Paging Dr. Gupta   « Back to Blog Main
October 6, 2008
Posted: 12:44 PM ET

By Miriam Falco
CNN Medical Managing Editor

Every year, we report on who should get a flu shot: the elderly; those over 50; children age 6 months to 5 years old; pregnant women; people with chronic disease.

But apparently the message isn’t getting through about pregnant women.

Both the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend that women who will be pregnant during the flu season, which runs from October to May, get a flu shot.

However, a new poll commissioned by the non-profit National Women’s Health Resource Center found that only 25 percent were aware of these recommendations and only 20 percent agreed that getting a flu shot while pregnant is important.

The latest data from the a CDC health survey show that less than 14 percent of pregnant women between ages 18 and 44 actually got a flu shot during the 2006/2007 flu season.

Flu kills an average of 36,000 people and leads to hundreds of thousands of hospitalizations each year, according to the CDC.

An informal (and very unscientific) survey of my own found that some women weren’t aware that young women who happened to be pregnant fall in the high-risk category. Others who already had children didn’t think it was safe to get a flu shot during pregnancy.

So how bad can it be if you get the flu during or right after pregnancy? Very bad, according to mother of four Lisa Madden. Three months after giving birth to triplets, “”for the first time in my life I got the flu,” she said. “I was the sickest I ever was in my life.”

She was laid up in bed for 10 days, her mother and mother-in-law had to come in to help care for the babies, and even her husband had to take off work because she was so sick.

“That was the year I learned my lesson” (about not getting a flu shot), she said. She now preaches the vaccination’s importance.

Dr. Carolyn Bridges, the CDC’s flu expert, said that complications of the flu in pregnant women can be the same as in other people — pneumonia, dehydration, hospitalization. But the flu can also lead to pre-term labor, fetal demise and worsening respiratory function.

There may be other reasons that pregnant women don’t get a flu shot. Only 51 percent of women who participated in this new poll thought it was safe to get a flu shot during pregnancy. Dr. Jeanne Santoli, deputy director of the CDC’s Immunizations Services Division, said that flu shots are safe at any time during pregnancy — during all three trimesters.

Even though ACOG and the CDC say flu shots are safe; some women are concerned about the preservative thimerosal in flu shots. If that’s the case, women can request a preservative-free flu shot. It may cost a little more.

Convenience is another thing. Although many OB-GYNs may recommend that a pregnant woman get a flu shot, they may not offer it in their practice. Having to go somewhere else may contribute to not getting one. It’s inconvenient, you forget, you just don’t get around to it.

Some women just may not be aware of how serious the complications can be for Mom or baby.

Soon-to-be first-time mom Virginia Bader is seven and a half months pregnant. She credits spending a lot of time with her elderly grandmother for being aware of those at high-risk for complications of the flu. “It occurred to me that I was in a high-risk category myself,” she said. She asked her doctor two months ago about getting a flu shot. It was too early then, but she said, “I will be getting it soon now.”

“You don’t have a lot of control over many things when you’re pregnant; this is something you can take control of.”

Are you pregnant or have a new baby? Are you planning on getting a flu shot during this flu season?

Editor’s Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.

Posted by:
Filed under: Health • Parenting • Women's Health


Share this on:
Jenny   October 6th, 2008 1:52 pm ET

I am 28 weeks pregnant, and I will definitely get a flu shot this year, and will encourage my husband to do the same so he doesn’t bring it home to the baby.

Amy   October 6th, 2008 4:15 pm ET

I never even knew you should get the flu shot if pregnant. I was thinking about getting it this year because my work offers them for free through our benifits. We are planning on get pregnant this winter, so I will definatly get it now.

Mary   October 7th, 2008 8:15 am ET

If you get a flu vaccination, make sure it does not have thimerosol in it. Your baby doesn’t need the flu or a shot of mercury. Be knowledgeable about what you’re putting into your body while you are pregnant.

Ed   October 7th, 2008 9:22 am ET

Flu shots are all scams.

Rupal Khurmi   October 7th, 2008 1:40 pm ET

I am a pediatrician and have seen many otherwise NORMAL babies under 6 months die from complications of the flu. It’s devastating for a family. My son gets his shot on the first day it is offered in his doctor’s office.

I think we should remind people that the antibodies/immunity that the mother develops can be transfered to the newborn in utero and also through breast milk! A pregnant woman receiving this vaccine is not just protecting herself!

Access is definitely a problem. I have several friends who have been told that they CAN’T RECEIVE the flu shot if they are pregnant after waiting in line for the shot at local pharmacies/grocery stores. I sent those friends back with a copy of the CDC recommendations and they were still refused. It doesn’t make sense.

GF, Los Angeles   October 7th, 2008 3:02 pm ET

I agree with that Ed!

