Posts Tagged ‘Tdap’

New study: don’t skip your Tdap vaccine

Wednesday, October 4th, 2017

The March of Dimes recommends pregnant women receive the Tdap vaccine at 27 to 36 weeks of pregnancy. This vaccine protects against pertussis (also called whooping cough). Pertussis spreads quickly and is dangerous for your baby.

In a new study, researchers from the Centers for Disease Control and Prevention (CDC) found that receiving the Tdap vaccine in the third trimester of pregnancy prevented more than 78% of cases of whooping cough in babies younger than two months. The CDC has recommended pregnant women receive the Tdap vaccine since 2012, but these findings confirm that the vaccine is not only beneficial, but incredibly important in order to protect your baby after birth.

The study looked at babies younger than two months old from six states from 2011 through 2014. They learned that the mothers of babies who had whooping cough were less likely to have received the Tdap vaccine during their pregnancy.

Although these findings show how effective getting Tdap during pregnancy can be, researchers also found that only 49% of pregnant woman who had a baby between fall 2015 and spring 2016 received the vaccine.

Why are these results so important?

So far in 2017 there have been more than 11,000 cases of whooping cough in the U.S. Whooping cough is a serious disease that causes uncontrollable, violent coughing that can make it hard to breathe. Babies younger than one year of age are at the highest risk for severe complications, hospitalization or death.

Babies don’t receive their own whooping cough vaccine until two months of age. But if a pregnant woman gets vaccinated during the third trimester of pregnancy (between 27 and 36 weeks) she can pass her antibodies on to her baby and provide protection during these first two months. This study confirms that vaccination with the Tdap vaccine during pregnancy can prevent whooping cough in babies before they are able to receive their own vaccine.

If you’re pregnant, make sure you ask your prenatal care provider about when to schedule your Tdap vaccine so that you can protect your baby.

To see when it’s time for your baby’s whooping cough vaccine (and other immunizations), see our vaccination schedule.

Have questions? Text or email us at AskUs@marchofdimes.org.

Two vaccines that every grandparent needs

Monday, October 24th, 2016

grandma and babyInfants are at risk of serious complications from both whooping cough and the flu. Grandparents, caregivers, and anyone who is going to be in contact with your baby should be up to date on their vaccinations for these two illnesses.

Flu

With rare exception, the CDC recommends that ALL people, 6 months and older get an annual flu vaccine. Flu viruses change every year, so just because you got a flu shot last year, doesn’t mean that you are protected this year. The flu shot is designed to protect against the flu viruses that are predicted to be the most common during the flu season. Also, immunity from vaccination decreases after a year. This is why everyone needs a flu vaccine every season.

It is especially important that people who will be around children younger than 6 months get the flu shot. Children under 6 months cannot get the flu vaccine and they have the highest risk for being hospitalized from flu compared to children of other ages. When your baby is 6 months old, she can get her own flu vaccine.

Whooping cough

Whooping cough (or pertussis) is a very contagious disease that can be deadly for babies. It is spread from person to person, usually by coughing or sneezing while in close contact with others. In most cases of whooping cough, someone in the baby’s family is the source of infection. It is possible for an adult to have whooping cough and not even know it.

Whooping cough can cause serious and sometimes life-threatening complications in babies, especially within the first 6 months of life. Many babies with whooping cough don’t cough at all. They stop breathing and turn blue. About half of babies who get whooping cough end up in the hospital.

Your baby can’t get her first whooping cough vaccine until she is 2 months old. And while most adults were vaccinated as children, or they may have even had whooping cough, protection unfortunately wears off over time. That is why it is especially important for pregnant women, dads, and ANYONE else who will be in close contact with your baby, including grandparents, to make sure that their whooping cough (Tdap) vaccine is current.

Cocooning your baby

Grandparents and other visitors to your newborn should get the Tdap and flu vaccines at least 2 weeks before meeting your baby. This strategy of surrounding babies with people who are protected against a disease, such as whooping cough, is called “cocooning.” A single Tdap shot is recommended for any adult (19 or older) who plan on having contact with your baby. If they already received their Tdap vaccine as an adult, they do not need to be vaccinated again. (However, pregnant women need to be vaccinated with Tdap during each pregnancy.)  And of course, everyone older than 6 months, should get their flu shot before spending time with your baby.

REMEMBER: Making sure that the people who will be in close contact with your baby are immunized is NOT a substitute for staying up to date with the childhood vaccination schedule. But it will help to your baby somewhat protected until she is old enough to get her own vaccines.

Have questions? Text or email us at AskUs@marchofdimes.org.

Do adults really need vaccines?

Monday, August 1st, 2016

Doctor with pregnant woman during check-upJennifer and Will hope to start a family later this year. Do either of them need vaccines before trying to conceive?

Sophia is pregnant with her second child. She remembers getting a couple of vaccines when she was pregnant with her first child. Does she need to get them again?

Lorraine and Bob just became grandparents and hope to do a lot of babysitting. Do they need any vaccines before being with their granddaughter?

