I dont have the virus. My NICU says that my baby should be vaccinated just for the sake of added protection. She’s only about 35 weeks gestation. Can this vaccination harm her? I don’t trust the hospital to give me the real low down.
I just read the full prescribing information leaflets for the two commonly used Hep-B vaccines used in the US and it says nothing about safety for premature babies -neither that it is safe or unsafe.
As near as I can tell the US guidelines are to give it to ALL babies as long as they weigh 18kg (4 lbs). In Canada its only given to baby’s of infected mothers (and sometimes if dad or another caregiver is infected) AND the baby weighs more than 2 kg (almost 4 1/2 lbs). In the US preemies are screened to see if they need an additional dose, in Canada preemies that are vaccinated at birth all get an additional dose.
Its up to you, only you can weigh the risks of being unvaccinated (or unvaccinated until 2 months or whenever) against the risks of vaccinating a preemie (which aren’t documented as far as I can tell). However this vaccine is considered safe during pregnancy
This says that the baby must weigh 1.8 kg (4lbs)
http://74.125.95.132/search?q=cache:4mXZEcSkI9MJ:www.mpaeds.org.my/PaediatricProtocols/07.%2520The%2520Premature%2520Infant.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=2&gl=ca
http://74.125.95.132/search?q=cache:QPdvLmWiMzcJ:www.health.sa.gov.au/pehs/Immunisation/infant-hep-b.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=3&gl=ca
Premature babies are more prone to infections and
in general should be immunised at the normal time.
Babies born less than 32 weeks gestation may have a
lower immune response to hepatitis B vaccine. These
babies should have a blood test after their 4th dose
of hepatitis B vaccine to check if they have adequate
protection and if not an extra booster dose of hepa-
titis B vaccine will be offered at 12 months of age
http://74.125.95.132/search?q=cache:q_67uFw6AcIJ:www.calgaryhealthregion.ca/clin/cme/pophlth/phu0207_0208.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=4&gl=ca
In addition to the routine vaccinations, infants
born to Hepatitis B infected mothers are given
HBIG and started on the Hepatitis B vaccine
series, using thimerosal-free vaccine. The HBIG
and Hep B vaccine should be given as soon as
possible regardless of gestational age, because of
the high risk of the disease. If the infant weighs
less than 2 kg (2000gms), they will require an
additional dose of vaccine that should be
administered 2 months after the 3
rd
dose. These
infants should be serologically tested for anti-
HBs and HBsAg 1-3 months after they complete
their Hep B vaccinations. In Alberta, we don’t
routinely immunize infants of uninfected
mothers, but some other provinces do. In that
situation, it is better to wait until the premature
infant reaches either 2 kg or 2 months of age,
because of the possible lower seroconversion
rate and the low risk of disease. Alberta does