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12-14-2012 at 8:12 PM
Runaway22
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Hep B shot at birth

I'm going to snoop around Google some more, but everything I find seems kind of biased. Wondering what you ladies think...

Isn't Hep B something you get from sharing needles? If this is the case, what on earth is the shot at birth for? Seems excessive to me...

Please, if you must flame, don't flame too hard. I won't debate the overall vaccine thing. This one in particular just kinda stumps me.  


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12-14-2012 at 8:40 PM
secondaryP...
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Runaway22:

Isn't Hep B something you get from sharing needles? If this is the case, what on earth is the shot at birth for? Seems excessive to me...

Yes. Hepatitis B is transmitted sexually and through contaminated blood products and needles. The reason there's a big push for vaccination at birth is just to push for overall Hep B vaccine compliance. 

Our MW doesn't give Hep B at birth, but if she were to offer it, we would refuse it until he got his later shots (at 2 months).  



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12-14-2012 at 8:42 PM
Runaway22
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secondaryPULSE:

Yes. Hepatitis B is transmitted sexually and through contaminated blood products and needles. The reason there's a big push for vaccination at birth is just to push for overall Hep B vaccine compliance. 

Our MW doesn't give Hep B at birth, but if she were to offer it, we would refuse it until he got his later shots (at 2 months).  

Guess I'll be breaking the news to my dr about refusing it at my next appt. What about that vitamin K shot? Is that standard, too, or is it just hospitals being extra cautious again? 


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12-14-2012 at 8:49 PM
pantherRN
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Runaway22:
secondaryPULSE:

Yes. Hepatitis B is transmitted sexually and through contaminated blood products and needles. The reason there's a big push for vaccination at birth is just to push for overall Hep B vaccine compliance. 

Our MW doesn't give Hep B at birth, but if she were to offer it, we would refuse it until he got his later shots (at 2 months).  

Guess I'll be breaking the news to my dr about refusing it at my next appt. What about that vitamin K shot? Is that standard, too, or is it just hospitals being extra cautious again? 

Newborns are born without vitamin K, which plays an important part in the blood clotting cascade. Personally, I think the vitamin K is important. Do your research on it, there is an oral form of vitamin K available, but the shot is going to give you the quickest results.

We'll likely decline HBV and get vitamin K.  



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12-14-2012 at 8:54 PM
hilwithone...
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I delayed Hep B with both my kids until their two month appointment. However, after having DD I learned some information that changed my mind. If a young infant is infected with Hep B, the likelihood it will covert into chronic disease is very high... I believe over 90 percent. This differs from an adult where the likelihood is more around 50 percent. The way I see it is that while there is a minuscule chance of my baby getting infected, the consequences of infection are very great. If I ever had a third, he/she will be getting Hep B in the hospital.

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12-14-2012 at 9:49 PM
Audrey1787
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What I'm thinking right now is that if I were doing a home birth I would delay the Hep B but since I'm going to be in a hospital I'll go ahead and have them give my baby the vaccine. My reasoning is that we will be in the hospital where other sick people are and what if something happens like some crazy freak accident. Right now my decision is out of paranoia surrounding hospitals and a lack of reasons that I feel are good enough to delay the vaccine. I'm still doing lots of research and I want to ask my midwife about it before I really make up my mind. I have awhile to figure it out though Wink

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12-14-2012 at 10:50 PM
oliversmom...
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We opted out. DS is 8 months old and he still hasn't had it. I figure if I'm not worried about him catching HIV then why would I be worried about him catching Hep B? They are transmitted the same way. I was negative for Hep B when I was tested during pregnancy and I am in a monogamous relationship so I had no risk factors. We will do the series before he starts school because the chance of exposure will be greater. If he was in daycare I would also have him get it, no question. We would also get it if anyone in our family had Hep B. We are definitely pro-vaccine but we just didn't see a reason to give this one to a newborn.

