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Forum: Due Date Club of November 2014

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  #1  
April 15th, 2014, 08:47 AM
kellyowens's Avatar forever learning
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The CDC now recommends pg women get a Tdap in the late 2nd tri or early 3rd tri to offer pertussis immunity to newborns until they get their first Dtap at 2months.


http://www.cdc.gov/vaccines/vpd-vac/...gnancy-hcp.htm

Just wanted to pass the info along.

Having had a 7wk old hospitalized because of life-threatening complications from pertussis I will be getting this one. I know not everyone feels comfortable with vax during pg which is understandable, but ever since my dd was hospitalized I've often wondered if pertussis could be prevented in babies who are too young to be vaxed by vaxing the pg moms...apparently it can be .
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  #2  
April 15th, 2014, 08:53 AM
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When I worked post partum we would really push for all our new moms out there to get it before leaving the hospital "birth center". It is a minimum work requirement for me and all hospital employees now too. (all who provide direct contact with patients and customers)
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  #3  
April 15th, 2014, 09:06 AM
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Good to know! I will look into this. Thanks!
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  #4  
April 15th, 2014, 09:07 AM
Jennyt13's Avatar Mega Super Mommy
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I know with my 3 year old I was told to get the shot before leaving the hospital. I'm glad they are offering during pregnancy - however, I got 1 3 years ago and they are supposed to last for 10 - so will it do any harm if I get one again?
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  #5  
April 15th, 2014, 09:09 AM
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Quote:
Originally Posted by Jennyt13 View Post
I know with my 3 year old I was told to get the shot before leaving the hospital. I'm glad they are offering during pregnancy - however, I got 1 3 years ago and they are supposed to last for 10 - so will it do any harm if I get one again?
No harm getting one again, but you don't need to get it if you aren't due. I think its now every 5 years too not every 10... I'm not 100% on that, but that's what I heard this past year.
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  #6  
April 15th, 2014, 09:12 AM
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Is there a way to just get the pertussis part of the shot, I wonder?
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  #7  
April 15th, 2014, 09:17 AM
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I'm sure there is, but I haven't heard of it. They separate combo shots all the time for us picky parents (guilty of demanding that), so maybe ask your OB/MW if they can get just the pertussis?
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  #8  
April 15th, 2014, 09:19 AM
kellyowens's Avatar forever learning
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Quote:
Originally Posted by Jennyt13 View Post
I know with my 3 year old I was told to get the shot before leaving the hospital. I'm glad they are offering during pregnancy - however, I got 1 3 years ago and they are supposed to last for 10 - so will it do any harm if I get one again?
The articles states:
Quote:
In October 2012, the Advisory Committee on Immunization Practices (ACIP) voted to recommend that health care personnel should administer a dose of Tdap during each pregnancy irrespective of the patient's prior history of receiving Tdap (or Td).
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  #9  
April 15th, 2014, 09:20 AM
jellis82's Avatar Super Mommy
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Interesting that they now recommend it during pregnancy. With my last (2 years ago this May) I got it while in the hospital after giving birth.
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  #10  
April 15th, 2014, 09:27 AM
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Kelly, that's crazy! I find that just silly to get it EVERY pregnancy if not needed, (see!! The anti-vacer in me popping through! LOL). You should still have antibodies to the vaccine. I wonder if they are thinking it crosses the placenta and offers immunity that way? Honestly, I did horrible with vaccines in nursing school. I could never wrap my head around the recommended schedules and stuff.

Do you know why they might be wanting you to have it so frequently (well frequent if you have children close in age)?
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  #11  
April 15th, 2014, 09:39 AM
MadMay's Avatar Super Mommy
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I already knew about this just because my sister told people they could not come over, see, or touch her daughter unless they had their vac for pertussis. Until Mylie was old enough to get it her self. So I got the shot. Im also planning on telling people the same thing no vaccination than stay away. Luckily everyone in my family vaccinates their children otherwise we would have issues there as well. I dont mind getting the shot again though anything to help baby to be safe <3
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  #12  
April 15th, 2014, 09:40 AM
kellyowens's Avatar forever learning
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Quote:
Originally Posted by THE angry uterus View Post
Kelly, that's crazy! I find that just silly to get it EVERY pregnancy if not needed, (see!! The anti-vacer in me popping through! LOL). You should still have antibodies to the vaccine. I wonder if they are thinking it crosses the placenta and offers immunity that way? Honestly, I did horrible with vaccines in nursing school. I could never wrap my head around the recommended schedules and stuff.

