Are you getting a flu shot?

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
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jean
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Re: Are you getting a flu shot?

Postby jean » Mon Sep 26, 2011 06:00 pm

Ooh, that's good to know!!
Our first son was born and passed in Feb of 2010. Born at 29 weeks due to HELLP and passed due to NEC. We miss him every day. :~(

Our second son was born at 39 weeks gestation in Nov of 2011. No HELLP or pre-e! Took LDA starting at week 12 and went off of it at week 38!

http://findingtherainbowconnection.blogspot.com/

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caryn
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Re: Are you getting a flu shot?

Postby caryn » Mon Sep 26, 2011 04:56 pm

I think Guillain-Barre is pretty much ruled out at this point: http://www.sciencenews.org/view/generic ... llain-Barr

Any speculation drawing an ongoing link between flu vaccination and the risk of a rare, paralyzing neuromuscular disorder has been dashed by a huge study. An analysis of side effects recorded among nearly 90 million people in China who were vaccinated during the 2009–2010 flu season found that only 11 people subsequently were diagnosed with Guillain-Barré syndrome, a rate no greater than what normally appears in the population. The study appears online February 2 in the New England Journal of Medicine.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

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riehlism
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Re: Are you getting a flu shot?

Postby riehlism » Mon Sep 26, 2011 03:37 pm

No flu shot for me. I am not interested in getting Guillain-Barre. But I will get a whooping cough booster.

If you took your tdap you should be up to date with whooping cough.
Jasmin: Severe PE/HELLP and delivered at 24+6 & PCOS (29) Hubby Bubby, Frank (29)
Baby Blue stopped in to say hello and goodbye on 6/3/10
Baby Lucas was born on 10/13/11, PE and HELLP-free! Thank you baby aspirin and Lovenox
http://www.ehd.org/pregnancy-calendar.php?id=18192

amandamm
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Re: Are you getting a flu shot?

Postby amandamm » Mon Sep 26, 2011 10:47 am

Yes, I am getting the flu shot.
Mom to Addie & Evie, Pre-E x2 (34w6d & 37w2d)
due December 28, 2011!
In our hearts forever: missed miscarriage @ 10 weeks (July 2008) & miscarriage at 7 weeks (February 2009)

Addie Lu & Evie Too ~ Deda's Little Duds

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jean
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Re: Are you getting a flu shot?

Postby jean » Mon Sep 26, 2011 10:38 am

Thank you for the info!
Our first son was born and passed in Feb of 2010. Born at 29 weeks due to HELLP and passed due to NEC. We miss him every day. :~(

Our second son was born at 39 weeks gestation in Nov of 2011. No HELLP or pre-e! Took LDA starting at week 12 and went off of it at week 38!

http://findingtherainbowconnection.blogspot.com/

blythe
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Re: Are you getting a flu shot?

Postby blythe » Sun Sep 25, 2011 10:21 pm

Here are another handful of links -

Vaccinating in pregnancy -
http://www.cdc.gov/vaccines/pubs/preg-guide.htm

Flu is more likely to cause serious illness in pregnant women and put babies at risk of premature delivery so the flu vaccine is especially recommended for pregnant women -
http://www.cdc.gov/flu/protect/vaccine/pregnant.htm
http://www.cdc.gov/flu/about/disease/high_risk.htm

ACOG recommends the flu vaccine for all trimesters and says thimerosal-free can be requested but "there is no scientific evidence that it [thimerosal] causes harm to women or their infants" -
http://www.acog.org/from_home/publicati ... 1-10-1.cfm

Hepatitis B -
http://www.who.int/mediacentre/factsheets/fs204/en/
http://www.cdc.gov/vaccines/vpd-vac/hepb/default.htm
I got the Hepatitus B vaccine when I worked in a hospital in high school (I should clarify - I am in no way a doctor or a health care provider, I emptied bedpans and did whatever the nurses told me!). It can be passed by bodily fluids and can live outside the body for days, and it's very infectious if you come into contact with it.


And just a note from me as "admin" - vaccine issues can get very contentious and we try to avoid that around here, thanks everyone for keeping this discussion civil!
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

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caryn
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Re: Are you getting a flu shot?

Postby caryn » Sun Sep 25, 2011 10:05 pm

The PF's Medical Board has strongly advised that pregnant women get the flu shot in the past, and as I understand it this still holds. The mortality rate from H1N1 was *much higher* in pregnant women than in the regular population, and most of the MFMs who advise us were also caring for pregnant women on ventilators because they'd caught the flu.

See http://www.preeclampsia.org/component/l ... flu-season

The Preeclampsia Foundation Medical Board encouraged all pregnant women to strongly consider the non-live version of the H1N1 vaccine, as the risk of the vaccine is far lower than the risk to those who do not receive it. The protection of the vaccine also extends to the baby after birth. As with preeclampsia, the key for improving health outcomes and decreasing mortality is to recognize the signs and symptoms and receive proper medical treatment immediately.

Our Medical Board has requested that we post this warning to protect you. This applies to all pregnant women, regardless of whether or not you may have or get preeclampsia.


Jean, this says the sooner in the season that you get the vax, the better: http://www.ncbi.nlm.nih.gov/pubmed/21640230

Most of the benefit for infants was limited to those whose mothers were vaccinated within the first 4 weeks of vaccine availability. Once all women who were pregnant at the time of vaccine availability were vaccinated, vaccination of newly pregnant women had benefits for mothers but not infants. Delay of vaccination beyond November reduced both effectiveness and cost-effectiveness.