As for Vit K, we did get it, because we didn't do the Erythromycin gel and I didn't want to fight the hospital on too many things. We decided the benefits of Vit K outweighed the risk. However, having researched it more extensively since his birth, I would opt out of it next time and go with oral Vit K instead. We plan on having a birth center birth with a CPM for the next birth so I don't think we will get too much push back on this like we may have in the hospital.

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12-14-2012 at 11:35 PM
Lariah14
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oliversmommy32912:

We opted out. DS is 8 months old and he still hasn't had it. I figure if I'm not worried about him catching HIV then why would I be worried about him catching Hep B? They are transmitted the same way. I was negative for Hep B when I was tested during pregnancy and I am in a monogamous relationship so I had no risk factors. We will do the series before he starts school because the chance of exposure will be greater. If he was in daycare I would also have him get it, no question. We would also get it if anyone in our family had Hep B. We are definitely pro-vaccine but we just didn't see a reason to give this one to a newborn.

As for Vit K, we did get it, because we didn't do the Erythromycin gel and I didn't want to fight the hospital on too many things. We decided the benefits of Vit K outweighed the risk. However, having researched it more extensively since his birth, I would opt out of it next time and go with oral Vit K instead. We plan on having a birth center birth with a CPM for the next birth so I don't think we will get too much push back on this like we may have in the hospital.

FYI: Hep B can live on a a dry surface for at least seven days. Dried blood poses an infection risk. HIV does not. We deferred it w/ DS b/c he had jaundice issues at birth, but won't this time. DS got nicked with hair clippers at a salon and it drew blood- now I wish we hadn't deferred it. As PP's said "The younger a person is when infected with Hepatitis B virus, the greater his or her chance of developing chronic Hepatitis B. Approximately 90% of infected infants will develop chronic infection. The risk goes down as a child gets older. Approximately 25%–50% of children infected between the ages of 1 and 5 years will develop chronic hepatitis. The risk drops to 6%–10% when a person is infected over 5 years of age."

 

http://www.cdc.gov/hepatitis/b/bfaq.htm


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12-15-2012 at 12:21 AM
oliversmom...
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Lariah14:
oliversmommy32912:

We opted out. DS is 8 months old and he still hasn't had it. I figure if I'm not worried about him catching HIV then why would I be worried about him catching Hep B? They are transmitted the same way. I was negative for Hep B when I was tested during pregnancy and I am in a monogamous relationship so I had no risk factors. We will do the series before he starts school because the chance of exposure will be greater. If he was in daycare I would also have him get it, no question. We would also get it if anyone in our family had Hep B. We are definitely pro-vaccine but we just didn't see a reason to give this one to a newborn.

As for Vit K, we did get it, because we didn't do the Erythromycin gel and I didn't want to fight the hospital on too many things. We decided the benefits of Vit K outweighed the risk. However, having researched it more extensively since his birth, I would opt out of it next time and go with oral Vit K instead. We plan on having a birth center birth with a CPM for the next birth so I don't think we will get too much push back on this like we may have in the hospital.

FYI: Hep B can live on a a dry surface for at least seven days. Dried blood poses an infection risk. HIV does not. We deferred it w/ DS b/c he had jaundice issues at birth, but won't this time. DS got nicked with hair clippers at a salon and it drew blood- now I wish we hadn't deferred it. As PP's said "The younger a person is when infected with Hepatitis B virus, the greater his or her chance of developing chronic Hepatitis B. Approximately 90% of infected infants will develop chronic infection. The risk goes down as a child gets older. Approximately 25%–50% of children infected between the ages of 1 and 5 years will develop chronic hepatitis. The risk drops to 6%–10% when a person is infected over 5 years of age."

 

http://www.cdc.gov/hepatitis/b/bfaq.htm

 

Thank you for the information. I do not regret our choice to wait. 