Do you know why they might be wanting you to have it so frequently (well frequent if you have children close in age)?
Haha going to quote the article again since it states it better than I can reiterate :


Quote:
Transplacental transfer of maternal pertussis antibodies from mother to infant provides some protection against pertussis in early life, before infants are able to receive the primary DTaP series. Since the immune response to the vaccine peaks about 2 weeks after administration, Tdap vaccine is recommended between 27 and 36 weeks gestation in order to optimize antibody transfer and protection at birth. The level of pertussis antibodies decreases over time, so Tdap vaccine should be administered during every pregnancy so that each infant receives high levels of protective antibodies.
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  #13  
April 15th, 2014, 09:45 AM
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OMG. I still don't get it! LOL I might be a lost cause though. Honestly, I had a HORRIBLE time with active and passive immunity, etc.

Is it because its getting passed on through the placenta (ie mom) or via breastmilk (if mom chooses to BF), or just because by the time baby is born, mom is better protected and less likely to pass it on to baby by not contracting the virus to start with?
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  #14  
April 15th, 2014, 09:46 AM
michelleH's Avatar Super Mommy
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Quote:
Originally Posted by sheriwx View Post
Is there a way to just get the pertussis part of the shot, I wonder?
Unfortunately, no. They have a TT, and a TD, so they can separate out the aP, but evidently there is not a single aP vaccine available.

Pertussis (Whooping Cough) Vaccine and Immunization Information

More information on Tdap and DTaP
Diphtheria, Tetanus, Pertussis (DTaP) Vaccine and Immunization Information
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Last edited by michelleH; April 15th, 2014 at 09:49 AM.
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  #15  
April 15th, 2014, 09:47 AM
MommyOf22014's Avatar Sarah
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I will most likely get it. But I think I may had just had it. I will have to check my records. But thanks Kelly for the information
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  #16  
April 15th, 2014, 10:19 AM
kellyowens's Avatar forever learning
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Quote:
Originally Posted by THE angry uterus View Post
OMG. I still don't get it! LOL I might be a lost cause though. Honestly, I had a HORRIBLE time with active and passive immunity, etc.

Is it because its getting passed on through the placenta (ie mom) or via breastmilk (if mom chooses to BF), or just because by the time baby is born, mom is better protected and less likely to pass it on to baby by not contracting the virus to start with?
It says transplacental transfer of *maternal* antibodies, so I would say passive immunity since the vax does not appear (based on this article) to stimulate the baby's own antibody response (I assume due to an immature immune system) .


The article goes on to say:
Quote:
The effectiveness of maternal antibodies in preventing infant pertussis is not yet known, but pertussis antibodies can protect against some disease and the severe outcomes that come along with it.

So I think what it's saying is that they don't know how effective these maternal antibodies are in *preventing* the disease entirely, but we know they will *protect* against some disease and severe cases if baby does contract it.


And obviously it offers active immunity to mom so she will not pass it on to her baby.
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  #17  
April 15th, 2014, 10:31 AM
destiny2000's Avatar Super Mommy
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I had it with my last one who is almost 4, and I will have it again
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  #18  
April 15th, 2014, 11:28 AM
ReaganorDean's Avatar Mega Super Mommy
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I didn't do it with my last, and I'm not sure I'm comfortable getting it while pregnant, but I will see if they can give it to me at the hospital.
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  #19  
April 15th, 2014, 11:38 AM
kellyowens's Avatar forever learning
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Quote:
Originally Posted by ReaganorDean View Post
I didn't do it with my last, and I'm not sure I'm comfortable getting it while pregnant, but I will see if they can give it to me at the hospital.
The article does say those who didn't get it during pg should get it prior to being discharged after baby is born
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  #20  
April 15th, 2014, 12:56 PM
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I had something after I had my 14 month old but I don't remember what it was! My arm hurt from that sucker though.
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