The answers to all of the above? YES!

Children are not the only ones who need vaccines. Adults need them, too. As you can see from the above scenarios, vaccines are necessary before, during and after pregnancy.

Before pregnancy

Make sure your vaccinations are current so that they protect you and your baby during pregnancy. Then, ask your provider how long you need to wait before you try to get pregnant.

Are you up to date on your MMR (measles-mumps-rubella) vaccine?  This one is important because rubella is a contagious disease that can be very dangerous if you get it while you are pregnant.  In fact, it can cause a miscarriage or serious birth defects. The best protection against rubella is the MMR vaccine, but you need it before you get pregnant.  Then, you should avoid trying to get pregnant for at least four weeks after getting the vaccine.

During pregnancy

When you get vaccines, you aren’t just protecting yourself—you are giving your baby some early protection too. CDC recommends you get a whooping cough and flu vaccine during each pregnancy to help protect yourself and your baby.

  • Whooping cough (or Tdap) vaccine – Get this at 27 – 36 weeks of pregnancy. You need to get the Tdap vaccine in each and every pregnancy. This ensures that you pass your protection on to your baby, which will help keep him safe until he is able to get his own pertussis vaccination at 2 months of age.
  • Flu – A flu shot during pregnancy protects you from serious complications and protects your baby for up to 6 months after birth. You need a flu shot every year, as the flu strain changes year to year.

After pregnancy

Although getting vaccines during pregnancy is very important, you also need to think about those individuals who will be near your baby.

At the very least, fathers, grandparents, caregivers and anyone who is going to be in contact with your baby should be immunized against pertussis (whooping cough) and flu. They should get the Tdap and flu vaccines at least 2 weeks before meeting your baby. This strategy of surrounding babies with people who are protected against a disease such as whooping cough is called “cocooning.”

However, cocooning might not be enough to prevent your baby from getting sick. This is because cocooning does not provide any direct protection (antibodies) to your baby, and it can be difficult to make sure everyone who is around your baby has gotten their whooping cough vaccine. Therefore, it is even more important that you get your vaccines while you are pregnant.

A baby is not able to start getting most of his vaccines until he is at least two months old. For example, aside from the Hepatitis B vaccine that is given to your baby in the hospital, the first of 5 doses of the DTap (diphtheria, tetanus and pertussis) vaccine is given at 2 months of age. The flu vaccine is not given until 6 months, and the MMR, varicella (chickenpox), and hepatitis A vaccines are not given until 12 months.

If you haven’t received all your vaccinations before or during pregnancy, talk to your provider after giving birth to see about getting caught up to protect yourself and your baby.

What are “boosters?”

Even if you got all of your vaccinations during your life, some vaccines need “boosters” because they wear off over time. Talk with your health care provider to see whether you need them. With a little preparation and forethought, you and your baby will be protected against diseases that could be dangerous or even deadly.

Test your knowledge

Take the CDC’s Vaccines and Pregnancy Quiz for a fun way to learn what vaccines you need before and during pregnancy. It is quick and easy, and you’ll learn something whether you get the answers right or wrong.  No judgment! And check out their new Pregnancy and Vaccination page.

Have questions? Text or email them to AskUs@marchofdimes.org.

Colds and pregnancy

Friday, October 2nd, 2015

resting pregnant womanYou know the symptoms—a runny nose, sore throat, stuffy head, coughing, and congestion. Catching a cold while you are pregnant won’t hurt you or your baby, but it can be very annoying and make you uncomfortable.

The common cold is a viral infection that is spread from person to person through coughing, sneezing, and contact with another infected individual.

During pregnancy you may be more likely to catch a cold. When you’re pregnant, your immune system isn’t as quick to respond to illnesses as it was before pregnancy. Your body knows that pregnancy is OK and that it shouldn’t reject your baby. So, your body naturally lowers the immune system’s ability to protect you and respond to illnesses so that it can welcome your growing baby. But a lowered immune system means you’re more likely to catch viruses like colds and the flu (one of the many reasons it is so important to get your flu shot).

Preventing a cold

The best way to prevent a cold is by practicing good hygiene:

  • Wash your hands with soap and water.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Stay away from people who are sick.
  • Don’t share eating utensils.

Treating a cold during pregnancy

Unfortunately there is no cure for a cold. Antibiotics will not help because they do not work on viruses. If you are thinking about taking an over-the-counter medication to treat any cold symptoms, make sure you talk to your health care provider first. Not all medications are safe to use during pregnancy.

If you are under the weather, getting lots of rest and drinking plenty of fluids will help you to feel better. Some other ideas include:

  • Saline nasal drops to loosen mucus;
  • Using a humidifier in your room to help reduce congestion (but be sure you follow the instructions to keep it clean);
  • Drinking warm decaffeinated tea with lemon or honey to help relieve a sore throat;
  • Raising your head when you are resting to help you breathe better.

