Those early few weeks of pregnancy are both an exciting and ever so slightly scary time. You have to get your head around all sorts of do’s and don’ts that are said to impact on that teeny tiny person growing inside you. There are also the inevitable list of health questions that come from the midwife during your booking in session.
However, what do you do before your first appointments. More importantly what do you do when faced with a health scare you weren’t aware of? Today Fran is sharing her experience of a Rubella scare in early pregnancy. Something she wasn’t aware could be an issue.
When trying to start a family there are some things we all ‘just know’. Stop smoking, reduce your alcohol intake and start taking folic acid. Checking my immunisations were all in order was not something I even considered.
I am a primary school teacher in a city school. When I was just seven weeks pregnant (before any scans/midwife appointments and before we’d many any form of announcement), a child in my class was diagnosed with Rubella (German Measles). Alarm bells rang for me when an unknowing colleague made a passing comment of “I’m glad there’s no way I can be pregnant as you wouldn’t want Rubella if you were!” I simply smiled and nodded, before rushing off to check Google.
As Rubella is rare in the UK nowadays, most cases occur in people who came to the UK from countries that do not offer routine immunisation against rubella. This was the case with the child in my school. My knowledge of the virus was limited to say the least. My first thought was that it was something we were all immunised against at secondary school. Wrong! I didn’t realise it’s actually part of the MMR vaccine available to children at 12-13 months and then again at age three to five. My parents moved areas whilst I was a baby so couldn’t categorically say whether I had received all of the jabs necessary. The potential impact on a baby if the mother catches the virus in the first twenty weeks of pregnancy is terrifying.
Luckily, I had told my Head Teacher I was pregnant early on. I thought it was best to tell her so that I could have more flexibility over hospital and midwife appointments in the early weeks as appointments are few and far between where I live! At the first opportunity, I approached her and asked her advice. Whilst I was teaching, she called the school nurse who advised me to see the doctor immediately to find out whether I was immunised or at risk of catching the virus. The doctor firmly informed me that I should have checked I was immunised against Rubella before trying to conceive. At the time, I was in a panic and not thinking clearly. In hindsight, I should have informed her of our previous conversation earlier in the year when I explained my husband and I were planning to start a family she simply told me to have regular sex and take folic acid.
I had to endure a weekend of waiting until I could have a blood test on the Monday. I was then unable to return to work until I had the results in case any other children had caught it in the meantime. From the date of the outbreak to receiving the call that I was immune was an agonising six days. The longest six days of my life but thankfully everything was absolutely fine.
I am now well into week 15, my 12 week scan went well and I’m really enjoying the second trimester. I even managed a whole weekend of going out which was unheard of in the first!
Since this, several friends who are also trying to conceive have said to me they do not know whether they were immunised or not.
Has anybody else found themselves in a similar situation where things were out of your control in early pregnancy?
Image by Divine Day Photography
It seems things haven’t changed – 30 years ago when my mum was pregnant with me, the doctors were HORRIFIED to find that she wasn’t immunised against rubella. Apparently inch high letters saying ‘NOT RUBELLA IMMUNE’ were stamped on her maternity notes, and she was sent away with strict instructions to avoid children until she had given birth. On the postnatal ward the first thing they did was immunise her and hand her a three month supply of the pill! Luckily, like in your case, it all worked out OK.
I was exposed to slapped cheek when I was pregnant with my first and went running off to the dr for an immunity test. Turns out I probably had it as a child. Who knew?!!
Gosh, that must have been scary for your mum and trying to avoid children for the whole pregnancy must have been so hard. It’s so hard to know about what you are exposed to. I would never have known about slapped cheek being dangerous. x
Nor would I!
To
Argh, butterfingers!
To be honest, I didn’t even know slapped cheek existed until I started reading things about pregnancy – it’s one of those childhood illnesses that loads of kids get and no one pays any attention to until something like this comes up. But my stepson had it so off to the doctor I duly went…
Thanks for your comment Sara. It’s a shame to hear how little some things change especially as so many things have changed dramatically!
I was just as unaware of the rubella danger as Fran and didn’t find out I wasn’t immune (or indeed that I should be) until my blood tests were done at the first midwife appointment by which point I was nearly 12 weeks. Touching on Lolly’s post yesterday the pregnancy wasn’t totally planned but even if it was I don’t think it’s well known that you should check whether you’ve been immunised. I did panic to start with but fortunately being and IT engineer I’m not in contact with that many people never mind children (I don’t spend my days in a basement though – promise!) and all was good. I’ve been given the jab straight after Anna was born – or so my notes say as I really can’t remember.
