We have not vaxed for anything in my house and I have a 7 yo and a 5 yo and am due in 3 weeks with baby #4 (also have a 21 yo who doesn't live at home). My 7 yo has had a runny nose for more than a month now and a cough for the last couple of weeks that didn't seem to get better so we took her into our ped on Monday to see what he thought. He did the nasal swab test for pertussis which just came back positive. He also started her on the antibiotic on Monday just in case and she has 3 days left to take it (including today). They have told us the whole family needs to be treated so he called in a prescription for her sister who is asymptomatic by the way so far at least. I called my midwife today who said I could have the DTaP if I wanted it. When I replied that I've already had it when I was younger and didn't think I should get it again, she agreed with me. We came up with a plan to have my blood tested on Monday when I go see her to see if I'm immune to pertussis. If not immune, she said she would research what to do. I'm thinking maybe I should go ahead and take the antibiotic as well? My husband will most likely be taking it too. Definitely want this to be handled before baby arrives in mid-April and I understand the antibiotic does nothing to treat the pertussis, but to prevent the spread to others. Advice? Do you think I should see if I'm immune or just go ahead and do the abx? Thanks!
- topicPregnancytagged by System, 3/29/12
Related Forum Threads
- How is labor/birth when you are older? Last post on 10/5/13 at 10:20pm in I'm Pregnant
- Prenatals? Last post on 11/8/13 at 5:42pm in May 2014 Due Date Club
- HELP! How do I prevent gaining more weight during pregnancy? Last post on 10/5/13 at 10:32pm in I'm Pregnant
- Nuchal Translucency? Last post on 9/18/13 at 2:34pm in I'm Pregnant
Interview with a Midwife: Diet, Supplements, and Pregnancy
Last edited: 11/25/13
- Breech Birth: Why Can't Women Have it Their Way?Last edited: 10/30/13
- Remembering Pregnancy LossLast edited: 10/14/13
- Kids in the House: the New Video Resource for FamiliesLast edited: 9/26/13
- Loving Your Postpartum BodyLast edited: 9/17/13
My 7 yo just diagnosed with pertussis; I'm due in 3 weeks - advice?post #1 of 93/29/12 at 3:09pmThread Starterpost #2 of 93/29/12 at 3:27pmpost #3 of 93/29/12 at 3:43pm
Check out this thread:
I found this link helpful: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a4.htmQuote:For infants, transplacentally transferred maternal antibodies might provide protection against pertussis in early life and before beginning the primary DTaP series. Several studies provide evidence supporting the existence of efficient transplacental transfer of pertussis antibodies (7,11,12). Cord blood from newborn infants whose mothers received Tdap during pregnancy or before pregnancy had higher concentrations of pertussis antibodies when compared with cord blood from newborn infants of unvaccinated mothers (7,11). The half-life of transferred maternal pertussis antibodies is approximately 6 weeks (12).The effectiveness of maternal antipertussis antibodies in preventing infant pertussis is not yet known, but pertussis-specific antibodies likely confer protection and modify the severity of pertussis illness (13,14). In addition, a woman vaccinated with Tdap during pregnancy likely will be protected at time of delivery, and therefore less likely to transmit pertussis to her infant. After receipt of Tdap, boosted pertussis-specific antibody levels peak after several weeks, followed by a decline over several months (15,16). To optimize the concentration of maternal antibodies transferred to the fetus, ACIP concluded that unvaccinated pregnant women should receive Tdap, preferably in the third or late second (after 20 weeks gestation) trimester.
If your vax hasn't worn off, you would be already transmitting antibodies... if it has worn off, you might want to get tdap, if you decide to, as soon as possible to maximize that since there are only a few weeks left...
