Interesting question. My 'gut' would be to wait until the baby is healthy
enough for discharge for a couple of reasons.
Because rubella is a live vaccine, then mum can technically be infectious  -
which is why we have always taught mums not to fall pregnant for 3 months. I
can't imagine that a preterm baby contracting rubella would be a good thing.
Also, it's not just her baby to consider - is there a possible risk of
spread to other babies in a NICU ? I know in a perfect world of good
handwashing this shouldn't happen......but......

Also, in the hospital I work in there are lots of antenatal patients
wandering around. The thought of someone who has had a live rubella vaccine
being in close contact with possibly non -immune antenates bothers me.

I'm probably erring very much on the side of caution here, but unless the
mum is planning on another pregnancy very soon ( and , yes, I know they are
not all 'planned') I would think it would be prudent to delay the
vaccination until baby was discharged.

JHMO
Kirsten Blacker
RN RM

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