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Rotavirus vaccine

(46 Posts)
bumbleymummy Mon 01-Jul-13 08:14:43

Just read that it's being added to the vaccine schedule this year. What do you think? Will you be getting it at 2 and 3 months or would you wait until later?

CatherinaJTV Mon 01-Jul-13 13:46:36

If you get the Rotavirus vaccine, you may as well take it as early as possible...

Sidge Mon 01-Jul-13 14:01:58

I'll be giving it from tomorrow and we can't give it to babies after 24 weeks.

There's a pretty small window for the vaccine to be given.

bumbleymummy Mon 01-Jul-13 16:06:50

Wasn't there a study or recommendation by the CDC about the rotavirus vaccine not being given to BF babies because it doesn't work as well?

bumbleymummy Mon 01-Jul-13 16:07:00

Wasn't there a study or recommendation by the CDC about the rotavirus vaccine not being given to BF babies because it doesn't work as well?

CatherinaJTV Mon 01-Jul-13 19:38:35

no, the CDC recommended not to breastfeed immediately after the vaccine so that the anti-microbials in the breastmilk won't kill the vaccine rota virus. So we are talking about holding off for a couple of hours, not on principle.

Exclusively breastfed babies are as well protected from severe rotavirus as vaccinated babies are. However, this protection goes away as soon as the baby gets any solids (or formula). So for protection extending into the second year of life the vaccine may well be worth it.

Sidge Mon 01-Jul-13 20:30:26

The literature we have been given says there is no need to withhold fluids/milk for any period after being given the oral vaccine - the Green Book says:

There are no restrictions on an infant’s consumption of food or drink before or after vaccination.

There is nothing to say it won't work as well in bf babies.

bumbleymummy Mon 01-Jul-13 20:33:13

Except you have to give it in the first 24 weeks Catherina. I think I'll just stick to bf. rotavirus is most risky to young babies iirc. I don't think either of my boys ever had it.

stargirl1701 Mon 01-Jul-13 20:36:38

We paid for it privately last year as DD would miss out. 2 doses - one at 3 months and one at 4 months. Oral not injection.

No point in waiting. The risk is greatest under 12 months.

CatherinaJTV Mon 01-Jul-13 21:02:02

what stargirl says - you can do both, breastfeed and vaccinate smile

Sidge: www.ncbi.nlm.nih.gov/pubmed/20442687

Beachcomber Mon 01-Jul-13 21:20:56

Aren't the rotavirus vaccines contaminated with porcine circovirus? And known to cause intussusception and shed rotavirus?

My children are passed the age of it being relevant to us but there is no way they would be having this. Much better to EBF (although I appreciate that this isn't always possible or desired.)

TondelayoSchwarzkopf Mon 01-Jul-13 21:22:54

Really pleased this is being added to the UK schedule at last.

Sidge Mon 01-Jul-13 21:31:26

Thanks Catherina, I wonder why the UK literature doesn't say to advise women to avoid breastfeeding after immunisation? <ponders>

Beachcomber as I understand it the risk of intussuseption increases after 25 weeks, hence why the vaccine is to be completed by 24 weeks.

It's all a bit new to us lot that will be giving it as well! Have been madly reading the literature!!

Beachcomber Mon 01-Jul-13 21:39:22

Do you have information on why the risk of intussuseption increases after 25 weeks sidge? Would that date remain the same regardless of feeding method, weight, whether the baby was born at term, etc?

Are you obliged to inform parents about the porcine circovirus contamination? I appreciate that it is mentioned in the package insert , but that document is pretty long and I don't know how many parents really read all 22 pages of it.

Wwendy33 Tue 02-Jul-13 17:37:48

My baby was due to have the rotavirus vaccine today but I have held off for a few days until I have had time to do some research. My baby has reflux and therefore I would not observe many i of the early indications of intussuseption. Since the vaccine was only available yesterday (if i had given birth a week earlier it would not have been offered) and as the outcome for intussuseption detected late is concerning I am considering declining.

