Immunizations 

Vaccinations to know

• TDAP ( tetanus, dipheria, acellular pertussis)

• MMR (measles, mumps, rubella)

• Influenza

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

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

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

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

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

• patient should not have a serious acute illness

• vaccination with TDAP or influenza vaccine are safe at any stage of pregnancy and mother

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

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)

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