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MMR vaccine

MMR vaccine Rubella

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#1 KandS12

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Posted 24 May 2013 - 10:15 PM

Hi there,
The nurse at my clinic called to tell me yesterday that my initial blood work (which I had completed in December 2012) revealed I have low immunity to Rubella. She advised me to get a booster before next week. We are hoping to start our first cycle of IVF next month. I started my Suprefact injections yesterday. Today, my family doctor refused to give me the vaccine as we are planning to get pregnant in less than three months.
Is there any reason to be concerned about either not getting the vaccine or getting it three weeks before becoming pregnant?

Me 38, DH 42

March 2011 - DH vasectomy reversal - unsuccessful

March 2012 - DH vasectomy reversal take 2 (what were we thinking??!) unsuccessful

 

IVF #1

Sept 2013 - 5 days of stims, poor response, cycle cancelled

Oct 11 - start stims CD2

Oct 23 - ER - 8 eggs retrieved

Oct 24 - 7 fertilized with ICSI

Oct 28 - ET - still have 6 blasts!  1 transferred, 5 on ice

Nov. 6 - AF arrives BFN

 

FET #1 - Feb. 2014

Feb 9, 2014 - transferred 1 beautiful blast

Feb 23 - beta BFN

 

FET #2 - April 2014

April 10, 2014 - transferred 1 4AA hatching blast

April 22 - beta BFN

 

FET #3 - May 2014

May 11, 2014 - transferred 1 good lookin' blast
May 23, 2014 - BFP!!! Beta 326

May 26, 2014 - beta 1478!

EDD - January 26, 2015

DS born January 27, 2015

 

FET#4 - Nov. 28

Dec 10, 2017 - BFP!  


#2 Emily81

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Posted 24 May 2013 - 10:43 PM

I know you were asking the RE, but I will chime in, in the meantime...

 

I am not 100% sure but think your clinic should now best on this one? My experience was that after I was referred to the clinic(after 3 yrs ttc) I found out my immunity was low. Had the booster and was told I couldn't ttc for a month. Can your clinic do it for you asap maybe? I think all gp's should be testing for immunity when we are ttc, so much easier to catch it before we get pg than to deal with the "what ifs" afterwards. Hope you get some answers and can cycle as scheduled!



#3 Maralee

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Posted 24 May 2013 - 11:06 PM

Dangerous to get rubella when pregnant, that's why they want you vaccinated before pregnancy.  Similar to Emily81, I was told I couldn't ttc for 1 month, it's a live vaccine which isn't really safe in pregnancy.  I would check with public health, they are the 'experts' on this, more than family docs are.  I'd get it now, if you are still about a month away from ER and ET.  Good luck


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Me 30, 31, 32 Hubs 35, 36, 37

See about me for past history
IVF 2
Jan 2013-awaiting consult at VFC...
Feb 2013-Consult a success, off to victoria we go!  Looking at April.  Meanwhile, started gluten/dairy reduced diet with a ton of supplements.  Feeling great!
Day 1...Mar13/13
LH surge Mar 24 Start estrace Mar 27
Day 1, April 8
Fly to VFC April 9-u/s and blood work-all OK
April 10-start stims Gonal 225, saizen 1.66mg, repronex 75
April 15-u/s and bw, all good, 6 follies, all same size, continue and next u/s and bw apr 17
April 17-u/s and bw-all good, 7 follies, similar size, continue and next u/s apr 18.  ER on april 20 or 21
April 18-bw good, u/s now 10 follies but starting to separate in size.  Back tomorrow, ER april 21/22?
April 19-bw good, 1/2 of follies ready...trigger tonight, ER on April 21
April 21-9 retrieved.  Awaiting fertilization reports... fingers crossed!
April 22-Amazing news, 8 out of 9 are mature and all 8 fertilize, 1/2 by ICSI, 1/2 by regular.  How could that happen?
April 23-All 8 still going, mix of 15-19/20
April 24-6 still going, 2 transferred-an 19/20 and 18/20, 2 frozen a 18/20, 17/20, and 2 in culture to day 5-wait and see
May 8-OMG, positive beta!!  517, wow! 14dp3dt
May 10-beta 1060.  Yay!!
May 27-viability u/s...both took, it's twins!  Heartbeats around 140, 1 measures a couple days behind.  CRAZY!
June 16-10 wk u/s, both still growing, hb's 172 and 165. 
July 2-Nuchal-excellent.  Fell in love with them.  hb's 168 and 160, both measure a couple days ahead now.
Aug 16- 18 week detailed, both are amazing.  Team green! Cord insertion issue with baby A discovered.
Oct 10-27wk 4 day, A is 2 lbs, B is 2.2 lbs...may have seen a penis and sac on one of them.
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Nov 21-32wk 4 day, A is 4lbs, B is 4 lbs 8 oz, starting to slow down a bit, and both head down.
Dec 4-34 wk 3 day, A is 5 lbs 2 oz, B is 5 lbs 5 oz, A head down and engaged, B now breech.
 
