November 2015 Moms

Tdap (whooping cough) vaccine

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Re: Tdap (whooping cough) vaccine

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  • rerawalt said:

    Keeping your child at home decreases their risk of exposure to illness but doesn't eliminate it. Someone in the household goes to work right? What about the grocery store? 95% of infants that get pertussis get it from a family member or caregiver. If you are susceptible you are putting your child at risk. Period.

    As a person who has had pertussis, I can confirm that you are contagious before you ever have any symptoms. By the time you get the whoop you have actually been contagious for over a week.

    As a physician, people often assume that the worst part of my job is taking care of an infant that does. They are close to correct. The actual worst part of my job is taking care of an infant that dies which could have been prevented. Then the parents are dealing with grief on top of guilt.

    Avoiding the flu and pertussis vaccines is putting your child at risk. As a parent you will have to make a thousand decisions that involve the safety of your child and it is your choice but please don't think that by staying home or good hygeine or the fact that you have been lucky enough to never be sick that it means your child is completely safe.

    As for the comment above that it is a class C medication, so are tums and aspirin (medications pregnant women regularly take). In fact so are most medications as it is nearly impossible to IRB and FDA approval for the appropriate studies. Even zofran which is technically classB currently has lawsuits due to birth defects. Nothing about pregnancy is without risk.

    I agree with you almost entirely, but I thought aspirin during pregnancy was not recommended due to increased risk of complications and so Tylenol is suggested instead. 


    Baby asprin is used sometimes, especially for women who have had fertility treatments, previous mc, or clotting disorders.
            
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    Married 5/23/2011
    BFP 6/16/2013 EDD 2/25/2014 MC 7/2/2013
    BFP 8/30/2014 EDD: 5/10/2015- MC 10/2/2014
    BFP 3/16/2015 EDD: 11/22/2015
  • I got my TDAP at my 32 week appointment and will get my flu shot at my 34 week appointment (our hospital didn't have the vaccine yet at my last appt). My husband will be getting both vaccines but I won't be making others around me do it. If they are sick, they shouldn't be around the baby to begin with.
  • ash413 said:

    I got my TDAP at my 32 week appointment and will get my flu shot at my 34 week appointment (our hospital didn't have the vaccine yet at my last appt). My husband will be getting both vaccines but I won't be making others around me do it. If they are sick, they shouldn't be around the baby to begin with.

    Again people can be sick with pertussis (whooping cough) a preventable killer of newborns for a week without showing any symptoms. This is really flawed thinking.
    I find this viewpoint particularly frustrating, ad I was unable to get the TDAP vaccination last week due to a latex allergy. My doctor is researching it further, but if I am unable to get it my LO will have no protection other than herd immunity until he is 2 months old. I will be home with him, and don't "plan" to expose him to sick people. However, we are really relying on others to be responsible adults and keep their vaccinations up to date.

    Not to mention I won't be able to keep him in a bubble the whole 2 months, I have to take him to the doctor where he could be exposed in the waiting room, as well as grocery shopping ect.
    @ash413 it snipped at only my quote but in the quote function it has the PP I responded to as well. Are you responding to me or MNmom? It seems like PP but I'm just checking.

    I agree all adults that can be vaccinated should and have the responsibility to protect those that are unable to for whatever reason (allergy, age, immunocompromised sickness) to be a good defense for the defenseless. Hopefully that made sense.
  • Could use some advice.

    My doctor told my husband and I that as long as I got the vaccine in the 3rd trimester, baby would be covered enough through my immunization those first few months until he could get it, too. I'm seeing that others have been told differently.

    My bigger question is, if everyone who is supposed to be around my child regularly needs to get it, what do I do with being the pastor's wife and being at church? I can tell sick people to stay away from my kid, but I can't tell the whole congregation that they have to get the Tdap vaccine (or even the flu shot). My husband's insurance doesn't even cover the shot so we'll have to pay $50 for him to get it (obviously, $50 now is better than a sick/dying kid later, I'm not stupid), but I know he's not the only one with crappy insurance (some still don't even have insurance). What do I do?
  • @rachswi - One thing I remember from when members of our church had little ones was babywearing or keeping them in the carseat with one of the those covers over the carseat. If you don't mind me asking, what is the average age group of your church? 
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  • rachswi said:
    Could use some advice.

