Importance Of Childhood Immunization

Childhood Immunization

The recent pandemic seems to have split the world into people in favour of vaccination and those against it. There is much anger, debate and dismay regarding the usefulness of vaccines. While the ‘in-favour’ lobby, which includes almost the entire medical fraternity and public health organizations/workers, has been strongly advocating the need for immunization, a small group of anti-vaccine lobbyist remain unconvinced. The doubts and concerns put forth by this group of people has influenced a great many from remaining un-vaccinated against COVID, which has made the job of controlling the pandemic that much more difficult in many countries around the world. 

As this particular controversy rages on, perhaps it is time to once again look at and understand immunization, particularly when it comes to children.

So, what is immunization?

Vaccinating a person against certain diseases by inoculating him/her with a live or dead germ of the disease is essentially what the term ‘vaccination’ means. ‘Immunizing’ refers to boosting one’s immunity, thus making them less vulnerable to various diseases. 

Why is childhood immunization important?

Before his/her birth, a child is protected by the mother’s immunity. Post being born, breast feeding affords a degree of protection, this however, is not enough to ward off the dangers that the growing exposure brings. There was a time, many decades ago, when there were no vaccines. That was also the time when child mortality was very high, as was deformity resulting from diseases like Polio. Diseases like Chicken Pox and Measles were rampant, and associated complications a part of life one lived with. Diarrhoea was a scourge, particularly in the third world countries where hygiene levels have always been a big question mark. 

Medical science has vastly progressed since then, bringing along with it the concept of ‘immunization’ which has been a boon in the area of child health. Vaccines protect a child from not only getting infected against certain diseases, they also prevent him/her from infecting others.

Here’s a quick look at the vaccines recommended for infants today:

  • MMR – For measles, mumps and rubella
  • Hib (Haemophilus influenza) vaccine for a common upper respiratory tract infection that can cause meningitis
  • Polio vaccines
  • DPT – For diphtheria, tetanus and pertussis
  • Hepatitis B vaccine
  • Varicella (chicken pox) vaccine
  • Vaccine for rotavirus- an infection that can cause severe diarrhoea 
  • Vaccines for pneumococcal disease that is known to cause ear infections and pneumonia

The Safety Factor

‘Are vaccines safe?’ is a query doctors are often faced with. It is important to understand that a child is at greater risk from vaccine-preventable diseases that the vaccine itself. Vaccines can have mild side-effects and cause some discomfort in the form of a little fever and some pain in the area of the injections, but the long-term protection they afford far outweigh the minor problems that your child would soon overcome.

Will my child be able to handle so many vaccines?

It is natural for a parent to worry, but do understand that your child is exposed to hundreds of germs every day. A common cold puts a much greater burden on the child’s immunity than a vaccine ever can. Infections/diseases can severely weaken a child’s immune system, prevention is the best way to keep them protected. 

Why is following my child’s vaccine schedule important?

Vaccine schedules have been prepared following a lot of research and clinical trials. Delaying vaccination can make your child vulnerable and nullify the effects of previous vaccinations. It is important to talk to your child’s doctor to understand the vaccines and their schedules.  

Vaccines save life, by helping your child’s immune system fight against infectious diseases. While the need to boost your child’s immunity by ‘natural’ means cannot be ignored, vaccines can help in giving them the initial shield that will protect them and help them fight against the deadly viruses and bacteria they are exposed to during the first months/years of their life. 


Your Pregnancy Journey: The 1st Trimester

1st trimester

As we all know, a normal pregnancy lasts around 9 months. However, for the sake of easy monitoring of the progress, the associated healthcare workers including, doctors, nurses, midwives, etc. break this period up into 3 trimesters. Trimesters are particularly helpful, since the changes that occur in a woman’s body during pregnancy and the growth and development of the child in her womb, can be broadly categorized early, middle and late pregnancy. These are called the First, Second and Third trimesters.

What is the 1st Trimester?

The first trimester of your pregnancy is counted from the first day of your last period to week 12 of your pregnancy. This is the time when your body is undergoing a lot of hormonal changes, that are likely to impact you both physically and mentally.

Your body will change

Your breasts will become larger, heavier and tender. Your uterus will grow and begin putting pressure on your bladder thus increasing your urge to urinate more often. Pregnancy affects different women in different ways, while some may have certain food cravings, others may have food aversions. Morning sickness is a common problem that most women face. Some, lucky ones, remain unaffected, and can continue with their normal daily routines without any change or discomfort.

You are likely to be on an emotional roller-coaster!