I definitely agree on checking your immunisations. I actually had mine checked at about 25 (before contemplating kids!) as there was a measles outbreak in my area so the doctor was checking everyone. After a few weeks of checking notes it turns out my mum gave me homeopathic medicine instead of the MMR so I had to have it done then. Good job I checked! x
Thanks Kat. It’s just not spoken about because it’s not that common I guess and there’s a lot of assumption around the jabs people had when younger. Really good point about unplanned pregnancies or just not knowing you’re pregnant then working in a setting where you may be exposed. Glad you’re immune now!
I had something very similar happen to me! I was exposed to measles early on in my pregnancy, all because I went to visit my GP for help with my horrendous morning sickness, which was actually Hypermesis Gravidarum (that lasted from less than 5 weeks until the day before she was born. A whole other story haha!) It turned out I was in the waiting room at the same time as someone who was then diagnosed with measles and I received that phone call whilst in the hospital attached to a drip for dehydration from the vomiting. A very stressful week while they waited for those results as they couldn’t do the blood test over the weekend in the hospital and it turned out I was immune to measles but not rubella, despite having had the MMR jabs when I was a child, which I had no idea could happen. They gave me the jab once my little one was born, but like you I had mentioned children to my GP and was never told to check my immunity!
Such a similar story! Thank you for sharing Debs. That’s even more unlucky than me that you picked it up in the waiting room of the doctors!! So stressful waiting for the results!
This is scarily close to home for me. At my 10 week booking appointment, my routine blood tests came back saying I wasn’t immune to rubella, despite like Debs above having the MMR jabs as a child. I’m also a primary school teacher so have been constantly worried about the dangers. I’m 20 weeks next week which will help ease my worries slightly. It’s scary how many things you aren’t aware of until it becomes a real worry. Glad everything is ok for you Fran! X
Thank you Lucy and so pleased to hear you are almost at 20 weeks now. That must have been a constant thought on your mind. I hope your school was supportive. x
I had every immunisation going as a kid including extra meningitis jabs when there were outbreaks in Rotherham. Routine blood revealed I wasn’t immune to rubella after all. I’d had the MMR plus boosters but they hadn’t taken. I was given a jab on the ward and a booster 4 weeks later. Fortunately the leaflet said to avoid pregnancy for 1 month not 3 that I had read. Just means we can get back on baby making that bit sooner!
Oh that’s interesting Claire, I thought I’d need a booster after the one on the labour ward, when I asked my GP at the 8 week check up she said I wouldn’t. Hmm I think I’d better get a blood test and check that I am now immune then, long before we think about no 2!
It’s interesting how some people take to it and some people don’t. Good news about the 1 month not 3!
My family unfortunately learnt about this the hard way, my mum caught rubella while pregnant with my sister, she hadn’t even realised the risks or known to check whether she was immune. My sister was born mentally and physically disabled which doctors believe was due to rubella and passed away when she was only 15 years old. To think that having a simple injection beforehand could have made things so very different in our lives is heartbreaking.
I’m amazed it’s something that still many people don’t really know about so I make an effort to make sure my girlfriends who are thinking of starting families are aware of it now. x
Thank you for sharing that Victoria. I can’t imagine how frustrated your family must feel knowing that there was a solution. I do what you do now and just tell everyone to check! I guess that’s why sites like these are so good because it just helps raise awareness. X
Whilst I was 17 weeks pregnant, a child in my class had contracted slap cheek. The advice given was extremely conflicting and nobody seemed to know what course of action to take. The head teacher was away for a a week and the deputy said ‘ just move her to the back of the class’. Off I went for the blood test, with everyone including the midwife telling me ‘you’ll definitely be immune after teaching for so long’. Obviously I wasn’t immune! I was under a lot of pressure for SATs as it was a fortnight before so had to go back and carry on as normal. However I heard that in friends’ and my husband’s school, pregnant teachers are sent home until the outbreak has definitely cleared up, this caused me a lot of stress as I felt totally torn and out of control. I had to repeatedly go for blood tests to check everything was OK. It transpired too that my MIL had a late (19 weeks) miscarriage due to slap cheek exposure so her and my mum were extremely worried. When the head teacher returned she was horrified at how I was treated and a policy was duly written up . Luckily everything turned out great, but I am still not immune so my advice would be to try and catch slap cheek before you get pregnant!
Hiya Claire, I bet your head teacher was horrified! I was thanked for being so ‘calm’ about it as apparently teachers have just walked out before! I had so many mixed messages from different people. The doctor herself really wasn’t sure and was googling whilst recommending!! I found it tricky as I was trying not to tell everyone at work but then they didn’t know where I had gone for days! Glad all is good and it resulted in a change for the better with the policy.