Tag: shots

How to Breastfeed Your Child During Vaccinations

Can you breastfeed while your child is getting their vaccines?

Sure.

How to Breastfeed Your Child During Vaccinations

While the smallpox vaccine and yellow fever vaccine are contraindicated for moms who are breastfeeding, there are no contraindications on vaccinating kids while they are breastfeeding.

Why breastfeed while your kids are getting their vaccines?

While some moms just breastfeed immediately afterwards,  others understand that breastfeeding at the same time as the shots are being given can help decrease any pain associated with getting those vaccines even more.

“If you are breastfeeding, feed your baby before, during and after immunization. The physical closeness and familiar taste of breast milk will calm your baby. Breastfeeding during immunization is safe for babies, even newborns. There is no evidence that babies will choke or associate their mothers with pain.”

Tips For Parents For A Positive Immunization Experience

Will it make it harder for health professionals to hold your child while the shots are being given? Not usually, especially if you help hold your child.

But how can infants get the oral Rotavirus vaccine if they are breastfeeding?

In general, infants should get the least painful vaccine first. And oral vaccines are typically given before shots. So they can get their Rotavirus vaccine before you begin breastfeeding and get prepared for the rest of their vaccines.

The Be Sweet to Babies videos can help you see the benefits of breastfeeding while your kids get their vaccines.
The Be Sweet to Babies videos can help you see the benefits of breastfeeding while your kids get their vaccines.

And while it might depend on the age and size of your child, in general, to breastfeed your child while they are getting their vaccinations, once everything is prepared and ready, you should:

  • hold your child on your lap, understanding that until age three years, most shots will be given in your child’s thighs, although toddlers can sometimes get them in their arms
  • once you have your child well positioned, have a good latch and have started nursing, make sure your child’s arm or leg remains exposed (wherever the shot will be going) and help hold your child securely so that they don’t move while getting their vaccines. For example, you might hold an arm or leg with your free hand and anchor their legs between your thighs or your other hand if possible
  • continue nursing after your child has gotten their vaccines, keeping in mind that you may have to switch positions if they are getting multiple shots

Also understand that it might not always be a good idea to nurse while getting vaccines. Is your baby a distracted eater? Is it going to be hard to hold your child while they are nursing and getting their shots? Does your health care provider not have experience giving vaccines to a child while they are breastfeeding? Does your health care provider have a lot of experience giving vaccines, and they think that giving them while you are nursing will just make the whole process take a lot longer?

“Breastfeeding moms may wish to breastfeed baby during vaccination or immediately after to lessen pain and stress.”

AAP on How can I comfort my baby during vaccinations?

In general though, especially as it is recommended by the WHO and the AAP, consider breastfeeding your child while they are getting their vaccines.

More On Breastfeeding Your Child During Vaccinations

Which Vaccines can be Given SQ?

When most folks think about getting a vaccine, they typically picture someone getting a shot.

It is important to remember that not all vaccines are shots though.

And even for those vaccines that are given as shots, not all of them are given intramuscularly (IM).

Some vaccines are also given orally, nasally, and subcutaneously.

Which Vaccines can be Given SQ?

Vaccines that are given by subcutaneous injection include:

  • MMR
  • ProQuad (MMR/V combination of MMR and chickenpox vaccines)
  • Pneumovax* (Pneumococcal vaccine)
  • IPV* (polio vaccine)
  • Varivax (chickenpox vaccine)
  • Zoster (shingles vaccine)

*The Pneumovax and IPV vaccines can be given either IM or Subcutaneously (SQ). And there are some other exceptions too. Kids with hemophilia can get the hepatitis A and B vaccines SQ, instead of IM.

Where to Give SQ Injections?

After asking how many shots they are going to get, kids often ask where they are going to get them?

While infants get their subcutaneous injections in the fatty tissue over their anterolateral thigh muscle, toddlers and older children get them in the fatty tissue over their anterolateral thigh muscle or triceps.

Older children get SQ injections in the the upper-outer triceps area.
Older children get SQ injections in the the upper-outer triceps area.

Be sure to use the correct needle size, length and gauge (typically 5/8″ and 23-25 gauge), and insert the needle with a quick thrust at a 45° angle to the skin (rapid injection technique), pinching up on the SQ tissue to avoid hitting the muscle, and instead injecting in the subcutaneous tissue between the skin and muscle.

Also keep in mind that it is not necessary to aspirate after injecting the needle and that multiple injections in the same extremity should be separated by at least one inch.

What to Know About SQ Vaccines

It is important to know which vaccines need to be given subcutaneously (SQ) and both how and where to give these shots.

