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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Is anyone NOT having the flu jab this winter???

84 replies

MrsHuxtable · 06/10/2011 10:43

Just wondering. I had actually decided not to have the jab. I've never had it before. I know my immune system is supposed to be weakened by pregnancy but I never get more than a little cold each winter, if at all.

I also don't see myself really being at risk of catching it as I will be signed off sick for the remainder of my pregnancy and am not really in contact with any people apart from DH, who is also working from home 90% of the time. I don't use public transport and am not mixing with any crowds.

I don't know. I just feel funny about getting a jab while pregnant...

OP posts:
stripeybump · 08/10/2011 20:41

Blue - what difference does mercury in a vaccine make?

thefurryone · 08/10/2011 21:42

I'm not pg but I was this time last year and after some consideration I had the flu jab at 16 weeks, my arm hurt and I was a bit tired but I avoided the flu despite working in a university which is pretty much a breeding ground for such things. For me the lack of evidence of harm from the vaccine versus the evidence of how dangerous flu can be for pregnant women and their babies made it a fairly easy decision. As such I'm genuinely surprised at how many of your are considering not having it this year, a very different tone on the forum from last year, but then I think there were a larger number of reported swine flu cases in the media that probably made the difference.

Anyway, I thought some of you might be interested in this webchat from last year www.mumsnet.com/Talk/mumsnet_live_events/1108750-Live-webchat-about-the-swine-flu-vaccination-with-director-of-immunisation-Prof-David-Salisbury-Tues-21-Dec-noon-1pm

Crosshair · 08/10/2011 22:58

Thanks for linking the webchat thefurryone. :)

PIMSoclock · 08/10/2011 23:44

This may be more helpful

I had the jab last year as was in continuous contact with H1N1. I was told that the pandermix was safe at the time but opted for cevlapan for the following reasons
( I have copied and pasted this from another site, but the infor is true and accurate)
Swine flu jabs
(note Swine flu is now incorporated into the general flu jabs, but some of this info should still be helpful. I have added info on the other jabs with links to their inserts at the end)
Things to consider
1.) live virus - the flu vaccines are all inactivated vaccines containing no live virus and therefore are safe for pregnant women. Ordinary flu vaccines have been used in pregnant women for a long time and cause no problems. In fact, the antibodies, produced by women after the vaccine, transfer to the baby and may provide some protection for the baby against flu after it is born. The swine flu vaccines have been made exactly the same way as normal flu vaccines have for decades.
2) Thiomersal - this is a preservative containing mercury. In the US and other countries mercury has been linked with neurodevelopmental problems in children, and is banned from childhood vaccines in lots of countries. However the FDA doesn't think it is harmful for pregnant women. We naturally ingest mercury from food sources (e.g. fish) and the amount in the vaccine doesn't take our intake over safe levels. Also recent studies have found no relationship between thiomersal and developmental delays in children. The GOOD NEWS is that celvapan intansa and enzira do NOT contain thiomersal (while pandemrix and fluverin does).
3) Adjuvants - there is some worry that adjuvants (which boost the efficacy of the vaccine) aren't safe in pregnancy but I don't know any evidence either way. The GOOD NEWS is that celvapan does not contain adjuvants, but because of this you need two doses of it rather than one. Pandemrix and does contain adjuvants.
Therefore, it seems like celvapan should be safe for pregnancy, and pandemrix is thought to be safe but if you are worried about mercury and adjuvants you could avoid it and ask for celvapan. However, celvapan will take longer to become effective as you need two doses over 3 weeks instead of 1 dose

This is probably now irrelevant as these vaccines are not as commonly used as the general flu vaccine protects against H1N!
This is a list of vaccines currently being used by the NHS
intanza
Is currently used for adults, the british national formulary says it is not known to be harmful in pregnancy, the manufacturer says that safety in pregnancy has not been fully established but is considered safe in the second trimester and does not contain mercury

fluverin
is licensed for over 4s but does contain traces of thiomersal (mercury). It has been used for pregnant women, but again, the manufacturers say safety has not been established although the bnf says no known harmful effects

Enzira is licensed for the over 5s and does not contain mercury (strugling to find the package insert for this) but does carry a increased risk of febrile convulsions under 5. Although I cant find the insert, it would be safe to say its safety has not been established.

