Tom writes, regarding rubella vaccine:

<< I believe there are always exceptions to the rule and a weakened infant
 would not need the added burden of a live virus (even if it is attenuated)
 thrown into this already dangerous situation.

 I agree that breastmilk is certainly beneficial to these infants and perhaps
 a donor could be briefly arranged for this specific situation.  But I do not
 believe that we should always throw "caution to the wind" just so that we
 can support breastfeeding an infant.

 Sorry to be a naysayer !!
  >>

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!!!

why do we make this SO difficult?

Jan