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12-15-2012 at 7:16 AM
aylafsu88
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pantherRN:
Runaway22:
secondaryPULSE:

Yes. Hepatitis B is transmitted sexually and through contaminated blood products and needles. The reason there's a big push for vaccination at birth is just to push for overall Hep B vaccine compliance. 

Our MW doesn't give Hep B at birth, but if she were to offer it, we would refuse it until he got his later shots (at 2 months).  

Guess I'll be breaking the news to my dr about refusing it at my next appt. What about that vitamin K shot? Is that standard, too, or is it just hospitals being extra cautious again? 

Newborns are born without vitamin K, which plays an important part in the blood clotting cascade. Personally, I think the vitamin K is important. Do your research on it, there is an oral form of vitamin K available, but the shot is going to give you the quickest results.

We'll likely decline HBV and get vitamin K.  

The bold parts!  I think the Vit K shot is pretty important and something that I thought LO needed to get.  To me the benefits of the Vit K shot  far outweighed the risks.


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12-15-2012 at 7:46 AM
BreanneL24
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We're not giving him the Hep B shot until he is older and about to begin school. We don't think it is necessary this young considering all of the other vaccines he is receiving during his first few years.

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12-15-2012 at 8:18 AM
tokenhoser
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In Canada, we don't get the hep B vax until Grade 6. I think vitamin K is important, as you can't tell when it's going to save a life and the risk from it is very very small.
12-15-2012 at 10:37 AM
BLPL101
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Our DD will be getting it along with the vit k shot.

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12-15-2012 at 12:21 PM
MamaDailey
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We opted out of the Heb B at birth for my first daughter and she didn't get it until she was a few years old.  Then my second daughter came 20 months later and we opted out of it again at birth, but then about six months later I came to realize that she had gotten anyway when she was a few months later because she got it in a combination vaccine.  I really feel like the wool had been pulled over my eyes.  I shouldn't have assumed that things were the same 20 months later.  I tried not to be upset about it. 

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12-15-2012 at 1:57 PM
dalzien
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tokenhoser:
In Canada, we don't get the hep B vax until Grade 6. I think vitamin K is important, as you can't tell when it's going to save a life and the risk from it is very very small.

 

I don't know where you live in Canada, but that is no longer the case in the 2 provinces where we live. We just finished our prenatal classes in NB and have since moved back to Southern Ontario to give birth, and in both provinces they now give the Hep B shot at birth unless declined. You actually need to sign a waiver if you decline the vaccine. One of our last prenatal classes spent over an hour going over vaccines and other tests at birth. When I was younger I was given the shot in grade 6, but that was almost 16 years ago now.

 
12-15-2012 at 4:09 PM
Runaway22
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MamaDailey:
We opted out of the Heb B at birth for my first daughter and she didn't get it until she was a few years old.  Then my second daughter came 20 months later and we opted out of it again at birth, but then about six months later I came to realize that she had gotten anyway when she was a few months later because she got it in a combination vaccine.  I really feel like the wool had been pulled over my eyes.  I shouldn't have assumed that things were the same 20 months later.  I tried not to be upset about it. 

I would have been pretty upset. Parents have a right to know what's being injected into their kiddos :/

PS on the Vitamin K thing -- I think since I'll be BFing, barring necessary circumstances, I'll be taking a vitamin K supplement the first 6 months or so. If the doctor thinks LO *needs* vitamin K at birth, I'll be opting for the oral drops, not the jab. Since I'm STD-free, I'll be opting out of the antibiotic eyedrops, too. FTR, in case anyone cares lol

I did a lot of reading last night =O 


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12-15-2012 at 6:00 PM
tokenhoser
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dalzien:

tokenhoser:
In Canada, we don't get the hep B vax until Grade 6. I think vitamin K is important, as you can't tell when it's going to save a life and the risk from it is very very small.