SucksToBeMe Tue 02-Jul-13 17:42:58

DD is due this next month, i'm also unsure if I will go through with it.

stargirl1701 Tue 02-Jul-13 18:24:58

I've read through that link beachcomber. It seems the FDA concluded that the benefit of the vaccination outweighed the risk.

JoTheHot Tue 02-Jul-13 18:48:31

It wouldn't be very helpful for GP's to make a feature of the circovirus contamination, as there are no known health consequences. Mentioning it would just generate unwarranted unease and suspicion. Bit like mentioning it on this thread.

Beachcomber Tue 02-Jul-13 18:53:27

Yes, stargirl they do. I just think that parents should be informed very clearly at the time of vaccination about the three issues; viral shedding, contamination with porcine circovirus, and to be vigilant for symptoms of intussuseption.

I appreciate that the information is on the package insert but I wonder how many parents read the whole insert before consenting to the vaccine.

At one point the FDA actually withdrew their recommendation for Rotarix due to the porcine circovirus contamination - although I believe they have reinstated it now.

JoTheHot Tue 02-Jul-13 19:06:02

Do you not think parents should also be informed of the benefits? You give the impression that you only think the drawbacks are important.

Beachcomber Tue 02-Jul-13 19:10:57

X posts with Jothehot.

Well I suppose it is a tricky one really. The FDA don't seem to think the contamination is an issue now, but when the analysis was done, nobody expected to find the porcine circovirus there and it shouldn't be there. I think parents have a right to know of its existence , and it seems that the manufacturers agree with me because they mention it in the package insert.

I know when I took my PFB for her baby jabs that I wouldn't have imagined in a million years that a vaccine could contain foreign body DNA.

I think people have a right to know these things. It is called informed consent and forms one of the foundations of medical ethics.

Beachcomber Tue 02-Jul-13 19:12:39

Another X post!

Yes, they should be informed of the benefits - I don't think I have said otherwise smile

Beachcomber Tue 02-Jul-13 19:15:07

Sorry for multiple posts - I said 'jabs' in the above post and just wanted to clear any confusion up as Rotarix is not given by injection - it is given orally.

DoodleAlley Tue 02-Jul-13 19:24:22

I'm concerned of the risk that introducing even a milder version of the virus might upset the system of my refluxy DD.

I was investigating this last night.

I'm going to go with all other vaccinations as I did with DS but the risks of it unsettling her system and worsening her reflux seem too great.

90% of children have has rotavirus by the time they are three. Admittedly on average 1 in 10 will need to go into hospital due to dehydration but thats an awful lot that don't.

After having gastro DS' reflux got worse and he go temporary lacoste intolerance.

DDs system is already in a state of imbalance with her reflux meds I don't want to add another thing into the mix.

And then there is the uncategorised risk of things like apnea.

As an aside I don't fancy the idea her nappies might be contagious! But that wouldn't stop me.

Given the rotavirus doesn't have complications like blindness etc even if you recover it seems like too muc of a risk.

probablysilly Tue 02-Jul-13 19:34:52

Sounds like you've thought it through and come to the right decision for you Doodle.

I don't think I would go for it if I had another baby. I didn't worry about it with either of my two boys so I don't see why I should start worrying about it now just because there's a vaccine for it.

Crumbledwalnuts Tue 02-Jul-13 19:51:38

I would worry about the shedding - perhaps not such a problem here but I think virus shedding is a problem with for example oral polio in countries/communities with poor sanitation and I don't see why this would be any different.

Sidge Tue 02-Jul-13 20:21:47

No we haven't been given any information specifically pertaining to circovirus as there are apparently no health risks to humans. And I'm not really sure why the risk of intussusseption increases after 25 weeks; I believe the background incidence of intussusseption peaks at around 5 months but as to why I don't know.

The research suggests that premature babies born after 27 weeks respond as well to the vaccine as those born full term.

