Why am I being offered the whooping cough (pertussis) vaccination in pregnancy?
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Dr Sarah Temple
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A family doctor with more than 20 years experience working with children in both General Practice and Mental Health Services. Trained to run Emotion Coaching Parenting Courses. She has a special interest in the link between child and parental wellbeing.
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Pregnancy Health

Why am I being offered the whooping cough (pertussis) vaccination in pregnancy?

The risk of babies contracting whooping cough is serious and high. Since newborns can't be vaccinated, the method used is to vaccinate pregnant Mums. The protection against the disease passes across the placenta. This continues to protect newborn babies until they have their own vaccinations at the age of 8 weeks.
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In Short
Whooping cough can kill newborn babies.

Newborn babies can’t be vaccinated.

The whooping cough vaccination can be given to pregnant women to protect their newborn babies.

There is no risk to the Mum.

How does the whooping cough (pertussis) vaccination work?

A whooping cough is a serious disease. There are a lot of outbreaks around currently and so the Department of Health is offering pregnant women a free vaccination (currently the 4 in 1 Boostrix IPV both protect against whooping cough, diphtheria, tetanus and polio). When you are vaccinated, the antibodies to the disease will pass across the placenta so your baby will be born with immunity to the disease. This will protect him from contracting the disease as a newborn before he has his vaccination at 8 weeks.

Is whooping cough on the increase?

There has been a big increase in cases of whooping cough since 2012 with over 400 babies catching whooping cough. Sadly 14 babies died in this period. It is a terrible disease that Essential Parent co-founder Dr Rebecca Chicot remembers her sister catching from older children as a newborn. Her sister was very ill and exhausted by the illness.

What is whooping cough?

A whooping cough is a nasty bacterial infection that causes terrible coughing bouts and difficulty breathing. In babies, the whooping and coughing may not be a symptom but breathing is seriously impaired and may even stop.

The coughing can be so severe in adults that they break their ribs coughing and the effects can be dangerous with pneumonia and brain damage. Babies are particularly vulnerable and most will need to be treated in hospital. There is a real risk that babies can die from the infection.

Do I still need the vaccination if I had it as a child?

Even if you were immunised against whooping cough as a child, the protection you had as a child will have worn off. You will need to have the vaccination again to protect your baby.

When will I have the vaccination?

Pregnant women are offered the vaccination between 28 to 38 weeks. This is to maximise the chances of passing across the potentially life-saving antibodies to the virus but not too late to miss mums who give birth prematurely.

Is whooping cough (pertussis) vaccine safe for pregnant women to have?

It’s really nerve-wracking deciding whether to have medicine or vaccinations while you are pregnant since you feel vulnerable and very protective of your baby. You are trying to weigh perceived or real risks to your baby in the womb versus risks after they are born.

The vaccine has been used regularly in the UK since 2012, and there is no evidence to suggest that it is unsafe for you or your unborn baby. However, the vaccine hasn’t been tested on pregnant women because clinical trials rarely include them. Similar vaccines have been used in other Western countries without evidence of risks to either pregnant women or their babies. In addition, the Department of Health and parents need to weigh up the risks of babies contracting whooping cough before 8 weeks of age versus vaccine side effects. The Department of Health currently strongly recommends taking the vaccine to protect your baby.

In addition, the vaccine doesn’t contain ‘live’ whooping cough so you cannot be infected with it yourself.

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DISCLAIMER
This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Essential Parent has used all reasonable care in compiling the information from leading experts and institutions but makes no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details click here.