As your body goes through hormonal changes, you may experience a range of emotions. You are likely to feel moody, irritable and emotionally drained. These feelings are normal. But if you feel depressed or anxious then share your feelings with your partner/family and your doctor.

Your baby is developing

During this period your baby is developing too. From being an ovum to a foetus. By the end of 12 weeks your baby’s heart will start beating and brain, stomach, intestine will begin to develop. His/her arms and legs will begin to grow.

Your check-up routine

Post confirmation of your pregnancy, health checks during the first trimester usually happen at gaps of 4 to 6 weeks. This can, however, vary depending on various factors like how your baby is developing, your health status and allied complications. You may be offered an ultrasound scan at the end of 12 weeks to hear the heartbeat of your child and estimate the baby’s size and due date. Apart from this, you will have to undergo the following:

  • Periodic blood tests to check your iron levels, blood sugar, and detect infections (if any).
  • Urine tests to detect urinary infections so that they can be treated immediately.
  • General health and wellbeing checks, that would include both your physical and mental wellbeing.

Do’s & don’ts

  • Quit smoking if you are a smoker
  • Avoid alcohol
  • Focus on wholesome, nutritious food. Remember, it is the quality and not quantity of food that matters. You baby shall need nutrition to develop
  • You may need folic acid and iodine supplements, but only if the doctor advises it
  • Regular exercise is a must. Movement will help both you and your baby. So, stay active
  • Do not self-medicate. If you experience any problems with your health, then talk to your doctor

Unexplained Infertility? Have You Considered Ovulation Induction Treatment?

Unexplained Infertility

When a couple tries for a baby for more than a year and fails, and the doctor doesn’t find any obvious anomaly like blocked fallopian tubes, etc, the condition is referred to as “unexplained infertility”. However, there’s no reason to lose heart. Research reveals that countless such couples have gone on to have healthy babies either naturally or by taking recourse to fertility treatment.

What is ovulation induction treatment?

In unexplained infertility, the male and female partners are subjected to a comprehensive evaluation to arrive at the best treatment option. If the female partner is not ovulating regularly, the fertility expert might suggest ovulation induction treatment. This method uses hormonal therapy to stimulate development and release of eggs, or ovulation.

The drugs used in this therapy were designed to induce ovulation among women who failed to do so naturally, especially those with irregular periods, the target being to produce a healthy egg. Ovulation induction is also used to boost the count of eggs that mature in a single cycle so that chances of conception go up. In fact, more recent research has shown the benefits of using fertility medications to treat even ovulatory women with unexplained infertility, to induce multiple eggs to mature, thus boosting pregnancy rates.

What are the fertility drugs commonly used in ovulation induction?

Medications stimulate the release of hormones that drive egg production. The ones commonly used are:

# Clomiphene citrate: This is an oral medication that blocks estrogen receptors to induce ovulation. This is a fertility agent which induces superovulation or release of multiple eggs in a single cycle.

# Human menopausal gonadotropin (hMG): This medication comprises FSH or follicle stimulating hormone and LH or leutinizing hormone. It stimulates developments of eggs in women who don’t ovulate on their own or suffer from irregular ovulation. It is also used to boost egg count in ovulating women. This medication is available only in injectable form and can be used with both IUI (intrauterine insemination) and IVF (in-vitro fertilization).

# Follicle stimulating hormone: FSH medications, available only in injectable form, are used to stimulate development of numerous eggs during a single ovulation induction cycle. It is either used in isolation or in tandem with hMG to induce superovulation.

# Human chorionic gonadotropin (hCG):hCG, self-administered as an injection, coaxes final maturation of the eggs, thus triggering ovulation. It also helps prepare the uterus lining to facilitate implantation of the fertilized egg.

# Leuprolide & synthetic gonadotropin (FSH/LH) inhibitor:This drug, available in injectable form, stymies the secretion of LH and FSH in the brain, and is used to clear the decks for treatment with ovulation induction drugs. It boosts follicle recruitment by blocking the fetching of a dominant follicle for the subsequent menstrual cycle. It also guards against premature ovulation by blocking LH release.

Are there any risks that these medications carry?

Most women don’t show any significant side-effects from the oral or injectable medications. However, some of these symptoms are reported at times:

  • Hot flashes
  • Mood swings
  • Bloating
  • Tenderness in breast
  • Abdominal pain
  • Pelvic pressure
  • Nausea

What is the generic success record of ovulation induction?

Success rate depends on the diagnosis and a clutch of other factors, not least the woman’s age. However, fertility experts concur on a generic success rate of about 20 to 25% pregnancy per cycle. This treatment is definitely recommended as ‘more than worth a shot’.