How long did you

[RachTheWife]

How long did you wait before starting vaccines?

Why?

What was specific to THAT number you chose?

--

I already have decided I will be selective/delaying vax's with my baby due in June, but I havent quite figured out how 'delayed' to do it?

Resources if you have any:) 

Thanks!

[maxwill129]

I haven't started vaxing yet, but am researching selective vaxing right now.  I have an 8, 6, 4 and 20 month old.  The 8 and 6 year olds are partially vaxed (we stopped when my now 4 year old had what I believe to be a vax reaction at his 2 month well-child check).  I will probably partially vax my 4 year old now and wait on my 20 month old until he's school age.  I'll see what, if anything, my 8 and 6 year old should get and do that now as well.

[carriebft]

There are diseases that are devastating to a young child but that can be handled by an older child. Others are not a risk until later. some are more pervasive throughout the years. I use a risk benefit analysis and go from there....

DTaP, Hib, and PCV (we didnt do PCV7 but are doing 13 with our new addition) are ones we will get early. Pertussis, hib and pneumococcal disease are ones we want our young children to have protection against because these are the ages where invasive disease from hib, for example, can lead to high death and disability rates.

If you are considering rotavirus, it can only be given in the first year of life (also the time that this disease is most deadly)

[mamakay]

If you are considering rotavirus, it can only be given in the first year of life (also the time that this disease is most deadly)

 

Rotavirus vax is only APPROVED for a short time in the first several months of life, but it's really fine to give it after that off label.

Where are you getting the idea from that the disease is most deadly in the first year ( in the developed world, at least?) Everything I've read says that most younger infants have at least partial maternal, transplacental immunity.

Also, how deadly at its deadliest is it compared to, say, the risk of death from falling out of bed in the night? AFAIK, rotavirus kills, like, 20 people a year? And death from falling out of bed kills hundreds?

http://www.nationmaster.com/graph/mor_fal_inv_bed-mortality-fall-involving-bed

[carriebft]

I guess just through studies like this:

http://www.nejm.org/doi/full/10.1056/NEJMoa0905211  (mexico though...)

http://www.jstor.org/pss/30129612 (usa)

http://jama.ama-assn.org/content/274/14/1143.abstract (cited studies here)

nak more later!

I was not aware of widespread use of the rota vaccine off label; I guess its just not something doctors in this area do (mine doesn't, the other doc in town does not either) and both also make you pay for the vaccine-- so thats something to think about in a decision as well. I guess not enough people in this area take it? or its expensive to store or something.

I was not addressing how deadly it was in comparison to other things, just the idea that there are ages were risk factors are greater than other ages (since the second poster, who is on the same journey, has older kids, too)

[carriebft]

http://pediatrics.aappublications.org/cgi/content/full/117/6/1887

hospitalization rates...so thats something to consider as well I guess (I am one of those who doesn't vaccinate just for the 'death' side of things, kwim? for example, we choose the pertussis vaccine because we appreciate its ability to shorten duration and severity of illness)

[grumpybear]

we started at 11mos for us. It was mostly a scheduling decision for us as we had an overseas trip and decided that we would feel comfortable if our kids got certain vaccines before we went abroad.