Originally Posted by hoping42
I need to look into what vaccines they will want to give after delivery - thank you RParker for putting that on my radar. Our birth plan asks them to review each vaccine before giving - but it's been 5 years since my last NB and I need to figure out which ones they want to try to give. Thanks again for everyone's input.
In most of the US the standard vaccines/medications offered to newborns are erythromycin eye ointment, a vitamin K shot, and a Hepatitis B vaccine. Both the erythromycin and the Hep B are completely unnecessary if you are 100% sure about your (and your partner's) STI status.
The vitamin K shot is a little more controversial. The "short" version is that it can prevent an extremely rare complication that can be fatal in some babies, but it has the same issues as other vaccines with being an injection (i.e. the other ingredients in the shot) plus there is some debate as to whether or not it may increase rates of childhood Leukemia. Oral vitamin K drops given over 12 weeks are seen by many as a reasonable compromise, but they're difficult to obtain in some locations. The vitamin K injection is probably completely unnecessary in formula fed infants because there are such high amounts of the vitamin found in every commercial formula. There is also the option of supplementing the mother for exclusively breastfed infants but I haven't seen any definitive/great research that would suggest a clear protocol for that. There are also some instances when the vitamin K shot would be clearly recommended/beneficial which include some medical complications during pregnancy that impact absorption of vitamin K from food and/or a physically traumatic birth and/or the need for the baby to have surgery within weeks after birth.
Um, hope that helps. I don't know where you are located or how substantially different the protocols are in other countries but those seem to be the big 3 across the US. (The vitamin K protocols are DEFINITELY different in Australia and several European countries, but I have no clue about Canada, New Zealand, etc.)
Oh, for what it's worth, the MMR and DTAP while in the hospital for me are pretty optional... as in it doesn't seem like my doctor would aggressively push them if I declined. I think it's pretty unusual to have low Rubella immunity and my friend just had her baby a few weeks ago and declined the DTAP for herself with no hassle. The DTAP wasn't even offered at the last hospital I gave birth at, but that may have been because I'd had a tetanus shot within the past 3 years? I also probably wouldn't be quite so enthusiastic about signing myself up for voluntary immunizations if my husband didn't spend 80+ hours a week in a hospital (and we didn't visit him at work)... most people have way lower levels of exposure.