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12-22-2012 at 8:03 PM
kellyrn995...
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Hep B Vaccine

Anyone planning to refuse the newborn dose in the hospital and delay the Hep B series? Just curious...I'd love to hear why or why not. I am considering using an alternative vaccine schedule (will fully immunize, just a bit more spread out) and skipping the Hep B vaccine in the hospital is part of that schedule. But I also see that the AAP strongly recommends the newborn dose.  Any thoughts, opinions, or experiences?
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12-22-2012 at 8:36 PM
diana.fili...
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I have delayed the Hep B vac at the hospital just until the 1 month visit.  I start it then and it really doesn't impact anything.  I just figure that there's enough the little baby has just gone through right then and there's no reason for us for it to get done at that moment. 

I do the eye goop and I do the vitamin k shot.
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12-22-2012 at 9:06 PM
Dstevens42...
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My friend who is an RN at a local hospital says they are pushing this vaccine now a days.  I think i will be using a delayed vaccine schedule.  
Confirmed Pregnancy 9/18/2010 M/C 10/27/2010 BLIGHTED OVUM 10/2011 - HSG 2 blocked tubes 11/4/2011 - Lap Surgery - Extensive tubal disease (tubes opened) 1/3/12 - Repeat HSG (L tube open, R tube blocked) 1/15/12 - R tube removed Started Stim Injections 2/17/12 Follistim 300iu and Low Dose HCG 10 units Trigger - 2/25/12 ER 2/27/12 ET - 5 dt - 3/3/12 1 blast transferred 9 frosties BETA #1 - 626 :) Beta #2 - 2470 :) Beta #3 - 5470 3/29/12 - 6wks 3 days - no yolk sac, embie, or hb :( Blighted Ovum 8/3/12 - FET #1 1 flickering blast transferred 8/9/12 - POAS + 8/15/12 - Beta #1 1400 Beta #2 3200 8/20/12 - U/S 5 wks 1 day Yolk Sac seen 8/28/12 - 6wks 2 days - Heartbeat 116 9/4/12 - 7wks 3 days - HB 136 YAY! TEAM BLUE! Little A born 4/15/13 6lbs 10oz 20in.  
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12-22-2012 at 9:13 PM
ELF4321
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If you look at the history of why the AAP adopted that schedule for Hep B, it was solely because adults who are actually at risk don't get immunized. Unless you or a close family member has it, there's almost no risk of delaying the vaccine. New York requires it for public school, so we'll do it eventually, but I didn't see any reason to load up DDs system with an unnecessary vaccine when she's so little.

We're doing a modified schedule with her and worked with our pedi based on his recommendations of which he feels are most important and least risky vaccines to give.

We did pneumococcus and Hib at 2, 4, and 6 months. DTaP at 3, 5, and 7.

We're going to start polio at 9 months. Even though there's not much risk of getting the disease, the vaccine is also one of the least likely to cause side effects.

Our pedi won't give any of his patients the rotavirus vaccine because of all of the serious side effects and recalls they've had. He feels the vaccine is more risky than the illness.

He also doesn't do Hep A unless you are going to be traveling to a high risk part of the world.

We skipped flu vaccine this year because the timing didn't work out to be able to do it in separate months from the others. Our pedi doesn't give his kids the flu vaccine at all. I am still undecided about next year. DH and I both got vaccinated to at least reduce the risk of us giving it to her.

We'll do the others as late as we can in order to still satisfy school admission requirements.

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12-22-2012 at 9:20 PM
ELF4321
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Also just wanted to mention that most daycares require some of the vaccines, so if you're planning to use a DC, check with them before making any decision about delaying.

And my final suggestion is to talk to your pedi or bring it up in interviews with them. I found that many I met with were resistant to working with a delayed schedule, and many are now pushing the combo vaccines.

Always missing my Mommy (1954-2010) and Daddy (1943-2012)
TTC since 2009 ; BFP 9/13/10 = MC 10/21/10
DX = DOR/POA (AMH=1.1; AFC=4-5)
Surprise BFP 8/31/11 while waiting to cycle for IVF
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12-23-2012 at 1:02 AM
Mrs.AmyDyl...
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We're are doing the alternate schedule. I don't see it being a healthy choice to load up a baby with loads of vaccinations.