ETA - there are lots of threads about treating with Sodium Ascorbate over on the vax boards if you aren't already doing that...post #4 of 94/3/12 at 5:18pm
I would personally take--I did--the vaccine---I am older and remember whooping cough as a child and as a nurse---when I heard a child in the ER with it 5 years ago---I instantly knew what it was---nobody else did--they were all under 40! Sure makes you miserable and can be serious in a newborn.post #5 of 94/4/12 at 6:52pm
I'm a public health nurse and work with pertussis outbreaks often. Having a confirmed case of pertussis in your home and being due so soon is beyond scarey! I don't want to freak you out, but pertussis is very serious (like deadly serious) for newborns! It's not a big deal for older kids and adults, but really dangerous for newborns/infants and we see babies hospitalized or worse for it often if exposed. Please, have every close contact (everyone in your home at least) prophalactly treated. You want all active infection cleared or prevented before the baby comes. Please feel free to IM me with any other questions you have-- I really deal with this pretty often.post #6 of 94/4/12 at 7:01pmpost #7 of 94/4/12 at 9:20pm
I would have everyone in the house start abx NOW. The vax is not going to help you at this point. You were exposed weeks ago. Either you're going to get it or you aren't. It's too late to vax for that now. If you're going to prophylactically vax for something, it has to be within a couple days of exposure, not weeks. I know you didn't ask about vaxing, but thought I'd mention that, since a couple people suggested you do it. It takes a week or so to be non-contagious after you start abx (I don't remember how long exactly) so I really wouldn't wait if I were you. I'd have everyone start NOW. And I've had pertussis in a 5.5 month old, so it's not that pertussis in babies terrifies me. However, pertussis in a newborn is NOT something I'd risk. 5 months old is a lot older than newborn, even though it doesn't seem so to us.post #8 of 94/5/12 at 10:57amQuote:Originally Posted by Plummeting
I would have everyone in the house start abx NOW. The vax is not going to help you at this point. You were exposed weeks ago. Either you're going to get it or you aren't. It's too late to vax for that now. If you're going to prophylactically vax for something, it has to be within a couple days of exposure, not weeks. I know you didn't ask about vaxing, but thought I'd mention that, since a couple people suggested you do it. It takes a week or so to be non-contagious after you start abx (I don't remember how long exactly) so I really wouldn't wait if I were you. I'd have everyone start NOW. And I've had pertussis in a 5.5 month old, so it's not that pertussis in babies terrifies me. However, pertussis in a newborn is NOT something I'd risk. 5 months old is a lot older than newborn, even though it doesn't seem so to us.
Yes, all this.
My ignorance about vax vs. abx in this situation is evident. Thanks, Plummeting.
post #9 of 94/5/12 at 7:05pmQuote:
I wouldn't say that. The doc recommended the vaccine also, lol. And I tend to like the things you post, obdoc, so I'm not trying to call you out. I was really just pointing out that it's too late for the vaccine to prevent infection in the mother, and if she's got pertussis when the baby is born, what is the likelihood that having been recently vaccinated will offer any benefit over just developing antibodies from the actual infection? If she's infected, she's already going to be producing antibodies. If she's not infected, then she already HAS antibodies, and that's why she's not sick. If she wants to be vaccinated, then that's cool and fine, but that's not going to help her at this point. Honestly, if her dd has already had it for a few weeks, it seems unlikely to me that she is going to get it - I would think she'd already have some symptoms by now, so my guess is that she's immune. Still, I'd take the antibiotics in this case, because it doesn't seem worth the risk to me.
Each of my kids has only had abx once in their lives - the 7yo had them at age 2 for impetigo that was spreading after a week of more conservative management (we tried everything else first) and the 2yo had it for a double ear infection at 9 months old - after I'd already given her a couple days to recover on her own, and was totally uncomfortable waiting longer than that in a baby, given the higher risk of mastoiditis. So I'm totally not an abx pusher, but they really seem warranted in this case.
- Breech Birth: Why Can't Women Have it Their Way?
- › Please explain to me why.. 5 minutes ago
- › Raising an extrovert when you're an introvert. (responses very much... 7 minutes ago
- › Postpartum weight loss- who is with me? 8 minutes ago
- › Not so good news- enlarged yolk sac 13 minutes ago
- › The Saner TTC and Graduates -- The Beaver Moon 15 minutes ago
- › Sign up for Bead Swap! 15 minutes ago
- › Into the 2nd Trimester! 16 minutes ago
- › December Chat 17 minutes ago
- › I don't like playing with my kid 19 minutes ago
- › Pregnancy Journal: Mindful Eating 21 minutes ago
- › The Diaper-Free Baby: The Natural Toilet Training Alternative by Fembot
- › The Snow Queen by Astraia
- › The Polar Express by Alyssa Eisner
- › The Night Before Christmas by 1love4ever
- › The Snowy Day by janonia
- › Bear Stays Up for Christmas by Melanie Mayo
- › Christmas in the Big Woods by Melanie Mayo
- › Diva Cup Diva Cup #2 Post Childbirth, Cup by Taqah
- › GroVia Cloth All In One - Pudge by Taqah
- › North American Bear Company Rosy Cheeks Baby Tan by Taqah
- › Holiday Books Giveaway Rules by Melanie Mayo
- › Developmental Milestones to Marvel At by Marcy Axness
- › 15 Fun and Enchanting Holiday Tales for Children by Melanie Mayo
- › To Santa or Not To Santa by JillVettel
- › Three Low Cost Holiday Gifts to Make with Kids by Monica S
- › Mothering with Mental Illness: The Natural... by OliviaHinebaugh
- › A Difficult Conversation by Melanie Mayo
- › Does Motherhood Matter Anymore? by Melanie Mayo
- › Terms and Conditions: Holiday Cards Giveaway... by Cynthia Mosher
- › Mothering's Natural Toy Guide 2013 by Melanie Mayo