Arlene   October 7th, 2008 5:50 pm ET

I’m 15 weeks pregnant with my second child and I just got my Flu shot yesterday. I’m Active Duty Air Force and I know that they sometimes offer the nasal flu mist- which is a live virus and pregnant women should not take that, they have inactive flu shot they give pregnant women, I got one with my first child and had no side effects whatsoever.

Barb   October 8th, 2008 12:26 am ET

If you are concerned about food allergies, you should think carefully before getting the flu shot. The flu shot is based in chicken egg. This means that your baby could get exposed to egg proteins which has the potential to lead to an allergy to eggs. Pediatricians do not recommend giving eggs to infants during the first few months after they are born so I’m not sure why you would inject it into the bloodstream of an unborn infant.

Allyson   October 8th, 2008 12:45 pm ET

The amount of mercury in thimerosal isn’t enough to damage a fetus; the benefits of the flu vaccine far outweigh any risk…which here is essentially none.

While it’s true that you can still get strains of the flu that aren’t covered by the vaccine, isn’t it better to be covered for the 3 strains that incredibly qualified doctors and epidemiologists believe will be the most prevalent? Pregnant women are a high-risk group because there are two lives at stake; studies are showing that the influenza virus most likely is able to cross the placenta and infect the embryo/fetus.

Michelle   October 8th, 2008 4:34 pm ET

I am pregnant this flu season and will be ready to deliver in a few weeks. I have a large family and have never been advised by my OB to get a flu shot (and nearly all of my children have been born in the fall.)

I believe that articles like this draw a lot of attention from people that it doesn’t directly impact. Whether a women gets, or is advised to get this shot by her physician, is between the two of them based on her health history plus risk factors. As it stands, I’ve already been advised by my mother that she’s read that I need a flu shot because I’m pregnant. I see this as one more thing for pregnant women to be hassled about by well meaning but uninformed bystanders.

The pediatrician’s (Dr. Khurmi’s) comments about places refusing to administer flu shots to pregnant women is enlightening. Wonder if the refusing agencies could be interviewed as to their reasons why?? I suspect it’s the same reason my OB has never suggested I get a shot.

Jessica   October 8th, 2008 4:39 pm ET

I am 32 weeks pregnant, and in previous years have been sporadic about getting the flu shot. I have gotten the flu every year, regardless of getting the shot or not, and so have chosen NOT to get the shot this year because the benefits do not outweigh the risks.

Monica   October 9th, 2008 12:42 am ET

I just gave birth 6 months ago to a 10lb baby boy while having the flu. Talk about an out of body experience. It’s not something I’d wish on my worst enemy. After that day every single family member that visited me in the delivery room came down with it. Not once while pregnant did my doctor ever recommend that I get the shot and I had regular check-ups.. so this is all news to me.

As far as getting my son the shot this year, I am a little apprehensive. I think my husband and I will get one but I don’t know about the baby. All these negative things I read have finally started to scare me.

Allyson   October 9th, 2008 1:52 pm ET

Monica, they shouldn’t scare you. Little to none of the claims that vaccines harm infants and children have been proven. They do not cause food allergies. They do not cause autism. There is little to no scientific evidence showing that any of this is true.

This morning, I ate a bowl of cereal, and then I sneezed. That doesn’t mean that cereal makes me sneeze and that I should avoid it. That would be ridiculous, right? Unfortunately, that is the rationale many anti-vaccine people are using to explain why they don’t vaccinate their children.

Ed   October 9th, 2008 2:49 pm ET

Allyson, where is the proof that vaccines are good for you. Or for kids for the matter. Where? There are none. It is all a way for Big Pharma to keep the $$ rolling in at the expense of the people’ health. The FDA and Big Pharma are the people’s worst enemies.

Emily   October 9th, 2008 5:59 pm ET

No flu shots or any shots, for me or my child, ever.
No thanks Big Pharma! Leave the pregnant women alone and get back to touting your Gardasil so you can make the money back you lost on the lawsuits.

Cammy   October 10th, 2008 9:27 am ET

I am six months pregnant with my second child and will be getting my flu shot, just as I do in any other year. I had a flu shot during the eighth month of my first pregnancy and it did no harm to my unborn son, he is a very healthy 3 year-old today. This was before I knew that thimerosal existed.
I almost died from the flu 15 years ago - I had 105 degree fever, developed pneumonia, was terribly sick with complications for 9 months after, etc. while in my early twenties. I have never felt so close to death’s bed since the one time I did have the flu, it was horrible; it hit me very fast and with a vengence.
I have never come down with the flu since I started getting flu shots every year after I was so sick, and people can say that maybe I’m just lucky or maybe flu shots really do more good than people realize. But I figure, if the flu almost killed me when I was young, healthy and strong, despite my own misgivings about thimerosal - why should I take a chance on something so horrible killing my baby son or having him grow up without his mother? For me, the value I place on life outweighs the possible risks of thimerosal, even though I do have my own doubts about its necessity. After having barely survived the flu first hand, I will take that risk and responsibility, I choose to have my flu shot.
I am a housewife and not a doctor; common sense tells me that being cheap (thimerosal) does not equal being something healthy to inject into my body. Formaldehyde is also a preservative, but I would not inject that into my body either, at least not while I am living. LoL

