Talk:Postpartum physiological changes

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 * Best Regards,
 * Barbara (WVS) ✐   ✉  13:12, 31 July 2017 (UTC)

Immune function section
Hi,

Regarding this paragraph:
 * Immune function is assessed immediately after the birth. Clinicians test for immunity to rubella, Hepatitis B, Rh, varicella and the presence of antibodies against tetanus, diphtheria and pertussis.

This surprises me. I have several questions:
 * Does this mean that after birth, it is routine for the mother to get a blood test to assess whether she is immune to rubella, etc.? I have never heard of this being done.
 * Why do postpartum women need to have their immune function assessed?
 * Are there any other sources that support these statements?

Clayoquot (talk &#124; contribs) 06:51, 17 March 2018 (UTC)
 * There continue to be cases of vaccine-preventable diseases in children and adults; the postpartum period is seen as a moment of opportunity to assess and vaccinate women might not otherwise be engaged in primary care. This has been standard practice for a long time. &mdash; soupvector (talk) 00:21, 20 March 2018 (UTC)
 * I've cleaned up that section a bit, but I'm not certain that it belongs in this article (perhaps better suited to an article about postpartum care); the bit about Rh D may, because it relates to a biological process that can happen in Rh-negative moms, but this "immunizations" chapter isn't primarily about physiological changes. &mdash; soupvector (talk) 02:19, 20 March 2018 (UTC)
 * That makes sense, thanks! I also agree the section doesn't belong in this article. Having it in this article makes it sound as if physiological changes in the mother compromise her immune function. Clayoquot (talk &#124; contribs) 03:34, 20 March 2018 (UTC)
 * Indeed; on the contrary, the postpartum period is a time during which the mother's immune system recovers from the immune suppression of pregnancy (e.g. PMID 17918082). &mdash; soupvector (talk) 03:56, 20 March 2018 (UTC)

Do you know if this is standard practice outside the U.S.? Clayoquot (talk &#124; contribs) 05:34, 21 March 2018 (UTC)