From this, I would say that intaza would be a reasonable choice. However I would say, talk it over with your GP and ask them to take advice from your obstetrician if necessary. From what I recall on discussion with my local epidemiologist H1N1 should not be as much of a problem as it was last year, though it will not completely disappear. It can be difficult to predict and we do consider all pregnant women to have a degree of imunocompromise. I was immunised when pregnant because I unfortunately saw first hand the devastating effects of H1N1 during pregnancy. Me and ds were fine. I will be immunised again this preg ASAP

Hope this has been helpful
Smile

PIMSoclock · 08/10/2011 23:54

This may be more helpful

I had the jab last year as was in continuous contact with H1N1. I was told that the pandermix was safe at the time but opted for cevlapan for the following reasons
( I have copied and pasted this from another site, but the infor is true and accurate)
Swine flu jabs
Swine flu is now incorporated into the general flu jabs, but some of this info should still be helpful.
Things to consider
1.) live virus - the flu vaccines are all inactivated vaccines containing no live virus and therefore are safe for pregnant women. Ordinary flu vaccines have been used in pregnant women for a long time and cause no problems. In fact, the antibodies, produced by women after the vaccine, transfer to the baby and may provide some protection for the baby against flu after it is born. The swine flu vaccines have been made exactly the same way as normal flu vaccines have for decades.
2) Thiomersal - this is a preservative containing mercury. In the US and other countries mercury has been linked with neurodevelopmental problems in children, and is banned from childhood vaccines in lots of countries. However the FDA doesn't think it is harmful for pregnant women. We naturally ingest mercury from food sources (e.g. fish) and the amount in the vaccine doesn't take our intake over safe levels. Also recent studies have found no relationship between thiomersal and developmental delays in children. The GOOD NEWS is that celvapan intansa and enzira do NOT contain thiomersal (while pandemrix and fluverin does).
3) Adjuvants - there is some worry that adjuvants (which boost the efficacy of the vaccine) aren't safe in pregnancy but I don't know any evidence either way. The GOOD NEWS is that celvapan does not contain adjuvants, but because of this you need two doses of it rather than one. Pandemrix and does contain adjuvants.
Therefore, it seems like celvapan should be safe for pregnancy, and pandemrix is thought to be safe but if you are worried about mercury and adjuvants you could avoid it and ask for celvapan. However, celvapan will take longer to become effective as you need two doses over 3 weeks instead of 1 dose

This is probably now irrelevant as these vaccines are not as commonly used as the general flu vaccine protects against H1N!
This is a list of vaccines currently being used by the NHS
intanza
Is currently used for adults, the british national formulary says it is not known to be harmful in pregnancy, the manufacturer says that safety in pregnancy has not been fully established but is considered safe in the second trimester and does not contain mercury

fluverin
is licensed for over 4s but does contain traces of thiomersal (mercury). It has been used for pregnant women, but again, the manufacturers say safety has not been established although the bnf says no known harmful effects

Enzira is licensed for the over 5s and does not contain mercury (strugling to find the package insert for this) but does carry a increased risk of febrile convulsions under 5. Although I cant find the insert, it would be safe to say its safety has not been established.

From this, I would say that intaza would be a reasonable choice. However I would say, talk it over with your GP and ask them to take advice from your obstetrician if necessary. From what I recall on discussion with my local epidemiologist H1N1 should not be as much of a problem as it was last year, though it will not completely disappear. It can be difficult to predict and we do consider all pregnant women to have a degree of imunocompromise. I was immunised when pregnant because I unfortunately saw first hand the devastating effects of H1N1 during pregnancy. Me and ds were fine. I will be immunised again this preg ASAP

Hope this has been helpful

Blueberties · 09/10/2011 04:23

Stripey - the effects of thiomersal on the unborn baby aren't known. Mercury is of course a toxin and many of the "symptoms" of mercury poisoning seem very similar to effects you could see on the ASD spectrum. However it's very hard to know: because it's impossible to be able to tell how your baby would have been. Since there are jabs available without mercury, for me the decision would be to take one of those. Though I wouldn't take one at all, but if I did, it would be mercury-free. Also since it's been taken out of the infant vaccines it would also seem sensible to avoid it in vaccines that could affect the foetus.

ArthurPewty · 09/10/2011 09:14

This reply has been deleted

Message withdrawn at poster's request.

stripeybump · 09/10/2011 10:05

Hmm thanks PIM. I think I'll ask the surgery if it's possible to have a mercury-free jab then. Given that I work in a secondary school and get every bug going, I do think I 100% need to get the jab, but if possible I'll get one without mercury then. If not, it won't stop me having it. I eat tuna and other foods with mercury - hell, I even have the occasional glass of wine Grin

PIMSoclock · 09/10/2011 10:15

Who could survive 9 months of preg AND teaching children without the occasional glass of vino!!?! Grin
Hope everything goes well, and good luck with the rest of your pregnancy x

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