The more premature a baby is born, the more vulnerable it is to infection. Its lungs are less developed, and unlike a full-term baby, its immune system has not benefited from the transfer of antibodies from the placenta during the third trimester of pregnancy.
As a result, premature infants are more at risk of contracting certain viruses and common winter illnesses such as the cold, respiratory syncytial virus (RSV), influenza and so on. Fortunately, infections can be prevented by vaccination and small everyday gestures.
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The germs that cause infections are everywhere (toys, floors, doorknobs, etc.). They can also be found in the nose, mouth, stools, or skin, and animals can carry them.
These germs are often transmitted by hand, through contact with saliva, secretions (kissing, sneezing), or contaminated surfaces and objects.
Some symptoms, from colds to bronchiolitis, flu to RSV, can look very similar. However, there are important distinctions to observe in your baby to determine how to relieve him or her and whether his or her condition requires medical attention. Our Common Winter Illnesses brochure detailed these signs and symptoms.
There are many ways to relieve your little ones' symptoms when they come down with a cold, bronchiolitis, RSV, flu, etc. Generally speaking, it's essential to keep your baby well-hydrated. If your baby has a fever, limit the clothing and blankets he wears so he doesn't get too hot. You can give him acetaminophen or liquid ibuprofen if he's over 6 months old. Be sure to read the label carefully, and check with your pharmacist for the correct dose for your baby's age and weight.
Please refer to this brochure to read our virus-specific advice and find out when to consult a doctor.
Respiratory syncytial virus, better known as RSV, is widespread among young children. Its symptoms are similar to the common cold and can worsen if the virus reaches the lungs. Find out more in this video with Jesse Papenburg, Pediatric Infectious Disease Specialist and Medical Microbiologist at the Montreal Children's Hospital of the CUSM.
NEW | RSV preventive treatment for all premature babies from autumn 2024. Find out more
As opposed to full-term babies, premature babies do not benefit from the transfer of antibodies from the placenta during the third trimester of pregnancy. For optimum protection against viruses and diseases, premature babies should be vaccinated by the Quebec Immunization Program (which also applies to full-term babies) and the recommendations specific to their medical condition.
The first vaccine is due at 8 weeks of age (calculated from birth, not the expected delivery date).
Source: Institut national de santé publique du Québec
Clinically stable premature babies should be vaccinated according to the regular childhood vaccination schedule. Remember: since the immune response varies according to age after birth and not gestational age, the age for receiving vaccines is calculated from birth.
In addition to the vaccines in the childhood immunization schedule, some additional doses are recommended for premature babies. This protocol is explained to families before the baby is discharged from the hospital (find out more about the EMMIE Program) and aims to provide premature babies with better protection against the risk of infections (viruses and diseases).
Most vaccines are administered with a needle, which can be frightening for children and parents. The good news is that it is possible to reduce children's pain and anxiety before and during vaccinations! Check out these tips to make your child's vaccination experience more positive.
The preventive treatment is a monoclonal antibody, nirsevimab, which gives babies already-made antibodies to protect them against serious infections caused by RSV.
During RSV season, all premature babies (under 37 weeks) are entitled to receive the preventive treatment free of charge in the hospital.
For premature babies (less than 37 weeks) born outside the RSV season, parents must make an appointment on Clic Santé during the vaccination season.
Parents of premature babies should also check their immunization history with their healthcare provider to reduce the risk of transmitting infections at home. If you have any questions about vaccination, don't hesitate to talk to a healthcare professional or visit this page.
In addition to being effective, vaccines are very safe. All children should receive the recommended vaccinations, even if they are breast-fed and have a healthy diet. Are you sceptical or hesitant about vaccination? See this list of scientifically proven facts!
The EMMIE Program is a provincial vaccination promotion program based on Motivational Maternity Interviewing for Child Immunization. It encourages positive attitudes towards vaccination and compliance with the recommended vaccination schedule. Participation in the program is voluntary. For children born prematurely, it consists of an information session lasting around 20 minutes when the baby is discharged from the neonatal care unit.
it is recommended that all children, including premature babies, start vaccination at 8 weeks of age (2 months). This ensures the best protection when the child needs it most and avoids delays in the vaccination schedule.
Since the immune response varies according to age after birth and not gestational age, vaccination should be planned according to the child's age. For example, a premature baby born on August 31, 2024, at 34 weeks gestation, should receive the vaccines scheduled for 2 months of age on October 31, 2024
Vaccines are very safe. In most cases, they cause no unwanted reactions. If you have any questions, talk to a healthcare professional or read everything you need to know about vaccinating children here.
In Quebec, vaccination is not mandatory, but it is strongly recommended.
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