to the hospital cut by metal we get the shot anyway as well.

Some of the other replies already talked about this. The issue is that the booster tends to cover just tetanus which does nothing against pertussis.

jenb_99 · January 2014

My hospital gives the Tdap to mothers on discharge day. I've never had a negative reaction to a vaccine and I take pertussis seriously, so if I'm told I need another, I'll get it. I don't see any reason not to.

Snowflake312 · January 2014

Yes. Yes. Yes. I'd get 20 shots if it meant a decreased risk of pertussis for my baby. I will also ask that my whole family be vaccinated at least 2 weeks before coming to visit.

dogsombrero · January 2014

FTM I'm getting it DH already got his. I'm overdue for tetanus anyway so it's no biggie to me. Whooping Cough is not something you get an immunity to even if you contracted it. Eventually you'll lose the antibodies. It's not worth the risk to me. DH got his for free at my MW appointment last month he was thrilled because he's a mechanic and was due for his tetanus too.

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