    My doctor told my husband and I that as long as I got the vaccine in the 3rd trimester, baby would be covered enough through my immunization those first few months until he could get it, too. I'm seeing that others have been told differently.

    My bigger question is, if everyone who is supposed to be around my child regularly needs to get it, what do I do with being the pastor's wife and being at church? I can tell sick people to stay away from my kid, but I can't tell the whole congregation that they have to get the Tdap vaccine (or even the flu shot). My husband's insurance doesn't even cover the shot so we'll have to pay $50 for him to get it (obviously, $50 now is better than a sick/dying kid later, I'm not stupid), but I know he's not the only one with crappy insurance (some still don't even have insurance). What do I do?
    Minimize exposure by wearing baby at first and not letting the sweet little old ladies play pass the baby. Ask anyone who is a caregiver and will be holding baby to get it. Also your husband may be offered it for free in the hospital (along with any caregivers that visit) or it may be cheaper to use a pharmacy, most major pharmacies have and can administer the Tdap you could call around for pricing and ask about the policy of your hospital.
  • @thegingeravenger I do intend to babywear as much as possible, but a lot of the congregation see themselves as our "adoptive parents/grandparents" since my husband and I are in our mid twenties and the average age of the congregation is probably about 60. I had to shoot down having my shower between when the baby was born and Thanksgiving (DD is 11/14, thanksgiving is 11/26) because they so want to be involved in his life and see him (and hold him and kiss him and give him their germs) that they wanted me to be able to pass around the baby during the shower.

    I'm not worried about flu since many get the flu vaccine due to their age, but Tdap is not on any of their radars.
  • rachswi said:
    @thegingeravenger I do intend to babywear as much as possible, but a lot of the congregation see themselves as our "adoptive parents/grandparents" since my husband and I are in our mid twenties and the average age of the congregation is probably about 60. I had to shoot down having my shower between when the baby was born and Thanksgiving (DD is 11/14, thanksgiving is 11/26) because they so want to be involved in his life and see him (and hold him and kiss him and give him their germs) that they wanted me to be able to pass around the baby during the shower.

    I'm not worried about flu since many get the flu vaccine due to their age, but Tdap is not on any of their radars.
    Due date twinsies! 

    Girl, run the excuse gauntlet. Start writing them down now as they come to you and pick one every Sunday morning/Wednesday night. Examples: LO doesn't seem to be feeling well today, I just got him to go to sleep and don't want to wake him up, oh! It's time for him to eat (*flee the scene here*), and he's fussy today and I really don't want him to start screaming here. Those are just a few. The pastor's daughter at my old church, that had a very similar age range as yours from the sound of it, became very good at being blunt yet honest. "I'm not comfortable passing her around before she has her vaccinations during cold and flu season". No is a complete sentence as well, but I can see why you'd be hesitant to do that. You could also insist on them washing their hands and then get "distracted" by something else calling you away. 
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  • rachswi said:

    @thegingeravenger I do intend to babywear as much as possible, but a lot of the congregation see themselves as our "adoptive parents/grandparents" since my husband and I are in our mid twenties and the average age of the congregation is probably about 60. I had to shoot down having my shower between when the baby was born and Thanksgiving (DD is 11/14, thanksgiving is 11/26) because they so want to be involved in his life and see him (and hold him and kiss him and give him their germs) that they wanted me to be able to pass around the baby during the shower.


    I'm not worried about flu since many get the flu vaccine due to their age, but Tdap is not on any of their radars.
    When I went to church several of the ministers had children in the time. From what I remember, the wives and babies were just not around for about 2 months. Some would sneak in late or leave early after a month or so.

    While I understand the congregation is excited, Lo's health is more important than a few disappointed members.

    If you are out and people start getting a little touchy you can always use the excuse you need to go nurse in order to take a break.
            
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    Married 5/23/2011
    BFP 6/16/2013 EDD 2/25/2014 MC 7/2/2013
    BFP 8/30/2014 EDD: 5/10/2015- MC 10/2/2014
    BFP 3/16/2015 EDD: 11/22/2015
  • Thanks for the advice! I appreciate it!
  • You can also slather people in sanitizer before allowing them to hold the baby. That's what I plan to do at the family Christmas event. Bridget will be bout 6 weeks by then so a bit sturdier than for Thanksgiving where I plan to babywear and just put in a short token appearance.
    If there's something strange underneath the hood.  Who you gonna call?  Your Doctor.  If there's something weird and it don't look good.  Who you gonna call?  Your Doctor.  Immediately.  If it's new, painful, and possibly pregnancy related get your ass off the internet and call your doctor.  It's for your health and your child's. 




