Aviva, first I must say I absolutely love you and your book The Natural Pregnancy Book. I  am now pregnant and faced with an important decision. In my job I am required to get a flu shot, and I don’t know if that’s safe for pregnancy, or what I can do to refuse it. Can you help me clarify? Thank you. With Gratitude, J

Thank you J! This is a timely question, and one that I suspect is on the minds of a lot of my pregnant readers now that we are entering flu season and this year’s flu shot (9a combination shot that provides protection against H1N1 and seasonal flu) is available.

Whether to vaccinate during pregnancy can be a tough decision to make. And, some employers, particularly in the health professions, are strict about their employees getting vaccinated for flu.

The Top Down Recommendations

The Centers for Disease Control (CDC) and the American College of Obstetricians and Gynecologists (ACOG), the two primary groups that issue recommendations to doctors caring for pregnant women, unequivocally recommend that all women who are pregnant during flu season – roughly October through the end of March – receive the flu vaccine unless they have a health contraindication, such as a severe allergy to eggs since the vaccine contains egg proteins. ACOG has stated that “preventing influenza during pregnancy is an essential element of prenatal care, and the most effective strategy for preventing influenza is annual immunization.”

Note that prior to 1995, the CDC did not recommend universally vaccinating all pregnant women in any trimester; the recommendation was to vaccinate only those pregnant women with pre-existing medical conditions.

The CDC and ACOG assert the following importance of vaccinations in pregnancy:

  • Physiologic changes in pregnancy make pregnant women more susceptible to the flu and to serious complications should flu occur, particularly pneumonia
  • Flu can lead to high fevers, and high fevers in the first trimester have been associated with an increased rate of birth defects
  • Flu during pregnancy seems to increase the risks of miscarriage, premature birth, and low birth weight.
  • Babies are at high risk of complications from the flu, but cannot get vaccinated until they are 6 months old. Babies born to pregnant women who have received the flu shot are less likely to develop flu and related complications
  • Flu shots have not been shown to cause harm to mom or baby in any trimester

Are the Risks of Flu in Pregnancy Really that Serious?

Working in the hospital during the winter of 2009 was frightening. There was a new strain of flu going around and the medical community had no idea how bad it was going to be. The CDC and the media predicted a catastrophic epidemic with dire outcomes. I did, in fact, see two pregnant women very sick with H1N1 flu. One ended up in our ICU; she eventually died. Her pregnancy had already been complicated by severe asthma and obesity. Serious, sad, and scary things can happen.

But the overwhelming data suggests that these are the exception, not the rule, and the exceptions are usually associated with an already complicated medical situation (i.e., asthma and obesity way up the ante on pregnancy risk) rather than happening to the average healthy pregnancy woman.

This is not how the media portrays things. There is a lot of fear mongering in medicine. As a public, we have a skewed, media-driven, fear-based view of our health and of disease prevalence. And it is impossible to ignore the fact that there are massive profits to be made by the very limited number of pharmaceutical companies producing the influenza vaccine.

According to Jennifer Margulis, a controversial and articulate health journalist, in her article “What the Doctor Isn’t Telling You about Pregnancy and the Flu Vaccine,” the data generally presented on flu prevalence and severity of outcomes in pregnant women compared to the general population is highly inflated, not to mention conflated with reports on pneumonia, which are not separated from influenza data. Not being a girl to take anyone else’s word for it, even a brilliant girl’s, and a bit of a science nerd myself, I went to the CDC website as well as a major primary source article, “Vaccination During Pregnancy: A Critical Assessment of the Recommendations of the Advisory Committee on Immunization Practices (ACIP)” to get the scoop. (The ACIP is the CDC’s vaccine advisory group.)

For starters, I wanted to get actual data on flu death rates in the US. Guess what the CDC website reports? They don’t know. No seriously, and I quote them: “CDC does not know exactly how many people die from seasonal flu each year.” They give a really wide range or numbers, hedge a lot, avoid estimating, give a lot of reasons that they just can’t give an exact number, and then finally state, “CDC believes that the range of deaths over the past 31 years (~3,000 to ~49,000) is a more accurate representation of the unpredictability and variability of flu-associated deaths.” And this is all-comers, not just pregnant women. In fact, a study cited on the CDC website states that “about 90% of influenza associated deaths occur among adults 65 years and older.” Clearly NOT pregnant women!

