Pregnancy/post-partum vaccination recommendations - Mothering Forums

View Poll Results: What would your choices, as a mother, be regarding personal immunizations during/after pregnancy?
TDaP as recommended, varicella post-partum. 1 16.67%
Only TDaP. 0 0%
Only post-partum varicella. 0 0%
Only post-partum vaccinations, none during pregnancy. Get both TDaP and varicella after the birth. 1 16.67%
No TDaP or varicella vaccinations. 4 66.67%
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#1 of 4 Old 09-17-2013, 11:40 AM - Thread Starter
 
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On the notes from my most recent pre-natal visit, I noticed that it is being recommended that I receive a TDaP between 27 and 36 weeks. We have given selective immunizations for our daughter, and the DTaP has been one that she is receiving, so at first I thought, “No big deal,” although I then began to second-guess any immunization during pregnancy. Also, I thought it would be great to have the pertussis protection myself when my little one arrived, as I did not get the booster when TTC #1 or during my previous pregnancy (and apparently this recommendation just began in 2012, therefore, late in my 1st pregnancy or right after my delivery, which I was going through with a pretty non-interventional/non-medical midwife).

So, I hit the internet and did the research. And even the official CDC page says that while the TDaP is recommended for all pregnant women (even those who have a current immunization) because of the provided immunity for newborns through the placenta and breastfeeding before the first recommended DTaP at 2 months, research also indicates that the previous exposure to the antibodies may make the DTaP less effective in infants.

http://www.cdc.gov/vaccines/vpd-vac/pertussis/tdap-pregnancy-hcp.htm

So, I worry that by providing a little early boost, I may be hindering the actual immunization process for my baby as he is older and actually more subject to exposure.

Any suggestions?

Additionally, I was told at today’s visit that I am varicella non-immune, according to my titers, despite having chickenpox as a child (Thanks updated immunization protocols!). I have just viewed my detailed lab results, and although my paperwork says “non-immune” with a vaccination recommended post-partum, the actual lab results show me on the upper end of the “inconclusive” scale, closer to the levels that indicate immunity than to the levels that indicate non-immunity.

We are choosing NOT to vaccinate our DD against chickenpox, in favor of her getting the disease in early childhood and getting a better, more reliable immunity. And while I obviously didn’t have any intention of actively trying to find a “pox party” for her while I was pregnant or while DS is still an infant, I had relied on my immunity to transfer to him in the event that she might happen to get chickenpox from random exposure. Any recommendations on the PP varicella, as well?

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#2 of 4 Old 09-17-2013, 04:00 PM
 
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It's a personal decision. I personally opt for no vaccines in pregnancy. I haven't had the TDaP as I had a DT in 2006 and I'll run T titers in 2016 to see if I even need a booster. IF yes, then fine, I'll do TDaP instead of DT, but I won't be getting any T containing vaccine before 10 years after the last booster.

 

As for chickenpox, I never had it as kid despite multiple exposures. I have had the vaccine 4 times long before pregnancies. No antibodies, not even a single one. (I once had a reading after DS that said immune but it turned out later it was a lab mistake.) So I do not believe in this vaccine for my children nor me ever again. I'm not concerned about chickenpox in childhood, but in adulthood/teenage years (hence I got vaccinated - to no avail).

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#3 of 4 Old 09-18-2013, 07:09 AM - Thread Starter
 
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Nia, my thoughts exactly on not fearing chickenpox in childhood but in adulthood. Hence, I still would choose not to vax the children against chickenpox, though that might change once they hit puberty if they still haven't had it. DD and I were mildly exposed to shingles when she was about 4 months old (the owner of our company had it, but as soon as she began running fever/feeling ill beforehand she limited any contact with us - DD comes to work with me). So I really kind of expected that my previous immunity protected both of us, as I was breastfeeding.

 

But, since the plan is to allow the children an opportunity for actual exposure, I would definitely not want to find myself fighting chickenpox right along with them, or worse, to get shingles because I had already had the chickenpox. Additionally, I'm concerned that since the vax can cause a mild case of the disease, that I could actually end up with shingles from it since I have already had the chickenpox. And looking at the actual lab results, I see that rather than being in the full non-immune category, I'm actually in the gray area between.

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#4 of 4 Old 09-21-2013, 05:15 PM
 
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I am really surprised that they titer'ed you for Varicella in pregnancy. This is the first I have heard of it being standard, as far as I have heard in recent years, it is standard to get TdaP & Flu in pregnancy or TdaP after, and MMR if not immune to rubella right after delivery. Is it possible that another vax has been added to the pregnancy/postpartum series?

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