Dec 17-after falling down the stairs, our baby boy and girl arrived at 36 weeks, small but healthy
Welcome Abigael and Colin.
 

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#4 EMJ

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Posted 24 May 2013 - 11:13 PM

I had the shot  one year before we started ttc (couldn't remember if I had it as a child) and my initial blood work for the fertility clinic said I had low immunity. I spoke with a nurse and she said sometimes, it just doesn't show up in the blood sample that was given. That being said, the fertility clinic refused to proceed until I had a booster. They didn't want to take any chances.

 

Definitely speak with your clinic as soon as soon as you can.


Me- 38, DOR
DH - 37, MF (morphology)
IVF 1- cancelled due to poor response
IVF 2- poor response, converted to IUI- BFN
IVF 3- finally made it to transfer- BFN
IVF 4- BFP!

#5 Merry33

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Posted 24 May 2013 - 11:30 PM

Dangerous to get rubella when pregnant, that's why they want you vaccinated before pregnancy.  Similar to Emily81, I was told I couldn't ttc for 1 month, it's a live vaccine which isn't really safe in pregnancy.  I would check with public health, they are the 'experts' on this, more than family docs are.  I'd get it now, if you are still about a month away from ER and ET.  Good luck

 

That answers it really well. Live vaccines are not safe in pregnancy, and MMR is one of those. And the rule is 28 days (or 4 weeks).

Therefore the doc likely won't give it to you if they know you might be pregnant within these 4 weeks (they won't take the risk as in the end they might be held responsible if something happened).



#6 mouse

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Posted 25 May 2013 - 04:25 AM

From the CDC's vaccine guide http://www.cdc.gov/v.../preg-guide.htm

 

Measles, Mumps, Rubella (MMR)
  • Measles-mumps-rubella (MMR) vaccine and its component vaccines should not be administered to women known to be pregnant. Because a risk to the fetus from administration of these live virus vaccines cannot be excluded for theoretical reasons, women should be counseled to avoid becoming pregnant for 28 days after vaccination with measles or mumps vaccines or MMR or other rubella-containing vaccines. 7
  • Because of the importance of protecting women of childbearing age against rubella and varicella, reasonable practices in any vaccination program include asking women if they are pregnant or might become pregnant in the next 4 weeks; not vaccinating women who state that they are or plan to become pregnant; explaining the theoretical risk for the fetus of MMR, varicella, or MMRV vaccine were administered to a woman who is pregnant; and counseling women who are vaccinated not to become pregnant during the 4 weeks after MMR, varicella, or MMRV vaccination. . . . Routine pregnancy testing of women of childbearing age before administering a live-virus vaccine is not recommended. If a pregnant woman is inadvertently vaccinated or becomes pregnant within 4 weeks after MMR or varicella vaccination, she should be counseled about the theoretical basis of concern for the fetus; however, MMR or varicella vaccination during pregnancy should not be considered a reason to terminate pregnancy. 5
  • Rubella-susceptible women who are not vaccinated because they state they are or may be pregnant should be counseled about the potential risk for CRS and the importance of being vaccinated as soon as they are no longer pregnant. 8
  • A registry of susceptible women vaccinated with rubella vaccine between 3 months before and 3 months after conception – the "Vaccine in Pregnancy (VIP) Registry" – was kept between 1971 and 1989. No evidence of CRS occurred in the offspring of the 226 women who received the current RA 27/3 rubella vaccine and continued their pregnancy to term. 8

The plural of anecdote is not data.