In a review of CDC flu-related maternal death statistics between 1998-2005, Callaghan et al estimate an average of 5 influenza-related maternal deaths per year. In 2009, with H1N1, this number was considerably higher, with an estimate of 28 in the first quarter of the year, which would encompass about 50% of the flu season.

Now I don’t want to minimize the death of any pregnant woman – this is a serious event. But to put it in perspective, 1,000 women would have to be vaccinated to prevent even just 1-2 pregnant women from being hospitalized for influenza related treatment. (Ayoub and Yazbak)

Additionally, when folks have a fever, aches, and cold symptoms they almost always say they have “the flu.” But as a doctor, I know that this is rarely actually the case; most folks with flu-like symptoms actually just have gnarly upper respiratory infections – usually a bad cold. In fact, many cases reported as flu are not the flu, so the actual numbers of people even reported as having the flu are highly unreliable. Confirmatory testing is rarely done.

Further, according to Margulis, “The scientific evidence that pregnant women are actually dying from influenza is all but nonexistent, even when pneumonia and influenza are lumped together.” The largest scientific study to date included 49,585 pregnant women who were part of the Kaiser Permanente healthcare organization in Northern California over five flu seasons, as well as 48,639 live births among the same pool during the same time period. The authors concluded that, “Hospital admission with a principal diagnosis of influenza or pneumonia was an extremely rare event for the women in the study population.” Only nine women (out of almost 50,000) were admitted, which is 0.018 percent, or less than one in 5,000; and of those nine women, all had pneumonia. All nine women recovered with no complications. (Black)

Equally intriguing is that the “Kaiser Permanente study found no difference in the incidence of flu or flu-like illness in those who received the flu vaccine compared to those who did not. It also found no benefit to the infants of women who had been vaccinated.” In fact, two studies have found that that there were significantly more hospitalizations related to flu-like illness of women who were vaccinated than of women who weren’t. (Munoz, Neuzil)

Regarding the claim that influenza in pregnancy is more serious than in the general population, and that it increases risks to the fetus, the ACIP’s recent policy cites only limited evidence, which actually showed that for those pregnant women who actually contracted the flu based on serologic evidence of infection, influenza infection had no significant impact on labor outcomes, health of the newborn, or maternal wellbeing.

Is the Flu Vaccine Safe in Pregnancy?

Many women decline to receive the flu vaccine because they are worried about introducing chemicals and medications into their systems – and their baby’s – during the precious months when their babies are growing and developing. And since we all pretty much know somebody who said they got the flu right after getting the flu shot – actually more likely to be vaccine side effects, but nonetheless, enough to make a lot of people think the vaccine makes you sick. In 2009, the highest recorded number of pregnant received the flu vaccine, and this was still only 50%.

Many are skeptical about both the safety and the effectiveness of the flu vaccine, and after what turned out to be as much media hype as reality about the dangers of H1N1 a few years ago, even more women are concerned.

Potential problems with the flu shot:

  • Because the vaccine, and the strain of flu vary from year to year, the vaccination is more – or less – effective in any given year. In some years the vaccine may only be effective in as many as 50% of case. So bottom line, it often doesn’t work!
  • Allergic reactions can happen; i.e., folks with severe egg allergy cannot get this vaccine
  • A rare reaction called Guillaine-Barre Syndome (GBS) occurs in 20-40 people who receive the flu shot annually
  • Side effects are relatively common and include fever, aches, and redness/soreness at the injection site
  • Most flu vaccines still contain thimerosol, that mercury derived preservative that has been removed from most vaccinations due to risk of mercury neurotoxicity from exposure through vaccinations and other environmental sources.

Overall the rates of overt adverse reactions, such as GBS, are rare, though it is true that many people who receive the vaccine do report flu-like symptoms in the days immediately post-vaccination. The greater concern is not severe acute reactions, but the long-term unknown effects of fetal vaccine exposure, and the reality is that they are just not well-studied. We know that thimerosal is a neurotoxin, and that the fetus accumulates mercury from the mother’s system; therefore it is ideal to accept only thimerosol-free vaccines during pregnancy. Some manufacturers produce single dose injections that are free or, or contain only minimal amounts of this chemical. According to Ayoub and Yazbak, “Because the benefits of influenza vaccination during pregnancy appear lacking, a safety-benefit analysis should not tolerate any risk to vaccine recipients or their offspring, even at a theoretical level.”