Gayle   October 10th, 2008 10:34 am ET

A pregnant woman has a duty to her unborn child not to take any unnecessary medication, alcohol or drugs into her body. Why on earth would a pregnant woman inject virus particles and thimerosal (containing 25 mcg of ethyl mercury) directly into her bloodstream? The EPA mandated limit of mercury in drinking water is 2 parts per billion. Just 200 parts per billion of mercury in liquid renders it a toxic hazard, and 50,000 parts per billion of mercury is in each standard flu shot given to adults and young children. Mercury does cross into the placenta and is found in the cord blood of infants who are exposed to it, by either their mother’s fish consumption, dental amalgam fillings, Rhogam shots, or Flu shots. Educate before you vaccinate, especially if you are pregnant, or want to become pregnant.

Allyson   October 10th, 2008 11:48 pm ET

Ed, how about every double-blind scientific study that has examined the efficacy of shots?

I totally agree with you that pharmaceutical companies working for the sole purpose of profit are horrible and heartless; just take for example the pill they marketed to African-Americans that was little more than two heart medicines put into one pill. That disgusted me, and as a college student intending to pursue a career in scientific research, seriously put me off working for pharmaceutical companies.

However, please consider that without vaccination, polio would still exist in first-world communities. Thanks to vaccines, we have successfully eradicated almost all of it. That is proof to me.

Kristin   October 11th, 2008 8:23 am ET

I was pregnant last winter and did not got a flu shot. I worked in a high school, where many students came to school sick. Yet, I was fine. I will not be getting a shot this year and neither will my 6 month old. It doesn’t even make a 75% guarantee you won’t get the flu. My daughter is getting all other vaccines, except chicken pox.

Dan   October 11th, 2008 11:48 am ET

Dose is everything. It is true that 2 ppb are the max in the drinking water, and it is true that the flu shot contains approximately 50,000 ppb mercury. However, the volume of the flu shot is 0.001 liters, and the volume of the water in the human body is ~ 30-40 liters (approximately half of the body weight, but if you are heavy, it is more). Hence, when injected, the mercury gets diluted 30,000 to 40,000 times, and the result is concentration below 2 ppb. Really, girls, get some math education . Obviously the myths regarding the mercury in the vaccines are possible only in a country that is so bad in math that the average person needs a calculator to calculate 2+2.

Becca   October 12th, 2008 10:44 am ET

I’m 7 weeks pregnant and will definitely get the flu shot this year. I haven’t missed it in 16 years and haven’t ever had the flu, though I can’t be certain that the flu shot is the reason. I refuse to take the chance of being sick at this point. Having the vaccine has been good for me so far and my hope is to share my good health with this little baby-to-be. .

Allyson   October 12th, 2008 3:34 pm ET

Also, those values for water mercury safety are based on the fact that you’ll be drinking tap water every day. The one-time maximum dose versus a repeated dose of mercury (from, say, drinking water) are two very different things. You only get 1 flu shot, not 1 flu shot per day. Don’t be misled by those numbers.

Aissa Galoso   October 12th, 2008 9:59 pm ET

That sounds like a great idea.

Nicole   October 17th, 2008 2:41 pm ET

I think pregant women should get a flu shot so they can protect themselves as well as their infants from getting it too.

Sarah   October 18th, 2008 4:55 pm ET

It drives me crazy that so many misinformed women are polluting the internet with lies about shots. I know you believe it to be true, but us doctors who dedicate our lives to training, researching and learning about ways to keep people healthy have no ulterior motive.

Regardless of what you believe we DO NOT GET PAID by what you like to call “Big Pharma.” I’m a pediatrician and I work at one of the busiest and one of the highest ranking hospitals in the US– and I’m 6 weeks pregnant. And since it’s October, I just received the flu shot (with thimerosal).

Being pregnant with our first child is the greatest gift in the world and we are so very ecstatic… why would I risk putting my baby’s life in danger if I was only recommending flu shots becasue of this conspiracy you have about Doctors and Big Pharma? It’s laughable, and what you’re truly doing is putting people at risk- at risk of catching the flu and harming your child and yourself. That is the one fact everyone should take away from this board- the flu is extremely dangerous to pregnant women.

It’s flu season, if you’re pregnant GET THE FLU SHOT. Don’t listen to the fear mongers, listen to your doctor.