Most colds last 7-10 days. Make sure you call your doctor if you have one or more of the following signs:

  • A fever over 100.4F;
  • Symptoms that last more than 10 days or are severe or unusual;
  • Signs and symptoms of the flu; or
  • Uncontrollable, violent coughing that makes it hard to breathe. This may be a sign of pertussis or whooping cough. Make sure you get your Tdap vaccine at 27 to 36 weeks of pregnancy.

Have questions? Text or email us at Askus@marchofdimes.org.

Vaccine during pregnancy protects your baby after birth

Monday, May 25th, 2015

Mom kissing her babyToday we welcome guest blogger Melissa Gambatese, MPH, Research Analyst in the Perinatal Data Center here at the March of Dimes. She offers an update on how a vaccine during pregnancy can keep your baby healthy when she is born.

 

When a new baby is born, we are so careful to protect her in every way. We wash our hands before holding her, tip toe past her room so as not to wake her, and swaddle her to keep her warm from the cold. However, one protection we may not think of is as simple and quick as a vaccination before she is even born.

Vaccines help protect us from diseases throughout life, from infancy to adulthood. But did you know that mothers can pass on the protection from some vaccines to their new baby before birth? The Tdap vaccine is one of them.

What is the Tdap vaccine?

The Tdap vaccine protects you from three diseases called tetanus, diphtheria, and pertussis. Tetanus is caused by bacteria that attacks the nervous system. You can get tetanus through a break in your skin, like a cut or a splinter, but not from another person. Pertussis, also known as whooping cough, and diphtheria are highly contagious diseases caused by bacteria that are spread through coughing and sneezing.

Babies who get whooping cough can become very sick, and in rare cases, may die. The number of cases of whooping cough has been increasing since the 1980s. In 2012, more than 48,000 cases were reported. There is currently an outbreak in Washington state. Vaccination is the best way to protect yourself and your new baby from getting the disease.

Who should get the Tdap vaccine?

Pregnant women

If you’re pregnant, you should get vaccinated during the 3rd trimester of your pregnancy. Get the vaccine every time you are pregnant, even if you’ve been vaccinated before. The protection from a previous vaccine can wear off over time, and a blood test cannot determine if you are still protected from a vaccine received earlier in your life.

Recently, the CDC published that, in 2011, only 55.7% of women in 16 states reported they received the Tdap vaccine before, during, or after their most recent pregnancy. Women who started prenatal care earlier were more likely to report they received the vaccine.

The Tdap vaccine is safe to receive during pregnancy; a recent study found that women who received the vaccine during pregnancy did not experience any increase in poor pregnancy outcomes than unvaccinated women. Talk to your health care provider-the best time to get the vaccine is during the 27th through 36th week of pregnancy. This ensures that you pass your protection on to your baby, which will help keep her safe until she is able to get her own pertussis vaccination at 2 months of age.

Brand new moms

If you did not get the Tdap vaccine during pregnancy, you should get the vaccine immediately after you give birth, before you leave the hospital or birthing center. It will take your body two weeks after receiving the vaccine to build up protection. You will then be less likely to pass whooping cough to your baby. New moms should get vaccinated even if you’ve been vaccinated before, because the protection from a previous vaccine wears off over time.

Relatives, close friends, and caregivers

Anyone who is around babies should get the Tdap vaccine, especially adults living in the same household as your baby. This includes grandparents, siblings, and other caregivers.

Whether you’re pregnant, a new mom, relative, close friend, or caregiver to a baby, talk to your health care provider about the Tdap vaccine. It’s just one more way we can protect our babies.

 

Getting the Tdap vaccine

Friday, July 20th, 2012

My husband and I were watching the news last night and we saw a story about pertussis (whooping cough) and how cases could reach their highest level in 50 years. In Washington State, there’s been over a 1,300% increase in the last year alone!

Pertussis is a very contagious disease caused by bacteria. Many of those who are sick include babies who haven’t been fully vaccinated against pertussis yet. With a toddler at home and another baby on the way, I immediately began scanning my memory to remember if my husband and I had gotten our Tdap vaccine (which protects against pertussis).

Most children get their series of pertussis vaccines as part of their regular childhood vaccination schedule. But teens and adults need to be sure to get a booster Tdap vaccine to keep them protected against pertussis. And since babies need several rounds of the pertussis vaccine before they’re immune, they are especially vulnerable to pertussis.   In babies, pertussis can be very dangerous, even deadly.  Babies often get it from older children or adults who unknowingly have the illness. Because of the rapidly growing number of pertussis cases nationwide, the Centers for Disease Control and Prevention now recommends that all teens and adults get a booster Tdap vaccine.

I called our doctor’s office this morning to see if they had any record of us getting our Tdap vaccine. It turns out that in preparation for welcoming our first-born to the family, we each got our Tdap vaccine a couple of years ago. PHEW! But if you haven’t had your booster recently or you can’t remember, be sure to get your Tdap vaccine. If you’re pregnant, you can still get your Tdap vaccination during pregnancy.