 

I don't know where you live in Canada, but that is no longer the case in the 2 provinces where we live. We just finished our prenatal classes in NB and have since moved back to Southern Ontario to give birth, and in both provinces they now give the Hep B shot at birth unless declined. You actually need to sign a waiver if you decline the vaccine. One of our last prenatal classes spent over an hour going over vaccines and other tests at birth. When I was younger I was given the shot in grade 6, but that was almost 16 years ago now.

Saskatchewan still gives it in Grade 6; I've reviewed the schedule a lot in the last 18 months.

12-15-2012 at 8:01 PM
RJM050705
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We're planning to delay it.  DH & I both had to get it to start our BA degrees in the past few years.  I'm also declining eye ointment and hoping for oral vit K instead of the shot.  

Rebecca :)

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12-15-2012 at 9:18 PM
sschwege
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My MW encouraged us to wait until BFing was well-established, so we did it at DD's two week appointment.  We will do the same with this one.

As for Vitamin K we do it, I'm just not comfortable with taking the chance.   


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12-15-2012 at 10:15 PM
SunnyMuffi...
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Good god no.  It seems like an American thing.  I got my Hep B shot in 6th grade and I think they still do it that way.  No one tried to give my baby a Hepatitis shot at birth.

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12-15-2012 at 10:52 PM
StarshineR
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Probably not. While the numbers are accurate (that Hep B is more likely to turn chronic if one catches it at a younger age), the incidence of the disease is quite low in most developed, Western countries, and the risk for childhood exposure is mostly in developing countries where sanitation is an issue in daily life. Because we are a cleaner society, most cases of Hep B are actually through STDs and shared needles, not happenstance infant exposures. Everything I've read about the Hep B vaccine is less about concern for the child's welfare and more about "eradicating" Hepatitis B as if it were smallpox. 

Now, yes, of course the incidence of Hep B will lower in response to vaccinations - obviously. But the incidence was low to start off.  

I don't believe that small bodies should be inundated with vaccines unnecessarily, as I'm dubious that their immune systems are developed enough to actually handle it propertly. Hep B, no. Polio, and tetanus, yes. Chicken Pox - never. MMR - can be delayed. Diphtheria and Pertussis - maybe - I'd want the doctor to split DPT vaccine. I'll need to look into Vitamin K to make a decision on that. Since I don't have Hep B (I chose to get vaccinated in school when I was still naive and believed everything the teachers told me - I didn't realize that I was extremely low risk), my child won't contract it from me. My blood was also tested for the disease recently. If I had Hep B, I would definitely get the infant vaccinated. 

 http://www.who.int/mediacentre/factsheets/fs204/en/

 http://www.cdc.gov/hepatitis/PDFs/US-surv_table.pdf

Even assuming that all Hep B cases weren't reported (because they were asymptomatic), let's say there was 10x more the actual incidence than reported, It's still not very high. These are the people who catch the acute infection, but note that not all of them become chronic carriers.

Necessarily, you are going to find higher carriers in the population than new cases of chronic Hep B. In spite of that, chronic cases of Hep B are still quite low (1 and a half million in the US - less than 1% of the population), and you can understand why they would be more common among adults since it is an STD. 

I do not think it's necessary to vaccinate babies except under exceptional circumstances. So long as Mom isn't infected (and that is routinely tested for during normal prenatal care) and any primary caregivers aren't, the baby will most likely be fine for quite some time yet. 

Note also, that of those who have chronic Hep B (remember less than 1% of the American population), " Hepatitis B is fatal in about 1% of cases." 

 http://www.nlm.nih.gov/medlineplus/ency/article/000279.htm

When you see statements like "much higher risk of Big Bad Scary Thing", you need to take that into proportion with what the rates actually are to begin with. 

I know, though, that some people don't see the harm in the injection. I'll note this:

 http://www.aapsonline.org/testimony/hepbcom.htm

That is all.  

