Jan:

I agree wholeheartedly with your statement.  The situation I was
confronted with about a year ago
was a neonatologist who called with a really weak, vlbw infant, whose
mom had "just received" the rubella vaccine.  He asked me if she should
breastfeed.  I reviewed all the papers in the field, and then asked my
four neonatologists(who are strong BFing advocates).  They all agreed
that they would not recommend this mom breastfeed.  How long should she
wait...we said until the infant was deemed stable.  It is culturable
from the oropharynx of infants for up to one month after transmission
via milk.

So there seems to always be a new twist on an old story.

Tom


>
> While I agree with Tom, let's for a moment think, just perhaps, we may want
> to postpone the mom getting the vaccine until her baby is no longer in
> danger.  Why do we have to rush to give the mom the vaccine if the baby is
> compromised in some way?  Let's talk to her about the importance of
> breastfeeding to this particular baby, and using reliable birth control to
> prevent an immediate pregnancy, and then, as soon as the baby is (a) of
> adequate weight or (b) no longer compromised or (c) all of the above, get the
> vaccine!!!