It must be a difficult decision as a parent when a "new" vaccine is introduced to the schedule - of course none are compulsory and one has to weigh up the potential risks and perceived benefits for your child.

DoodleAlley Tue 02-Jul-13 20:41:55

Dd is due her three month vaccinations on Friday so it's probably our last chance for the first dose. I know I'm going to have a crisis in the afternoon holding her about whether I've made the right decision.

It's so hard to go against formal recommendations.

stargirl1701 Tue 02-Jul-13 20:47:19

My DD has silent reflux. We didn't notice any change. She screamed 8-13 hours a day before the vaccine and 8-13 hours a day after the vaccine. hmm

DoodleAlley Tue 02-Jul-13 20:52:56

Oh stargirl it's horrible isn't it?

DDs meds for her silent reflux seems to chipping away at her symptoms a bit (which is why I am so concerned) but its horrible and you have my sympathies.

I just wish DD would stop choking in her sleep but we do seem to be making progress on the screaming. Hope you get some meds that work

stargirl1701 Tue 02-Jul-13 20:56:45

We did, thanks. We saw a big improvement at 7 months grin It was just awful until then. She's now 9 months and doing really well. Sleeping 12 hours solid at night with one or two long naps during the day. She eats everything she can get her hands on - except carrots! Meds will be reduced from 12 months very slowly! grin

Hang in there. It will get better.

DoodleAlley Tue 02-Jul-13 21:24:50

Oh I'm so glad things got better. Just having the choking stop would be nice. It's one of the worst things I've ever heard - waking up to hear your newborn choking or gasping for breath.

Anyway thank goodness we have access to medications - even vaccinations we can choose to reject or accept.

stargirl1701 Tue 02-Jul-13 21:26:58

Aye, scary. I had never heard of silent reflux before I had DD. I had no idea having a baby could be this hard.

Wwendy33 Tue 02-Jul-13 22:22:27

I'm in the same position. Need to decide tomorrow and advise the clinic. I keep thinking that it's a new vaccine and as my baby has quite a lot of pain from reflux it would be difficult to pick up symptoms - so not to take it. Then I worry that the baby gets sickness and has to be hospitalised. Aaahhhhh!!

DoodleAlley Wed 03-Jul-13 01:58:33

I take consolation that it seems even odds for having a side effect and child needing hospital.

Except if we have the vaccination I know she is already at risk of the side effect whereas she might not get rotavirus or might have a different strain to those covered by vaccination.

But then either the side effects might be temporary or the. Rotavirus mild.

It's hard isn't it? And I say this as the parent of an older child who was hospitalised for several data at five months old with gastro.

Sunnysummer Wed 03-Jul-13 03:14:19

In case it helps DoodleAlley and others - my severely refluxy 10 week old just had his rotavirus vaccine with other standard shots (a few weeks late as he was a few weeks early) and was fine. I was also a bit nervous about what it would do to his system, but he had no major problems - he had a mild temperature that night and did one small posset the next morning, which he doesn't usually, but he didn't cry (even) more or sleep (even) less than usual.

stopgap Thu 18-Jul-13 20:47:01

Doodlealley, do not give your baby the rotavirus vaccine!

I am not anti-vax, but this vaccine sent my baby's mild reflux into overdrive. He had all but outgrown it at 13 weeks, had his first rotavirus vaccine, and proceeded to have greenish-black stools for months afterwards, stop breathing episodes, and the day after the vaccine, high-pitched screaming for twelve hours straight.

The rotavirus vaccine has been on and off for the market for several years. I honestly think it's more trouble than it's worth.

