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Re: OB: Varicella VaxFrom: ainsron@msn.comWed May 17 09:48:12 2000
This is from an article on Varicella in the Green Journal, October 1998, by Wendy Smith: "Although "selective serotesting" appears to be a cost effective strategy for preventing adult varicella, the lack of data on the safety of varicella vaccine administered postpartum, and specifically to lactating women, may be a barrier to immediate implementation. Many evaluations have shown the vaccine is safe in healthy children and adults;21,27 however, approximately 5% of adults develop a postvaccine rash from which vaccine virus rarely has been cultured.47 Thus, although the risk of transmission of vaccine virus from healthy vaccinees with postvaccine rash to close contacts is likely low, it is not nonexistent. Moreover, although the Centers for Disease Control and Prevention guidelines indicate that varicella vaccine may be considered for breast-feeding mothers, it is not known whether the vaccine virus is excreted in breast milk.7 The clinical consequences of transmission of vaccine virus from mother to infant via either of these routes are not known. Rubella vaccine virus can be isolated from breast milk after maternal vaccination but its transmission has not been associated with clinical neonatal infection.48 Among older children and adults, transmission of the attenuated varicella vaccine virus, presumably from rash lesions, is associated with only subclinical or mild infection."47,49 Further research in these areas is needed to guide timing of postpartum vaccination."
>My gut says for her to just skip it, and use no contraception for now.
-- Ronald E. Ainsworth, MD
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