If You Do Choose the Vaccine

Choosing to get the flu vaccine is a reasonable decision and not one to beat yourself up about. There area few things you can do to optimize safety:

  • Do NOT get the nasal spray vaccine during pregnancy. It is made with live virus and is not considered safe in pregnancy. The flu shot is made from an inactivated virus, and is the only recommended vaccination for use in pregnancy.
  • Don’t get vaccinated if you have a fever or otherwise feel unwell
  • Don’t get the flu vaccine if you have a moderate to severe egg allergy
  • ASK YOUR DOCTOR FOR A THIMEROSAL FREE flu vaccine. They are available and it may need to be special ordered for you. The thimerosal-free versions usually come as a single dose injection; the multi-vial preparations are much more likely to contain the preservative.

If You Choose Not to Receive the Vaccine

I’ve had the flu. The-honest-to-goodness-bones-hurt-so-much-I-wanted-to-cry real influenza bug. It was awful. My 14-year-old daughter had it, too. We spent 4 days in bed together sleeping, taking herbal tinctures, and whining. I watched Sex and the City for the first time. I could barely laugh. Then we got better. I never want to have the flu again.

If you choose not to vaccinate, you have somewhat more chance of getting the flu – how much more is unclear. As I said, the vaccine sometimes only works 50% of the time and success varies from year to year as does the vaccine viral strains. It’s statistically better than a crapshoot but unpredictable. Knowing the symptoms and when to call your doctor is important. Any pregnant woman with a high fever should call her physician immediately. Ditto if she is having any breathing difficulty or severe headache, either of which can be a symptom of a medical emergency.

Hand hygiene – washing with soap and water or using an alcohol based hand cleanser like Purell, can greatly reduce transmission. I do not recommend antimicrobial hand soaps, which actually increased bacterial resistance and probably cause more problems than they solve.

A healthy diet, adequate sleep, and minimizing stress go a long way to preventing illness and supporting resilience. Several herbal medicines and supplements are safe for use in pregnancy and can also boost your immune system. My 2 favorites for cold and flu prevention are Elderberry syrup and Zinc. Elderberry syrup can be taken daily; 2 tablespoons is a recommended dose. Zinc tablets can be taken in doses of 20-40 mg daily.

Garlic and ginger, also safe in pregnancy, make good daily additions to the diet, and yellow and orange vegetables such as winter squashes and sweet potatoes are rich in vitamin A which helps to keep the respiratory passage tissue healthy and optimize its immune functions. Finally, echinacea is an herbalist’s favorite for preventing upper respiratory infections and has demonstrated safety during pregnancy. A typical dose for prevention is 5 ml of the liquid extract twice daily.

No matter what, make the best choice for YOU. Take your own situation into consideration: Are you likely to have frequent exposures to sick patients or children due to your work? Do you have underlying medical conditions that make you more vulnerable to illness? There is no right or wrong answer. The most important thing is to make a deliberate, educated choice.


American College of Obstetricians and Gynecologists, Committee Opinion No. 468, “Influenza Vaccination During Pregnancy,” Obstetrics & Gynecology. October 2010;116(4):1006–1007.

Black, SB, et al., “Effectiveness of Influenza Vaccine during Pregnancy in Preventing Hospitalizations and Outpatient Visits for Respiratory Illness in Pregnant Women and Their Infants,” American Journal of Perinatology. October 2010; 21(6): 33–339.

Callaghan WM, Chu SY, Jamieson DJ. Deaths from seasonal influenza among pregnant women in the United States, 1998-2005. Obstetrics and Gynecology. May 2010;115 (5):919-23.

Estimating Seasonal Influenza-Associated Deaths in the United States: CDC Study Confirms Variability of Flu. http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm

Knox, R. “CDC to Urge Swine Flu Vaccine for Pregnant Women,” National Public Radio, All Things Considered (29 July 2009): www.npr.org/templates/story/story.php?storyId=111320170

Margulis, J. What the Doctor Isn’t Telling You about Pregnancy and the Flu Vaccine. Dec 07, 2011v. http://mothering.com/pregnancy-birth/what-doctor-isn’t-telling-you-about-pregnancy-and-flu-vaccine

Munoz, FM et al., “Safety of Influenza Vaccination During Pregnancy,” American Journal of Obstetrics & Gynecology. April 2005; 192(4): 1098–1106.

