Immunizations 

Vaccinations to know

• TDAP ( tetanus, dipheria, acellular pertussis)
• MMR (measles, mumps, rubella)
• Influenza

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Vaccinations given. WHY?

• whopping cough (pertussis) and rubella can have serious effects of newborns
• pregnancy puts the mother at higher risk for complications from infectious diseases
• vaccines that can be given during pregnancy are given to protect both fetus and mom
• moms may not prioritize their own health

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TDAP

• pregnant women between 27-32 wks, even through received in adulthood
• all caregivers of infants if they have not received vaccine as adult
• vaccination in pregnancy is preferred, infants under 3 months are protected following maternal vaccination against pertussis
• can be given at 32 wks until delivery and postpartum - it will prevent mother from becoming a source of infection to abby but antibodies will not be sufficient to protect baby

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WHY IS TDAP IMPORTANT??

• for the pertussis component.Whooping cough is dangerous in infants less than a year.
• if mother is breastfeeding, antibodies are passed through breastmilk
• whopping cough will result in pneumonia, convulsions, brain damage, and death
• it is better to get it during pregnancy because immunity has time to develop so baby gets the best level of protection

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INFLUENZA

• infants cannot receive until 6 months
• only protection is through parents
• antibodies are passed through breastmilk
• immunity response takes a few weeks to develop, so better to receive vaccine during pregnancy

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WHO SHOULD NOT RECIEVE VACCINES

• the most important CONTRAINDICATION to vaccines is if complication arose following a previous vaccine
• addition screening to ask is Guillian Barre Syndrome within 6 weeks of previous dose of influenza vaccine or history of Oculorespiratory syndrome after a previous dose
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• patient should not have a serious acute illness
• vaccination with TDAP or influenza vaccine are safe at any stage of pregnancy and mother

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COMMON VS SEVERE REACTIONS

• common
  • pain, redness, swelling
  • headache, tireness
  • chills, sore joints, body aches
• severe
  • allergic reaction, very high fever
  • hives, swelling, of face and throat
  • difficulty breathing, fast heartbeat, dizziness, weakness
  • ANAPHALAXIS
  • symptoms can start a few minutes to a few hours after vaccination

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MMR VACCINATION

• should have two doses of vaccine during lifetime
• women in childbearing years who are found to be non immune to rubella will be given another dose to create immunity
• rubella infection during pregnancy can cause miscarriage and stillbirth. Can result in congenital rubella syndrome to the fetus
  • causes heart disease cataracts, congenital defects, and deafness (congenital rubella)

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WHO SHOULD NOT RECEIVE MMR

• not given in pregnancy
• people wit weakened immune system
• serious illness
• someone who received transfusion of blood od blood transfusion (immunoglobulin) within 12 months

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