The ACOG recommends pregnant women be vaccinated for flu as early as possible in the season: http://www.ncbi.nlm.nih.gov/pubmed/20859176

No study to date has shown an adverse consequence of inactivated influenza vaccine in pregnant women or their offspring. Vaccination early in the season and regardless of gestational age is optimal, but unvaccinated pregnant women should be immunized at any time during influenza season as long as the vaccine supply lasts.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

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Re: Are you getting a flu shot?

Postby aajatwins » Sun Sep 25, 2011 09:03 pm

I don't have a medical background and I rarely follow research, so this is just my opinion.
I have asthma and have gotten a flu shot every year since I was little. I've only gotten the flu a handful of times, but when I get sick it affects everything for me with the asthma. My kids also have respiratory weakness - one definitely has allergy-induced asthma like me - so they will struggle the same way with any illness making breathing harder. So we get flu shots. I got mine last week at the OB and my kids are getting them tomorrow. I'll make my hubby get one again this year because I will have this baby sometime in the next 4 weeks. We actually usually wait until October and that seems to cover the season better.

I was thinking I got the whooping cough vaccine just after I got pregnant, but it might have been before.
Anna (28) - endometriosis
Hubby (27)
Aidan & Jordan - 7.2.09 at 36 weeks. Induction turned emergency c-section due to eclampsia. big healthy toddlers today!
Asa - 10.23.11 at 39 weeks. NO hypertensive issues!! successful VBAC :)

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Re: Are you getting a flu shot?

Postby angieb » Sun Sep 25, 2011 06:35 pm

jean wrote:Wow, are there any more articles (maybe more recent?) out there that talk about the flu shot? (esp in pg women?)


Here's a Cochrane Review from July 2010, they don't mention pregnancy, but they do question the effectiveness of the vaccine in adults.
Over 200 viruses cause influenza and influenza-like illness which produce the same symptoms (fever, headache, aches and pains, cough and runny noses). Without laboratory tests, doctors cannot tell the two illnesses apart. Both last for days and rarely lead to death or serious illness. At best, vaccines might be effective against only influenza A and B, which represent about 10% of all circulating viruses. Each year, the World Health Organization recommends which viral strains should be included in vaccinations for the forthcoming season.

Authors of this review assessed all trials that compared vaccinated people with unvaccinated people. The combined results of these trials showed that under ideal conditions (vaccine completely matching circulating viral configuration) 33 healthy adults need to be vaccinated to avoid one set of influenza symptoms. In average conditions (partially matching vaccine) 100 people need to be vaccinated to avoid one set of influenza symptoms. Vaccine use did not affect the number of people hospitalised or working days lost but caused one case of Guillian-Barré syndrome (a major neurological condition leading to paralysis) for every one million vaccinations. Fifteen of the 36 trials were funded by vaccine companies and four had no funding declaration. Our results may be an optimistic estimate because company-sponsored influenza vaccines trials tend to produce results favorable to their products and some of the evidence comes from trials carried out in ideal viral circulation and matching conditions and because the harms evidence base is limited..


They also note that of all of the studies they analyzed, nearly half of them were funded by the drug manufacturers who stand to gain a profit from the vaccines.
Here's more about the funding and drug company bias...
WARNING:
This review includes 15 out of 36 trials funded by industry (four had no funding declaration). An earlier systematic review of 274 influenza vaccine studies published up to 2007 found industry funded studies were published in more prestigious journals and cited more than other studies independently from methodological quality and size. Studies funded from public sources were significantly less likely to report conclusions favorable to the vaccines. The review showed that reliable evidence on influenza vaccines is thin but there is evidence of widespread manipulation of conclusions and spurious notoriety of the studies. The content and conclusions of this review should be interpreted in light of this finding.



http://onlinelibrary.wiley.com/doi/10.1 ... 4/abstract

And here's one from 2008 on the effectiveness of the flu shot for children...http://onlinelibrary.wiley.com/doi/10.1 ... 3/abstract
Me (29) DH (30)
#1-Olivia Caetlyn-9-28-09-9-28-09, 23+2 wks, emergency classic c-section, class I HELLP, IUGR
#2- Lucas Oliver (rainbow baby)- April 2011, 36+2 wks, HELLP and pre-e free! (lovenox and LDA pregnancy)
#3-Matthew, late October 2012...mostly normal, 37 wks, (lovenox and LDA again)
My blog: http://www.butterflies-and-rainbows.blogspot.com/

angieb
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Re: Are you getting a flu shot?

Postby angieb » Sun Sep 25, 2011 06:06 pm

-I understand your concerns there but 20-30% of the people who do have Hepatitis B (which if I remember correctly is somewhere just over a million people in the US alone), contracted it as a child--and those who didn't contract it at birth contracted it while in close contact with someone who was already infected.


Do you have any research to support this? Not trying to debate you, I'm genuinely curious for more information since it is transmitted through blood, semen, vaginal fluids, mainly, that number seems crazy. Maybe the 20-30% of the people who have Hep.B who contracted it as children were kids of heroin addicts/etc?
Me (29) DH (30)
#1-Olivia Caetlyn-9-28-09-9-28-09, 23+2 wks, emergency classic c-section, class I HELLP, IUGR
#2- Lucas Oliver (rainbow baby)- April 2011, 36+2 wks, HELLP and pre-e free! (lovenox and LDA pregnancy)
#3-Matthew, late October 2012...mostly normal, 37 wks, (lovenox and LDA again)
My blog: http://www.butterflies-and-rainbows.blogspot.com/


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