Having had GBS has no implications for subsequent pregnancy. There is no effect on the ability to get pregnant, no increased risk of miscarriage or premature birth, no effect on labour and delivery and no effect on the foetus or the newborn baby. There is no contraindication to any medications that might be prescribed during pregnancy. Nor is there any increased risk of GBS relapse and there is no contraindication to any recommended vaccination.
While the benefits of vaccination, in the great majority of cases, far outweigh any risk there are exceptions. You history sounds complex with a host of autoimmune diseases. You have also been diagnosed with GBS but the occurrence of a relapse makes me doubt that diagnosis. Relapses in GBS are exceedingly rare and it is possible that you have a relapsing form of CIDP. Unfortunately, you are getting conflicting advice; one medical team recommending vaccination and your GP advising against it. I regret that it is not appropriate for me to comment on an individual case, particularly one so complex. You need to try to get your GP and the medical team managing your pregnancy on to the same page with regard to vaccination advice. Sorry to be of so little help.
Hi Jim: First, your immune system was never compromised; AIDP does not compromise the immune system. Second, the benefit of getting the flu shot far outweighs any risk unless your original AIDP was triggered by a flu shot. Please see my detailed article posted on the Website a few days ago for more details. Gareth Parry
The usual advice from the GBS/CIDP Foundation International Medical Advisory Board, of which I am a member, is that people who have had GBS should not have the flu vaccination ever if their GBS clearly followed a previous flu vaccination or in the year following GBS regardless of the trigger. You are less than a year after your GBS but it was not triggered by a flu vaccination. There are several factors that would make me deviate from the usual recommendation in your case. First, you have diabetes which puts you at greater risk of having a serious complication of the flu. Second, you work as a carer so you have a greater risk of being exposed. Third, you are close to a year out from your GBS, Finally, and perhaps most importantly, is the threat posed by COVID-19 (coronavirus). A flu vaccination won’t protect you against COVID-19 but if you were to get both flu and COVID-19 infection your chances of getting seriously ill are extremely high. The risk of the flu vaccine triggering a relapse of your GBS is extremely small while your risk of getting seriously ill from the flu or COVID-19 infections, although not very high, is certainly much higher. I feel that it is imperative that you get the flu vaccine the moment it is made available through your GP.
This year, more than any, it is important that you do get the influenza vaccine. With the CORVID-19 already upon us you need to make sure you are immunized against other viruses since the combination of the 2 illnesses could certainly be fatal. If your GBS was triggered by a previous flu vaccine, i.e., it occurred 2-3 weeks after the vaccination, there is a slightly increased risk of recurrence but it is still extremely small. If your GBS was not triggered by flu vaccination your risk is negligible. The fact that you have diabetes makes it even more important to get vaccinated.