AW   October 19th, 2008 1:42 pm ET

Flu shots are not a scam. They’re different every year and once you have one, you’re immune to those strands for life. Therefore, if you get one every year, you increase your immunity by 3 varieties every year.

There is zero chance of getting the flu from a flu shot, and a pregnant woman passes immunity to her child. If a parent gets the flu, it’s not a big deal, but an infant who contracts influenza has a significant chance of dying. 36,000 people do every year in this country.

Vaccines don’t cause autism, either. This is a classic example of confusing coincidence with causation. Autism just happens to start to show symptoms around the time that children get vaccines. If a significant amount of people start believing rumors about this, we’re going to be facing the resurgence of deadly infectious disease among children. Diptheria, typhoid, measles, and smallpox anyone?

Get a vaccine. Protect yourself, your family, your baby, and our public health.

MiChelle   October 20th, 2008 11:26 am ET

I am losing a battle because I refuse to take a flu shot being pregnant. I am highly educated and I don’t believe in taking flu or any other injection for religious reasons. I have been brought up on this belief and I also do not believe in vaccinating my children.

I feel a woman pregnant or otherwise does have the right to control what is put into her body. Just because the doctor “recommends” a vaccination does not mean it should be forced upon a woman.

Melissa   October 22nd, 2008 3:57 pm ET

Please do not let these people convince you not to vaccinate yourself or your baby. My way of looking at it is as long as there is no evidence showing risk to your baby then get vaccinated. There is info everywhere as to which vaccines you should not take during pregnancy. How would you feel if you didn’t get the vaccine and harm was done to your baby. In the end, its one of those situations where if it is just a big scam by the big pharmos as someone said then so what you’re out $25 bucks, but if it really is protecting your baby then not getting the vaccine puts you much more than $25. A healthy life for you and your baby is priceless!!!!

Caroline   October 26th, 2008 11:45 am ET

I *might* be a few weeks pregnant and just went to get a flu shot. I was turned away. The 3 nurses agreed that they did not know if if was safe for me or not and that I should consult a doctor. If it is safe, why don’t the health care providers administering the shots know?

SMarie   October 29th, 2008 3:39 pm ET

I am pregnant w/ #3 and decided not to get the flu shot this year. I starting researching and found about 50/50 were for /against flu shots. I thought about my grandmother /my mother who had 11 and 8 healthy children. There was no such thing as flu shots in their day. We just have to learn to slow down/manage our colds/flu when we get them take off work/rest drink plenty of liquids….

VP   October 30th, 2008 5:39 pm ET

I just got a flu shot and am not pregnant but we are trying to get pregnant - I want to know if I should wait a month before we try again or are we good to go?

Beth   November 4th, 2008 11:53 am ET

I work for a government facility which is offering free flu shots to every employee, EXCEPT pregnant women. When I asked why they gave no good reason, just told me I’d have to get my doctor to do it. Considering their own information sheet specifically listed pregnant women as a high risk group who should get the vaccine this seems a little crazy.

Leave Your Comment


 

Comments are moderated by CNN, in accordance with the CNN Comment Policy, and may not appear on this blog until they have been reviewed and deemed appropriate for posting. Also, due to the volume of comments we receive, not all comments will be posted.


subscribe RSS Icon
About this blog

Get a behind-the-scenes look at the latest stories from CNN's chief medical correspondent, Dr. Sanjay Gupta, and the CNN Medical Unit producers. They'll share news and views on health and medical trends -- info that will help you take better care of yourself and the people you love.

Editor's Note

Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.

Categories
CNN Comment Policy: CNN encourages you to add a comment to this discussion. You may not post any unlawful, threatening, libelous, defamatory, obscene, pornographic or other material that would violate the law. Please note that CNN makes reasonable efforts to review all comments prior to posting and CNN may edit comments for clarity or to keep out questionable or off-topic material. All comments should be relevant to the post and remain respectful of other authors and commenters. By submitting your comment, you hereby give CNN the right, but not the obligation, to post, air, edit, exhibit, telecast, cablecast, webcast, re-use, publish, reproduce, use, license, print, distribute or otherwise use your comment(s) and accompanying personal identifying information via all forms of media now known or hereafter devised, worldwide, in perpetuity. CNN Privacy Statement.
Home  |  World  |  U.S.  |  Politics  |  Crime  |  Entertainment  |  Health  |  Tech  |  Travel  |  Living  |  Business  |  Sports  |  Time.com
Podcasts  |  Blogs  |  CNN Mobile  |  Preferences  |  Email Alerts  |  CNN Radio  |  CNN Shop  |  Site Map
© 2008 Cable News Network LP, LLLP. A Time Warner Company. All Rights Reserved.
Powered by WordPress.com