My son is now two and we have just finished his first round of vaccines (minus MMR and varicella, which we shall be doing after we return from our holidays). Due to the dreadful reaction to rotavirus, we practically went one by one with subsequent vaccines. I was terrified of another bad reaction, but he had zero reaction to the other vaccines.

mrsnobby Thu 18-Jul-13 22:44:07

My DD had the vaccine yesterday. She has been absolutely fine in herself ever since. My DS had rotavirus and was so poorly. He didn't have to go to hospital but it was so upsetting at the time - he lost weight, looked dreadful and was lactose intolerant for a while afterwards. I am so pleased my daughter has been offered the vaccine.

DoodleAlley Mon 29-Jul-13 20:31:28

Well after all my angst and research I took DD for her jabs at 13 weeks because they sent her away at 12 due to inexplicable temperature spike. little monkey fine before and after so I suspect a cunning ploy on her part!

They wouldn't give it is as they said their policy was all doses done by 16 weeks and so wouldn't be able to fit second dose in.

So that took the decision out of my hands!

Jo1984uk Thu 08-Aug-13 06:04:22

My 17 wk old dd has not had the vaccine either. She had diarrhoea for nearly a month (nurse thinks it was a rare reaction to 8 wk jabs) so I was advised not to let her have it. Hopefully the breastfeeding will provide her with some immunity smile

ladyofthehouse4 Wed 06-Nov-13 09:16:09

I dont know much about the Rotavirus, apart from a friends family suffering terribly with it to the point they were hospitalized with it. Im seriously considering it for my little ones, but just unsure whether its worth it

RichManPoorManBeggarmanThief Wed 06-Nov-13 09:32:41

It's pretty grim. It's like norovirus on crack. About a week of puking and having diarrhoea. Vaccine is standard here ( Hong Kong) but admittedly viruses do spread a lot more easily here as its such a hospitable environment. Whole schools were getting cleared out before they started vaccinating. In the uk I'm not sure I'd bother.

ladyofthehouse4 Wed 06-Nov-13 14:00:55

I have just been reading more about it on www.rota.com/other-causes-of-diarrhea/ definitely one to think about

Missu1004 Sun 30-Mar-14 15:48:12

Do not give your child this vaccine. It has created horrible reviews on other sites & is being silenced to continue its monetary gain!
My baby has had what appears to be onset of intussussception. With rounds of crying, constipation, vomiting, decreased appetite, spotting on face, jerking movements from stomach pain and ER visit - we were ultimately given suppositories & told to come back if babe developed a hardened stomach! Not even an adult likes to experience stomach pain, cramps, constipation and too much crying causes us headaches so what makes it okay for babies?!
We will not be giving her any more of these virus infected vaccinations nor vaccines in which there is enough evidence of side effects within children to test if other illnesses are related such as ADHD, autism, etc., vaccines were previously known to cause enough injury to impact development.
Good luck to all who strongly urges the government to dictate how we protect our children as they use them as guinea pigs!

glaringsam Fri 25-Apr-14 04:29:20

9% of children are hospitalized with rotavirus. Do you not think they experience significant discomfort?
We allow parents to make complex medical decisions that have far reaching implications for everyones children, which I respect, but it's downright irresponsible to make statements like the one above this.

Educate yourself and make your own informed decision, whatever that is. However remember that by opting out of a vaccine you are also opting in to a risk of getting an illness that has serious health implications.
If you have a social conscience also consider that vaccination programs can efficiently rid us completely of diseases only when undertaken by whole populations, thereby protecting all children including those who are unable to have a vaccine for medical reasons.

CustardFromATin Fri 25-Apr-14 04:58:59

We had a bout of rotavirus at DS2's playgroup, 2 babies ended up severely dehydrated with one in hospital on a drip for a couple of nights. They were both bfed too, one exclusively as was only 4 months. it clearly wasn't enough protection from the amount of exposure that grotty little babies give each other hmm

Ds2 had been vaccinated as it's standard where we live, he did get it, but so much less severely, just a few days of nasty nappies and night poos. He had bad reflux in the early days but it didn't cause any issue, despite my fears at the time. Ds1 and dd never got it, but after the experience of the other mums I think that it's definitely worth it!

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