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#7 KandS12

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Posted 30 May 2013 - 11:57 AM

Thanks everyone.  I tried everywhere to get the vaccine (my family doctor, public health, walk-in clinic...) but everyone refused to give it to me because my family doctor had refused.  Now the clinic has cancelled my cycle for this month :( Very frustrating.  Who knew it would be so hard to get a vaccination for a disease with a ridiculously low incidence rate!!!


Me 38, DH 42

March 2011 - DH vasectomy reversal - unsuccessful

March 2012 - DH vasectomy reversal take 2 (what were we thinking??!) unsuccessful

 

IVF #1

Sept 2013 - 5 days of stims, poor response, cycle cancelled

Oct 11 - start stims CD2

Oct 23 - ER - 8 eggs retrieved

Oct 24 - 7 fertilized with ICSI

Oct 28 - ET - still have 6 blasts!  1 transferred, 5 on ice

Nov. 6 - AF arrives BFN

 

FET #1 - Feb. 2014

Feb 9, 2014 - transferred 1 beautiful blast

Feb 23 - beta BFN

 

FET #2 - April 2014

April 10, 2014 - transferred 1 4AA hatching blast

April 22 - beta BFN

 

FET #3 - May 2014

May 11, 2014 - transferred 1 good lookin' blast
May 23, 2014 - BFP!!! Beta 326

May 26, 2014 - beta 1478!

EDD - January 26, 2015

DS born January 27, 2015

 

FET#4 - Nov. 28

Dec 10, 2017 - BFP!  


#8 Dr. Kimberly Liu

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Posted 01 June 2013 - 11:36 AM

Hello,

I'm sorry to hear you have run into so much trouble about this.

 

The rubella vaccine is definitely recommended if you are rubella immune, as contracting rubella during pregnancy can lead to significant disabilities for the pregnancy. However, the recommend if that you need to only wait one month after vaccination to conceive. This has been confirmed by the Canadian obstetrics society (SOGC).

 

I hope you can get this sorted out. Perhaps your clinic can send your family physician information confirming that only a one month, not three month, waiting period is needed.

 

Good luck,

Dr. Kim Liu


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#9 KandS12

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Posted 05 June 2013 - 08:07 PM

Thanks so much. I've received so much conflicting information and was counselled by 2 family doctors not to get the vaccine if we were TTC. I really appreciate your opinion and feel relieved that I did go ahead and get it last Friday.

Me 38, DH 42

March 2011 - DH vasectomy reversal - unsuccessful

March 2012 - DH vasectomy reversal take 2 (what were we thinking??!) unsuccessful

 

IVF #1

Sept 2013 - 5 days of stims, poor response, cycle cancelled

Oct 11 - start stims CD2

Oct 23 - ER - 8 eggs retrieved

Oct 24 - 7 fertilized with ICSI

Oct 28 - ET - still have 6 blasts!  1 transferred, 5 on ice

Nov. 6 - AF arrives BFN

 

FET #1 - Feb. 2014

Feb 9, 2014 - transferred 1 beautiful blast

Feb 23 - beta BFN

 

FET #2 - April 2014

April 10, 2014 - transferred 1 4AA hatching blast

April 22 - beta BFN

 

FET #3 - May 2014

May 11, 2014 - transferred 1 good lookin' blast
May 23, 2014 - BFP!!! Beta 326

May 26, 2014 - beta 1478!

EDD - January 26, 2015

DS born January 27, 2015

 

FET#4 - Nov. 28

Dec 10, 2017 - BFP!  






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