Neuzil, KM et al., “Impact of Influenza on Acute Cardiopulmonary Hospitalizations in Pregnant Women,” American Journal of Epidemiology 1 December 1998: 148(11): 1094–1102.


  1. I read, can’t remember where, that when mothers have the flu during pregnancy, that it affects brain develpoment in the fetus…..what do you know about this?

    • Vaccines have not been proven safe or efficacious for the very populations mandated in. Good science is thrown out the window; otherwise, it would include post-vaccine testing for titers to prove immunity. Any disease has potential to cause fatality. Pregnant women are immunosuppressed during pregnancy and are continually harassed by practitioners to follow medical mandates. Thimerosol is present in all flu vaccines to date which is a dangerous neurotoxin. There is a long list of additives (formaldehyde, monkey tissue, aluminum, genetically modified viruses and material, etc.) that alter immune function and switch immunological responses to chronic cell-mediated inflammatory pathways. These alterations continue for life unless the individual goes through a detoxification process. There are safe homeopathic alternatives by prescription for every vaccination, but those are not generally offered. With or without vaccines, the goal is support the immune system. Hummic acid, olive leaf, andrographis, vitamin D, Vitamin C, sambuccus and a host of other herbs and nutraceuticals provide plenty of protection. Your article was comprehensive and neutral, but the issue is no longer neutral. I encourage everyone to read the transcripts of Dr. Andrew Wakefield on Mercola’s website. He paid a high price to publish the truth about contaminated MMR vaccines that caused profound autism in the UK.

      • You know that no vaccines have ever been shown to cause autism, right? However over 20 studies have shown that that MMR doesn’t. Also, the amount of mercury in a vaccine is minuscule compared to the amount you naturally get in your diet. Lastly, you didn’t answer the OP’s question.

        Flu (not the vaccine) during pregnancy has been associated with neurological impairments (mostly behavior and learning issues) but there hasn’t been a causal relationship found yet. There are prospecive studies underway currently.

        • Dear Joyce,
          I generally don’t engage in vaccine arguments or back and forths. It’s a highly personal choice. As a physician, I do give vaccines, I think some are important, in some contexts, many are important.
          That said, it is important to keep several things in mind:
          1. BIG PHARMA does control much of what happens in medicine, including which vaccines studies get published. So no matter how many medical journals one reads, or how many articles one can cite, that’s only a fraction of the story of what goes on behind the scenes. The truth is not being told.
          2. Yes, you are right, no causal relationship between the MMR vaccine and autism has not been established. Doesn’t mean there isn’t a connection, and certainly autism is a complex, multifactorial condition.
          3. NO amount of mercury in any vaccine is necessary nor is it safe or acceptable. This is irregardless of how much is in food.
          4. Regarding influenza and the flu vaccine in pregnancy, most data does not show harm when pregnant women get the flu, and little to no reduction in adverse flu outcomes from vaccine use. The vaccine largely lacks efficacy beyond 50-60% in a good year, and it usually contains thimerosal.
          Thanks for your thoughts. Not sure what question I missed – I try to respond to as many as I can but can’t always get to every one.

    • I appreciate you stressing the importance of each of us making an educated decision when it comes to receiving the flu vaccine while pregnant. I feel it’s important for readers to understand that the flu virus can harm an unborn fetus in utero. For example, please check out the following which discusses a correlation between flu and bipolar incidence.

      Also, I want to mention that most flu vaccine does NOT contain thimerasol. Thimerasol is used only in flu vaccine which comes in a multi-dose vial. Please see the attached spreadsheet of the available licensed flu vaccines.

  2. I find it very interesting that a day after my husband got the flu vaccine at work he now has shingles!
    He is an ER physician and is required to get the vaccine unless he signs a form. Since he didnt want to be singled out he chose to get the vaccine! Hmmm, Food for thought!

  3. thank you so much for this thoughtful response to a tough question! i am 10 weeks along and my dr. is pushing HARD for me to get the flu vaccine. i have not had the flu since i was a child (am 39 now), and am very healthy – don’t even get colds. i am anti-drugs/pharmaceuticals and don’t even like taking tylenol, so my gut tells me not to do it, but of course i do not want to do anything that might put my baby at risk! and thank you for mentioning the fear-mongering in the medical industry – so tired of this, a few years ago i was emotionally (and practically physically) strong-armed into getting the pneumonia vaccine and it left me with a bad taste in my mouth regarding medical practices. i plan on sticking to my guns this time around! but thank you for the thoughtful representation of both sides – you have gained a regular reader!