More on SQ Vaccines

 

Which Vaccines Can Be Given IM?

When most folks think about getting a vaccine, they typically picture someone getting a shot.

It is important to remember that not all vaccines are shots though.

And even for those vaccines that are given as shots, not all of them are given intramuscularly (IM).

Some vaccines are also given orally, nasally, and subcutaneously.

Which Vaccines Can Be Given IM?

Vaccines that are given by intramuscular injection include:

  • DTaP, Pediarix, Pentacel, Kinrix, Quadracel (DTaP containing vaccines)
  • hepatitis A
  • hepatitis B
  • Hib containing vaccines (Hib, Pentacel, Comvax, Kinrix, Quadracel)
  • Gardasil9 (HPV vaccines)
  • flu shots
  • Menactra, Menveo, Bexsero, Trunembra (Meningococcal vaccines)
  • Prevnar13, Pneumovax* (Pneumococcal vaccines)
  • IPV* (polio vaccine)
  • Boostrix, Adacel (Tdap vaccines)

*The Pneumovax and IPV vaccines can be given either IM or Subcutaneously (SQ).

There are exceptions though. Kids with hemophilia can get IPV and the hepatitis A and B vaccines SQ, instead of IM.

Where to Give IM Injections?

The upper arm is the best place to give shots to older kids.
The upper arm is the best place to give shots to older kids.

After asking how many shots they are going to get, kids often ask where they are going to get them.

While newborns, infants, and younger toddlers get their IM injections in their anterolateral thigh muscle, older children typically get them in their anterolateral thigh muscle or in the deltoid muscle of their arm.

Be sure to use the correct needle size, length and gauge, and insert the needle with a quick thrust at a 90° angle to the skin (rapid injection technique). Keep in mind that it is not necessary to aspirate after injecting the needle and that multiple injections in the same extremity should be separated by at least one inch.

What to Know About IM Vaccines

It is important to know which vaccines need to be given intramuscularly (IM) and both how and where to give these shots.

More on IM Vaccines

Making Shots Hurt Less

Vaccines are one of the greatest achievements in public health.

Holding your child, if possible, can make getting shots less painful.
Holding your child, if possible, can make getting shots less painful.

Vaccines work. Vaccines are safe, with many benefits and few risks. Vaccines are necessary.

The great majority of us understand all of those things, but there is still one thing about most vaccines that most of us don’t like.

Shots can hurt.

Fortunately, there are many things we can learn to do to reduce the pain and anxiety that can be associated with getting vaccines.

Making Shots Hurt Less

Did you know that you can also do things that make getting a shot more stressful than it has to be?

“A smile goes a long way, especially between parents and their children. Children often take their parents’ moods into account when experiencing the world around them. Hugs, cuddles, soft whispers, and a calm, reassuring attitude will help ease children through the vaccination process. Remain upbeat and relaxed before, during, and especially after shots. Let your child know everything is ok.”

CDC on 9 Things to Make Shots Less Stressful… For You and Your Baby

In addition to staying happy and calm, you can help your child by:

  • preparing them in advance so they know what to expect, but be honest and avoid telling them that “it won’t hurt” when you know that it will, at least a little bit
  • making sure your pediatrician uses combination vaccines to decrease the number of shots that your child has to get at each visit
  • not delaying or skipping any vaccines, so that your child doesn’t have to get shots over multiple visits or get caught up on a lot of shots when they are older
  • distracting them right before and during their shots
  • holding them, if possible, while they get their shots (why wouldn’t you be able to hold your child? If you don’t hold your child well, it will just prolong the whole thing and could lead to a needle getting batted away or a needle-stick injury…)
  • if nursing, breastfeed during the shots, or if that isn’t possible, right after the shots are given
  • considering the use of a numbing cream (they can give you a prescription if they don’t have any in the office, and just bring it to your next visit) if your child is really anxious about getting their shots

What’s the best way to help your child? It is probably to have someone that who is confident and has experience giving kids vaccines.

What should you avoid?

Don’t give your child a pain reliever before their shots. One study said that it might decrease the immune response to the vaccine, it probably won’t decrease the pain from the vaccine, and your child might not need it. Do give a pain or fever reliever afterwards if necessary though.

You also shouldn’t joke about taking your child to the doctor for a shot if they misbehave, or that the doctor is going to use a really big needle, etc.

What about commercial tools, like the Buzzy or Shot Blocker? While some people swear by them, they likely “work” as a sort of distraction.

What to Know About Making Shots Hurt Less

While needles and shots can be painful, there are ways to reduce the pain and anxiety that are associated with vaccines, so that your kids can get vaccinated and protected with minimal stress.

More on Making Shots Hurt Less