I'm reading Dr. Sears Vaccination book. I will vaccinate, but I'm going to avoid the combo vaccines and the hep b in the hospital. If you get a bad vibe from the hospital, just say you have discussed it with the ped. and will be doing it as an office visit. 
TTC Since 3/2010 Me-34, Unexplained Infertility, DH-33, all clear Clomid 50mg 12/2011 = BFN Clomid 100mg 1/2012 = BFN, with Cyst IVF #1 Lupron/Menopur/Gonal-f/HCG Trigger ER 4/19/12 = 11 retrieved, 6 fertilized, ET 4/22/12 = 2 transfered (day 3), remaining 3 weren't good enough to freeze Beta 5/3 = BFP, 87 Beta #2 5/7 560.9 Beta #3 5/9 1376.5 First u/s One Baby, 125bpm!
Second u/s, 176bmp! Kicked over to the OB by the RE at 8w. Anatomy Scan at 19w looks great!
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12-23-2012 at 2:04 AM
4legsRbest
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I am also denying until one month shots, my ped said there is no reason to do immediately. The only thing we will be getting is the vitamin K shot. We are skipping the eye goop because we have been tested to the high heaves for every disease based on our IF issues.
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12-23-2012 at 8:12 AM
KdgTeacher
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MH and I are having this conversation right now.  I would like to delay the Hep B shot for a while, but am OK with Vit K and *I* am teetering about the eye stuff while MH is for it. 

Overall I'd like to do a delayed schedule
BabyFruit Ticker TTC since 3/10: IVF #1 BFP: #1 60, #2 128, #3 256, #4 796, #5 1926! Two heartbeats! Baby A 129 measuring 6w3d and Baby B 114 measuring 6w0d. Grow Baby B GROW!! 
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12-23-2012 at 9:14 AM
April+
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I have read a lot about vaccinations lately and will be declining the Hep B at birth. There has been some research that suggests that it can set the immune system up for future problems and I would rather not take the risk especially since my twins won't be high risk for even contracting Hep B. 

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12-23-2012 at 10:58 AM
maggie2324
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We will likely do no vaccines at all. One of the reasons is that it is very hard on the baby's immune system to have to focus on creating antibodies and can lead them to be more susceptible to other illnesses. If we were going to do the vaccines, we would not start until 6 months and only do one at a time with a large space in between.
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12-23-2012 at 11:55 AM
kaf7
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As someone who has seen lots of babies and children in ICU from preventable diseases I will be getting all of the vaccines on a regular schedule. The baby is exposed to more antigens from just daily living in your house than getting a combo of vaccines at once.

Just my 2 cents.
Me: 30 DH: 29
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12-23-2012 at 12:45 PM
KdgTeacher
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kaf7:

As someone who has seen lots of babies and children in ICU from preventable diseases I will be getting all of the vaccines on a regular schedule. The baby is exposed to more antigens from just daily living in your house than getting a combo of vaccines at once.

Just my 2 cents.

Like what diseases?  Hep B is contracted through blood or bodily fluids of an infected person.  Neither MH nor I have this or anyone else in our families.  In that case, what is the harm is waiting until baby is 4-6 weeks old to give the vac?

With the exception of 1 PP, I don't think anyone was aganist it/vacs, just doing it right after birth when baby has already gone through so much. 

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12-23-2012 at 2:05 PM
kellyrn995...
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Yes, this is what I am struggling with with the Hep B. If I know I don't have it, and we know H doesn't have it, why vaccinate a newborn? None of the other vaccines are given to newborns, and babies are WAY more at risk for HIB or pertussis at birth than they are for Hep B. It seems to me as if the vaccine is necessary for those babies who are exposed prenatally to Hep B, and to make it easier, the schedule was just created to include vaccinating all babies as newborns. Unless someone can provide me with a rationale of why all newborns are vaccinated.
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12-23-2012 at 4:32 PM
Audaciousa...
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Mrs.AmyDylan:

We're are doing the alternate schedule. I don't see it being a healthy choice to load up a baby with loads of vaccinations.

I'm reading Dr. Sears Vaccination book. I will vaccinate, but I'm going to avoid the combo vaccines and the hep b in the hospital. If you get a bad vibe from the hospital, just say you have discussed it with the ped. and will be doing it as an office visit. 

 

Mostly this.  I won't do combo shots - I'll do the split up MMR and split up DTaP.  I'll probably delay Hep until pre-k.  I'll be a sahm and none of my family/friends has hep.  Although, I did previously work in an adult day training center and several of our students had hep b.  If your children are at all exposed to adults you don't personally know, I would get hep ASAP.  
TTC since Aug 2011, RE since May 2012. Dx: PCOS,endo, postprandial hypoglycemia DH: SA 1 - low everything, 2- low everything, 3 - good, but WBC, 4 - lost and/or damaged at lab, 5 - low everything July - Letrozole = BFN Aug - letrozole #2 = BFN Sep - NEW RE!! YAY!!!! Move to IVF w/ICSI - ER on Nov 28 - 34 eggs! FX for good fert report! 
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12-23-2012 at 5:23 PM
lynn0926
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I will be delaying Hep B as well. I also want to do a delayed schedule for vaccines. I am going to print up Dr. Sears, Miller, and Cave's schedules and bring them to my pedi interview. I won't be giving them flu shots and did not get one during my pregnancy.
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12-23-2012 at 5:40 PM
Audaciousa...
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My husband HAS to get flu shots every year and every year he gets the flu mulitple times.  I have never gotten the flu shot and have never gotten the flu.  My mom is allergic to the flu shot. I seriously doubt my children will ever see a flu shot.   
TTC since Aug 2011, RE since May 2012. Dx: PCOS,endo, postprandial hypoglycemia DH: SA 1 - low everything, 2- low everything, 3 - good, but WBC, 4 - lost and/or damaged at lab, 5 - low everything July - Letrozole = BFN Aug - letrozole #2 = BFN Sep - NEW RE!! YAY!!!! Move to IVF w/ICSI - ER on Nov 28 - 34 eggs! FX for good fert report! 
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12-23-2012 at 6:04 PM
kaf7
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KdgTeacher:
kaf7:

As someone who has seen lots of babies and children in ICU from preventable diseases I will be getting all of the vaccines on a regular schedule. The baby is exposed to more antigens from just daily living in your house than getting a combo of vaccines at once.

Just my 2 cents.

Like what diseases?  Hep B is contracted through blood or bodily fluids of an infected person.  Neither MH nor I have this or anyone else in our families.  In that case, what is the harm is waiting until baby is 4-6 weeks old to give the vac?

With the exception of 1 PP, I don't think anyone was aganist it/vacs, just doing it right after birth when baby has already gone through so much. 

I was more so refering to delaying the other vaccines as PP mentioned doing.

What I mostly see is pertussis, strep pneumo, influenza, and the odd case of HiB. I've also seen bad varicella and measles. And then I've seen congenital rubella from moms that aren't immune.


The point of giving the Hep B vaccine at birth is to prevent the baby getting it from mom so I can understand delaying that one if you are confident in your own status.

Me: 30 DH: 29
TTC since 09/10; azoospermia Dx 12/10
Found sperm! 12/11 after 10 months of FSH and hCG injections
IVF #1 04/12 - cancelled (poor response and new Dx of DOR)
Surprise BFP 06/27 on DHEA, Beta #1 1718 06/28!!!!
Baby boy born March 11, 2013

 
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12-23-2012 at 9:29 PM
diana.fili...
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With DD I was all set to split up all the big combo shots.  My pedi was ok with it and I felt I had done my research.  Then one of the other docs in our pedi practice explained something to me that I really understood and it changed my mind.

The big combo shots are updated frequently and modified frequently.  In order to get the split up shots you will be accepting a vaccine that hasn't been updated in a very long time.  It's even hard to get them now because they are no longer made by the big producer.   I wasn't cool with giving meds that were designed about a decade ago vs ones tweaked and updated as recently sometimes as a year ago.  I prefer my science up to date!

We ended up giving all vacs on time (except the Hep B which we started at 1 month instead of birth).  I don't like my kids hanging around kids I KNOW aren't vaccinated until they've had all their up front shots at least (2 years old).

Lilypie Fourth Birthday tickers Lilypie Second Birthday tickers pregnancy ________________________Both of my kiddos are IVF miracles!________________________ 5+ Years TTC, 7 failed IUIs, 2 successful IVF with ICSI's later...we are trying again. 2 Blasts transferred 10/12, 1st beta: 35, 2nd beta: 169, 3rd beta: 529. Baby on the way! __________________________________________________________________________  
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12-25-2012 at 6:27 PM
BabyKsMomm...
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Audaciousarica:
Mrs.AmyDylan:

We're are doing the alternate schedule. I don't see it being a healthy choice to load up a baby with loads of vaccinations.

I'm reading Dr. Sears Vaccination book. I will vaccinate, but I'm going to avoid the combo vaccines and the hep b in the hospital. If you get a bad vibe from the hospital, just say you have discussed it with the ped. and will be doing it as an office visit.&nbsp;

&nbsp;

Mostly this. &nbsp;I won't do combo shots - I'll do the split up MMR and split up DTaP. &nbsp;I'll probably delay Hep until pre-k. &nbsp;I'll be a sahm and none of my family/friends has hep. &nbsp;Although, I did previously work in an adult day training center and several of our students had hep b. &nbsp;If your children are at all exposed to adults you don't personally know, I would get hep ASAP. &nbsp;



I'm pretty sure they don't make a split mmr. They used to but don't currently, at least in the us.
Diagnosed MFI- low sperm count DH given 25 mg Clomid daily to increase count DS-Born 7/27/11 So after 2 years of IF we have our little man TTC#2 Jan 2012- Benched due to cyst March- 50mg Clomid + IUI= BFN April- 50mg Clomid- Missed O May- 50mg Clomid + IUI=??? 
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