  4. Thank you for sharing this! Unfortunately, many medical journals are compromised in their politics…It is very hard to cite any US medical journals without being in this boat! I will be certain to take even more care of the journals I cite.

  5. thank you so much for this article. I was going to purchase natures way elderberry for my son and I thought about taking it myself (Im 25 weeks pregnant and do not plan on getting the flu vaccine) everything that I have read on elderberry syrup boxes states that it is not recommended for pregnancy or lactating women. I was surprised that you recommend it and glad. Can you tell me why manufactures of elderberry do not recommend it for pregnancy?

    • it is TOTALLY fine during pregnancy according to anything i’ve ever heard. manufacturers are legally obligated to pretty much recommend against everything in pregnancy….

      • Except vaccines….I called CDC and requested the Actual studies proving safety of flu vaccine. Sent Back 2 studies: 1) looked to see how many babies died inutero following vaccine and 2) looked to see if babies had antibodies to influenza aftwr delivery (that’s called an efficacy study, not a safety study!) Thats the studies they are using to say flu vaccine is safe for pregnancy and babies. Where are the studies looking at pregnancy outcomes in terms if developmental delays, chronic disease, SIDS, etc?

  6. Very thorough on the flu vaccine, information very much needed! I am a healthcare provider and work directly with patients who are vaccinated themselves for the flu. The last flu vaccine I recieved (by accident, not by my choice) gave me symptoms that I did not care for, so I have not chosen to recieve the vaccine for the past 8 years. I have never contracted the flu or any illnesses from my patients in direct care since, however I am wary now that I am pregnant. Besides your well informed article, I will be proactive with my health, and the elderberry extract sounds like a great preventative motivation!

  7. Hello,
    Thank you for your article. I am a physician assistant and work in an acute care hospital setting. I chose not to get vaccinated as I was very early in my pregnancy during Oct. Now I am facing a predicament. I found out that our hospital does have some thimerasol free vaccines left and my ob/gyn strongly encourages me to get it. In my heart I don’t want any vaccines during pregnancy yet at the same time I am in a profession where my risk of possible exposure is high. what is your feeling on the mercury free vaccine. I am still hesistant regarding information I have read on the inflammatory response itself to the vaccine that may cause problems. I appreciate any input you may have. Thank you

    • Hi Erin
      That’s a tough one for sure! Certainly the thimerosal free is best — and if you have a high risk of exposure, you can feel confident that the vaccine is generally very well tolerated by most. How much protection is provided in any given year is variable — and keep in mind it’s not just a flu shot, it’s flu and H1N1 flu combined. I’ve found that trusting myself is often the best option in life! Good luck with this decision! Aviva

  8. Hi although slightly off topic. I just found out I’m pregnant (5 weeks) and so far my immune system is freaking out. I usually don’t get sick and am around kids all the time. Just in the last week I have had a stye, canker sores, swollen lymphs, tonsil stones, a cold, and a 24hr stomach flu with lower fever. How worried should I be about deformities?!!

    • Hi Laurel,
      This doesn’t sound like the classic flu so I wouldn’t freak out. But talk with your midwife or OB to get some additional reassurance. Eating well, and making sure you’re getting adequate phytonutrients, vitamins, and minerals vis a vis a prenatal vitamin if you’re getting sick a lot. Of note, a lot of women find that they get sick when they are first pregnant — it seems that the immune system is going hey, what’s going on here! Take good care of yourself! Of note, echinacea has been shown to be safe during pregnancy, and has been shown to prevent colds and upper respiratory infection. I recommend brands like Herb PHarm or Gaia Herbs for quality and safety.

  9. I got the flu shot with my first pregnancy and got so sick that I was worried I was going to lose my child over it. This time with my second pregnancy when they asked if I was getting the flu shot I chose not to because of my terrible experience with it before.I’ve heard a lot of people having terrible symptoms afget getting the vaccination.

    • Hi Desere,

      This is Megan from Dr. Aviva’s team. Thank you for sharing your story and it’s true, some women can experience some pretty gnarly symptoms. Good for you for listening to what you know to be best for your body!!