 
12-16-2012 at 1:55 PM
NoeliaV
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We gave the Vit K shot at birth for a couple reasons. 1) If there was an issue with bleeding/clotting for her, and we had declined/delayed, it would most likely be too late for the shot to "fix" the problem. 2) The shot has a standard whereas the drops can vary in potency.

We declined the Hep B until her 2 month appt.

We didn't receive any negative feedback from the hospital about our choice to delay.

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12-16-2012 at 3:37 PM
vintagejja...
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I didn't do either at birth. If we do decide to give the Hep B vaccine, it won't be until she is older.

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12-16-2012 at 3:39 PM
nosoup4u
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We delayed Hep B for both our kids- DS1 got it around 2 years, and DS2 might have gotten it at his 2 year well visit (I can't remember!). We did Vitamin K both times.

DS1 - Feb 2008

DS2 - Oct 2010 (my VBAC baby!) 

12-16-2012 at 4:10 PM
dhviel
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tokenhoser:
dalzien:

tokenhoser:
In Canada, we don't get the hep B vax until Grade 6. I think vitamin K is important, as you can't tell when it's going to save a life and the risk from it is very very small.

I don't know where you live in Canada, but that is no longer the case in the 2 provinces where we live. We just finished our prenatal classes in NB and have since moved back to Southern Ontario to give birth, and in both provinces they now give the Hep B shot at birth unless declined. You actually need to sign a waiver if you decline the vaccine. One of our last prenatal classes spent over an hour going over vaccines and other tests at birth. When I was younger I was given the shot in grade 6, but that was almost 16 years ago now.

Saskatchewan still gives it in Grade 6; I've reviewed the schedule a lot in the last 18 months.

Alberta also still gives in only in Grade 5. There is not even any mention of it prior to that.

Vita K we accepted on baby 1 because she was a vacuum delivery and declined on baby 2 because she was a no intervention/no drugs delivery.  I'll spare you teh reasoning behind declining because I know most of you won't agree.


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12-16-2012 at 5:41 PM
Runaway22
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dhviel:

Alberta also still gives in only in Grade 5. There is not even any mention of it prior to that.

Vita K we accepted on baby 1 because she was a vacuum delivery and declined on baby 2 because she was a no intervention/no drugs delivery.  <b>I'll spare you teh reasoning behind declining because I know most of you won't agree.</b>

Oh, now I must know. But I understand wanting to avoid TB drama. But I'm so exceedingly curious, feel free to PM me, if you like :D 


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12-16-2012 at 10:10 PM
dhviel
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Runaway22:
dhviel:

Alberta also still gives in only in Grade 5. There is not even any mention of it prior to that.

Vita K we accepted on baby 1 because she was a vacuum delivery and declined on baby 2 because she was a no intervention/no drugs delivery.  <b>I'll spare you teh reasoning behind declining because I know most of you won't agree.</b>

Oh, now I must know. But I understand wanting to avoid TB drama. But I'm so exceedingly curious, feel free to PM me, if you like :D 

done.


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12-16-2012 at 10:48 PM
luvmyducks
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We would have gotten the Hep B at the hospital under normal circumstances.  But DD had to spend a day in the NICU and then have an IV attached to her the rest of our stay (ended up being 4 days) because of a possible infection (she had elevated white blood cell count).  We felt so bad for her getting poked and prodded so much that we waited until we saw the Pedi when we went for her 1m appt and she got the 2nd shot at her 2m appt.  This time around if things go well we will probably get it at the hospital, though our Pedi says it is fine to either get it there or wait to get it at their office.
12-17-2012 at 6:52 AM
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We don't do either shot. 
12-17-2012 at 8:31 AM
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Our LO will get Vit K and Hep B in the hospital.  I will be going back to work 8 weeks postpartum and while I'm reasonably certain my child will not be going out and getting questionable tattoos or sharing needles with anyone, I can't guarantee that they won't accidentally get exposed to Hep B by someone who did while they're not in my care.  

For us, the benefits outweighs the risk. 

 
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