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So, since mother's milk contains great levels of antibodies to rotavirus
in areas where rotavirus is the biggest problem, we should worry a lot
about the fact that these antibodies are lowering the effectiveness of
the rotavirus vaccine? Don't those very babies whose mothers have the
highest titers against rotavirus have the least risk of getting it
anyway? Okay, I've got that out of my system. Time to be rational.
I suspect the issue is that rotateq vaccine is an oral vaccine. So mom's
milk is going to inactivate much of the virus before the baby's immune
system even sees it. Once she stops breastfeeding exclusively, baby can
be exposed to rotavirus, either in water or on solid foods or
contaminated environmental surfaces, and loses the passive protection
that mom gives.
If the authors are talking about giving a tiny dose of clean water to
wash down the vaccine and withholding breastfeeding for a few minutes
while the mom and baby are still in the clinic, that's one thing. If
they are thinking of giving an artificial feed or interrupting
breastfeeding longer, they potentially can do way more harm than good.
Catherine Watson Genna, BS, IBCLC NYC
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