  • For those who haven't gotten theirs yet (Tdap and flu that is)...my recommendation is don't do them both at the same time if you don't have to. I'm hating life right now with two sore arms :(
  • All pregnant women are recommended to get the TDAP (Tetanus, Diptheria & Pertussis) Booster in the third trimester of EVERY pregnancy. This is to pass on that immunity to baby as whooping cough is still one of the leading cause of deaths in babies. Anyone who will be in contact (spouse, grandparents, friends, etc...) should get the booster as well. Some hospitals require this shot before being able to visit the maternity ward due to outbreaks. With the exception of the mother, those in contact can get the Tdap booster once in a lifetime and then should get the full vaccine every 10 years.
    I suggest getting the flu vaccine as well, generally provided the beginning of October throughout flu season. Flu season varies from October through April with worst months thought to be November through March (but again this varies from year to year, each flu season is different).
    And I second giving both about 2 weeks to have full effect.


  • rerawalt said:

    Keeping your child at home decreases their risk of exposure to illness but doesn't eliminate it. Someone in the household goes to work right? What about the grocery store? 95% of infants that get pertussis get it from a family member or caregiver. If you are susceptible you are putting your child at risk. Period.

    As a person who has had pertussis, I can confirm that you are contagious before you ever have any symptoms. By the time you get the whoop you have actually been contagious for over a week.

    As a physician, people often assume that the worst part of my job is taking care of an infant that does. They are close to correct. The actual worst part of my job is taking care of an infant that dies which could have been prevented. Then the parents are dealing with grief on top of guilt.

    Avoiding the flu and pertussis vaccines is putting your child at risk. As a parent you will have to make a thousand decisions that involve the safety of your child and it is your choice but please don't think that by staying home or good hygeine or the fact that you have been lucky enough to never be sick that it means your child is completely safe.

    As for the comment above that it is a class C medication, so are tums and aspirin (medications pregnant women regularly take). In fact so are most medications as it is nearly impossible to IRB and FDA approval for the appropriate studies. Even zofran which is technically classB currently has lawsuits due to birth defects. Nothing about pregnancy is without risk.

    I agree with you almost entirely, but I thought aspirin during pregnancy was not recommended due to increased risk of complications and so Tylenol is suggested instead. 


    Tylenol is what you would take for a headache or other pain but a lot of women with clotting problems (which can lead to repeat miscarriages) are prescribed a baby aspirin daily. It is also being used to prevent pre-eclampsia in some women at high risk. It's not a medication that anyone should take on their own but only when perscribed by your physician.
  • ash413 said:

    I got my TDAP at my 32 week appointment and will get my flu shot at my 34 week appointment (our hospital didn't have the vaccine yet at my last appt). My husband will be getting both vaccines but I won't be making others around me do it. If they are sick, they shouldn't be around the baby to begin with.

    Again people can be sick with pertussis (whooping cough) a preventable killer of newborns for a week without showing any symptoms. This is really flawed thinking.
    I find this viewpoint particularly frustrating, ad I was unable to get the TDAP vaccination last week due to a latex allergy. My doctor is researching it further, but if I am unable to get it my LO will have no protection other than herd immunity until he is 2 months old. I will be home with him, and don't "plan" to expose him to sick people. However, we are really relying on others to be responsible adults and keep their vaccinations up to date.

    Not to mention I won't be able to keep him in a bubble the whole 2 months, I have to take him to the doctor where he could be exposed in the waiting room, as well as grocery shopping ect.
    How bad is your latex allergy? Anaphylactic reactions probably shouldn't get it but if you get hives the way I do the CDC still recommends the vaccine. The CDC has a webpage about latex reactions and vaccines if you want to look it up.
  • I always kept a bottle of hand sanitizer in my diaper bag and when people asked to touch/hold ds I handed them the hand sanitizer first.
    No one ever questioned it and were respectful about it.
  • I always kept a bottle of hand sanitizer in my diaper bag and when people asked to touch/hold ds I handed them the hand sanitizer first.
    No one ever questioned it and were respectful about it.

    We did the same thing and everyone was fine with it :)
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