台大醫院小兒感染科主任黃立民強調，小朋友感染百日咳，年紀越小越危險。以一歲以下幼兒為例，染病後咳嗽症狀 並不明顯，主要症狀為停止呼吸致腦部缺氧。等家長發現不對勁時送至醫院，通常已延誤治療時機。黃立民表示，這幾年收治不少幼兒百日咳重症個案，大部分都咳 到缺氧、抽筋，有些甚至出現嚴重後遺症，容易癲癇、腦神經發育遲緩，成為父母一輩子的遺憾。
Pregnant? Get Tdap in Your Third Trimester
Only you can give your baby protection against whooping cough before your little one is even born. Talk to your doctor or midwife about getting the Tdap vaccine during your third trimester.
Whooping cough is a serious disease that can be deadly for babies. Unfortunately, babies can't get vaccinated and start building protection against whooping cough until they are two months old. The good news is that you can avoid this gap in protection by getting the whooping cough vaccine (called Tdap) during the third trimester of your pregnancy. By doing so, you pass antibodies to your baby before birth. These antibodies help protect your baby in the first few months of life.
You Need a Whooping Cough Vaccine during Each Pregnancy
CDC recommends pregnant women get the whooping cough vaccine between 27 and 36 weeks of each pregnancy. This recommendation is supported by the American College of Obstetricians and Gynecologists and the American College of Nurse-Midwives, healthcare professionals who specialize in caring for pregnant women. The goal is to give babies some short-term protection against whooping cough in early life.
The amount of antibodies you have from the whooping cough vaccine will decrease over time. That is why it's important for pregnant women to get a whooping cough vaccine during each pregnancy so that each baby has the benefit of getting the greatest number of protective antibodies. Getting the whooping cough vaccine while pregnant is the best way to help protect your baby from whooping cough in the first few months of life.
Whooping Cough Vaccine during Pregnancy Is Safe for Your Baby
Getting the whooping cough vaccine while you are pregnant is very safe for you and your baby. The most common side effects include redness, swelling, pain, and tenderness where the shot is given, body-ache, fatigue, or fever. Severe side effects are extremely rare. You cannot get whooping cough from the whooping cough vaccine. Learn more about safety and side effects.
Young Babies Are at Highest Risk
When babies—even healthy babies—catch whooping cough, the symptoms can be very serious because their immune systems are still developing. They can get pneumonia (a lung infection), and many have trouble breathing.
About half of babies who get whooping cough end up in the hospital. The younger the baby is when he gets whooping cough, the more likely it is that he will need to be treated in the hospital. Every year in the United States, up to 20 babies die from whooping cough, with most deaths in those too young to be protected by their own whooping cough vaccine.
- Pregnant women who have not been previously vaccinated with Tdap should get one dose of Tdap during the third trimester or late second trimester (after 20 weeks gestation). If not administered during pregnancy, Tdap should be administered immediately postpartum.
- Available data from... studies do not suggest any elevated frequency or unusual patterns of adverse events in pregnant women who received Tdap and that the few serious adverse events reported were unlikely to have been caused by the vaccine.
- Wound Management: If a Td booster is indicated for a pregnant woman who previously has not received Tdap, Tdap should be administered.
- Unknown or Incomplete Tetanus Vaccination: To ensure protection against maternal and neonatal tetanus, pregnant women who never have been vaccinated against tetanus should receive three vaccinations containing tetanus and reduced diphtheria toxoids. The recommended schedule is 0, 4 weeks and 6 to 12 months. Tdap should replace 1 dose of Td, preferably during the third or late second trimester of pregnancy (after 20 weeks gestation) of pregnancy.
- Providers are encouraged to report administration of Tdap to a pregnant woman, regardless of trimester, to the appropriate manufacturer’s pregnancy registry: for Adacel® to sanofi pasteur, telephone 1-800-822-2463 and for Boostrix® to GlaxoSmithKline Biologicals, telephone 1-888-825-5249.
Guidelines for Vaccinating Pregnant Women