      Megan- Dr. Aviva Romm Nutritionist

  10. hello!
    I wondered if you might be able to shed some insight. I am going on a trip to Zimbabwe and South Africa…I am out of date on vaccine’s for MMR, and tetanus. The CDC recommend’s Hepatitis A, and Malaria medication. I am 39, and trying to get pregnant. My concern is how long after getting the vaccine’s should I wait until trying to conceive or/and are there specific versions of these vaccines you would recommend in this situation. Any insight, or direction on where to read about this is Super appreciated.
    Thank you!!!

  11. Dear Aviva
    Thank you so much for your articles about the flu shot in pregnancy and about GBS, testing treatment and prevention, and everything else you write about!
    You are an inspiration!!
    I am a (CNM) home birth midwife practicing in Jerusalem, Israel
    Here in Israel the women are not only strongly advised to get the flu shot in pregnancy, but also the Pertussis vaccination! The Pertussis vaccine used here contains not only Pertussis, but also, Polio, Tetanus and Diphtheria, along with HIB!! All of this given between week 28-36.
    There has been an increase in Whooping cough here and some of the doctors claim it is an epidemic, although the pediatricians I have spoken to tell me that they see very few cases, and that about half of the cases they see are children who were previously vaccinated!
    The Israeli ministry of health has changed the recommended age that babies should receive the vaccine to age 6 weeks
    I would like to know what your stand and opinion, according to research and according to your incredible knowledge is pertaining to the Pertussis combined vaccine in pregnancy and it’s effect upon the newborn, and in general/
    Do you think that this is necessary and what your recommendations are
    Thank you very much
    With deepest respect and admiration

  12. I am a research scientist with a PhD in biochemistry that studies brain development. There is a significant amount of evidence (both in animal studies and epidemiological) that suggests getting sick, really sick (with a high fever for an extended period, as you do with the flu) does influence brain development of the fetus and may predispose your child to autism and schizophrenia. In fact, I can elicit behavioral deficits in mice by giving the mouse mother the flu or a bacterial mimic. This information is unfortunately left out of this article. There is absolutely no evidence that a vaccine during pregnancy alters brain development (even if you feel crappy for a day). Several studies have demonstrated this, the last was a large retrospective study. I see this information left out of every article not written by an MD or PhD. Mothers, please look at the qualifications of the blog you are reading.

    • Hi Bjorke,
      Please do send those references to me at avivaromm.com and I will gladly include if the studies are strong– I’ve been meaning to do some updates on this piece. Aviva Romm, MD (Yale)

    • I don’t — not yet anyway! I don’t recommend it in pregnancy in my practice — I encourage my patients to wait until just after baby is born if they are planning to get it to protect baby. Just my personal preference since it’s a relatively new thing to give it in pregnancy…

  13. Just wondering, as I am a little unclear on this – is it recommended to take daily doses of elderberry and echinacea throughout the cold and flu season OR just when symptoms come on?

    Thank you!

    • Technically, the science shows for Elderberry, just when symptoms come on, but for echinacea, it can be preventive throughout the season. But there’s no harm in taking both throughout the season…I don’t recommend elderberry continually in pregnancy, though — in that case just when needed, but echinacea is fine daily in pregnancy, too.

  14. Do people understand that Mercury from foods passes through the digestive tract slowly and is processed by the liver. The stuff that’s in vaccines immediately hits the blood stream…. Just saying. Don’t know why no one takes that into consideration.

  15. Hello,

    I am so happy that I found your article. I am 22 weeks and in Belgium it is also advised that pregnant women receive the flu AND the whooping cough vaccination. I am staying at home (not working, not socializing, avoiding sick people, practicing my all time favourite hand-washing after returning home), so I guess that next time that I see my doctor I will decline the flu vaccination. My husband had Bell’s palsy a in 2007 and we are afraid to get him vaccinated against the flu. So we are just being very careful. So, this is pretty clear from us (especially after all the stillbirth cases that we read about after getting the flu jab during pregnancy- I know, I know, it is not scientifical data but these are a LOT of cases and noone knows whether anyone ever takes them under consideration). Now, we must decide about the whooping cough jab. For me, the best solution between not getting it at all and leaving the baby unprotected (there are quite many cases of WC over here and getting it while pregnant, is getting it right after birth so that the antibodies can maybe be passed to the baby by breastfeeding. I would really appreciate your input and also I would be glad with a similar article about WC vaccination during pregnancy! xx

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