Just curious who has decided to get the TDAP in their 3rd trimester and who is waiting until after baby is born? And why?
I asked my doctor what he recommended and he told me to research it and make the decision on my own, but he's fine with doing it now or later. I've been trying to read up on it and my baby-brain is mush.
(And yes, I went back and read precious discussions on this that were a few months ago, but I think more of us June mommies are in the 3rd trimester now and I need advice!)
Thanks!
Re: TDAP??
~~~ EDD for Baby #2 6/28/15~~~~
I had mine today at my 30w appointment. the only reason i got it at all was to pass protection to the baby...i had a booster less than a year ago before i went to South Africa on my honeymoon, so i'm personally current on the vaccine. There would be zero point to me getting it at the hospital after the birth because i'm already immune. i did it for the baby.
I'll also be insisting that anyone who is gonig to be handling the baby a lot in the first few months (grandparents, etc) make sure they are current. The boosters generally last about 5 years. DH had his last year when i had my last one, so he's already in the clear.
I am getting mine at my 32 week appointment and my husband is going in to his doctor that week as well. We also have informed our family who will be around her frequently to get their boosters done.
However, what's annoying to me is that you seem to always have this attitude (although it doesn't come across quite so much in your post here) that people who choose to have TDAP during pregnancy are silly or, even worse, NAIVE for following the CDC's recommendations here. You keep implying that since the change is "recent" (October 2012), that it is somehow not valid. Did it ever occur to you that maybe the CDC changed their recommendation based on legitimate, peer-reviewed and published literature that showed that TDAP antibodies passed to baby in utero protected baby better than solely cocooning (cocooning being the term given to describe the previous recommendation that everyone in contact with baby be up to date on their own vaccine)? This makes a lot of sense since cocooning is, by definition, only giving indirect protection to baby while TDAP during pregnancy provides direct protection (passing along antibodies).
People are free to make their own decisions about TDAP but the only person here that I see acting like their view is superior is YOU.
https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6207a4.htm?mobile=nocontent
https://jama.jamanetwork.com/Mobile/article.aspx?articleid=1866102
https://m.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Update-on-Immunization-and-Pregnancy-Tetanus-Diphtheria-and-Pertussis-Vaccination?IsMobileSet=true
I searched around but didn't find anything quickly about how many infants died of it last year. I did find though, that half of all infants who catch it need to be hospitalized, and 1-2% die. There are real outbreaks, and it's not a joke, so if I can do anything safe that will help to protect my child from this disease, I will do it.
I completely agree that she needs to be protected, whether it's now or i make everyone get a booster if they want to be around here until she's old enough to get her own vaccine. I've asked friends and they've gone both ways. I guess it threw me off when my doctor told me he's okay with either decision but wanted me to read about the risks/benefits and decide on my own. I think I would've rather had him tell me what he thinks I should do! Then I would just listen to him and wouldn't have to read about any risks (which are always going to stand out in your head above the benefits)
2nd round exp 8/20/18.
I could understand "doing your own research" if there were actually two legitimate sides with equally valid research, but that isn't the case. On one hand you have the latest and best recommendations based on the best available scientific research, and on the other you have what? Your feelings about it? I'm really not being snarky, I'm serious, what sources for evidence did you find on the other side?
The other problem is, even if you "do your own research," you aren't really doing research, you're just reading articles or abstracts. If you aren't educated in interpreting research studies, it can lead you to wildly inaccurate conclusions. That's partly why we're even having this debate - someone reads something, doesn't understand it, and spreads inaccurate information.
I don't think the FDA and CDC always have the public's best interest at heart, but they aren't the (only) ones making this recommendation. I know none of this will change your mind, but man, I wish it would.
To be Class B there needs to be a lot of scientific research done on people that took the drugs while pregnant where there were not negative outcomes as a result of the drug. I get that hearing something is class B and not A is scary if you're not informed about HOW drugs get their ratings...but if you're doing your own research on vaccines you should at least be researching how these ratings are assigned if you want all of the knowledge necessary to make the decision.
That said tdap is C (due to the studies being new, not because there have been negative outcomes) and the flu vaccine is B, just for everyone's information. I personally decided to have them both.
There's an area in the UK called Brighton which is known for being quite open-minded and free thinking (I really love it there - it's got a great buzz). I have a couple of friends who live there. However, one of the down-sides (according to my friends) is that that a lot of parents don't vaccinate their kids there - it appears to be quite a problem as there have been a couple of outbreaks in whooping cough there.
Personally I think it's a no-brainer but I respect people who do their research into it and don't just nod and go "okay!" like I do. I do agree with @Frogger5 though and think it's a good idea to be careful about what kind of articles are read when carrying out research. Medical journals are unbiased but there's a lot of stuff out there that isn't.
Of course CDC recommendations change. Wouldn't it be more concerning if recommendations never changed? I would hope they continuously review the available data, literature, and information, and update recommendations, if warranted.. After all, conditions in the world around us are always changing, so the recommendations need to keep up with those changing conditions.
So, since they have recently changed, then I see the recommendations as better yet, - that just means they are the most accurate and up to date. I'll follow the CDC since I think they know a little more about this topic than me, and you, and everyone else reading this.
If the TDAP vaccine is a class C drug it means that it hasn't yet been thoroughly tested on pregnant women to see the effects long term in a larger pool of women/infants. Until now that is. Guess what? By taking the vaccine you are now the research group they are testing it on without fully knowing what the effects will be. I choose not to be a part of that, but thank you for doing your part.
Like I mentioned before I have discussed a plan of action with my doc and I will be waiting to give my LO the vaccine until 2 mo like the vaccine schedule suggests, just like I did with my DS. My DH and I will likely receive a booster once LO is born, since my last one was 3 yrs ago to provide extra protection in those two months. To me the risk of an infant 0-2 mo of age dying from pertussis (being less than 20 infants out of 4,000,000) is far less than the unknown long term effects of vaccinating while pregnant. We obviously each have our own opinions on this, so let's just go our own way and not let our infants cross paths until mine is 2 mo and is vaccinated, deal?
To add to this (even though it angers certain people for some reason)... There have been huge missteps by the medical community... Look up thalidomide for example or how about the CDC making a pretty black and white statement that women should not drink any alcohol while pregnant but so many people on here freaked out that I had that same opinion... You can't use CDC statements to support one cause and refute another (well you can but it just makes my eyes roll). Truth is I don't know what the best method is but I do know that I am not comfortable being used as a test subject and I am much more comfortable making a plan with my doctors than with blanket statements made by CDC or any other organization.
Also, this is not directed at people taking the vaccine as I have said countless times I have no concrete proof or reason that one method is better than another.
Was WAY tired this afternoon tho after getting the shot this morning. You? (Not like we ladies need an excuse to be tired, lol)
I read all of the comments and can agree with each of you to some degree. Just trying to do my research and make the best decision. I've been asking friends and also trying to decipher true medical research/articles from Internet babble.
I really appreciate everyone chiming in!
But speaking of being test subjects reminded me of a friend of ours who will not go on a cruise because he believes they are government test sites for diseases and such, etc. where everyone is forced to be together. It makes me wonder every time he talks about it and backs it up with info! Buuuuut, then again, even if it were true to whatever degree, I'd still go on a cruise, lol! Loved the two I've been on!