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Vaccination During Pregnancy

By AdminPosted On 05-Oct-2016

1. Vaccination During Pregnancy

Make sure that immunizations are up to date before becoming pregnant.

Some vaccine-preventable diseases, such as rubella, can pose a serious risk to mother’s and baby’s health. One can’t get the vaccine to prevent rubella if currently pregnant.

Risk to a developing fetus from vaccination of the mother during pregnancy is theoretical. No evidence exists of risk to the fetus from vaccinating pregnant women with inactivated virus or bacterial vaccines or toxoids.

Live vaccines administered to a pregnant woman pose a theoretical risk to the fetus; therefore, live, attenuated virus and live bacterial vaccines generally are contraindicated during pregnancy.


2. Which of the following vaccine is contraindicated during pregnancy ?

a) Hepatitis B vaccine

b) Varicella vaccine

c) Influenza vaccine

d) Tetanus toxoid

e) Rabies vaccine

Correct Answer: b) Varicella vaccine.

Because of the potential consequences of inadequately managed rabies exposure, pregnancy is not considered a contraindication to postexposure prophylaxis. If the risk of exposure to rabies is substantial, pre-exposure prophylaxis also might be indicated during pregnancy. Rabies exposure or the diagnosis of rabies in the mother should not be regarded as reasons to terminate the pregnancy. Ref: CDC


3. Swine Flu Vaccination during Pregnancy

Getting a flu shot is the single best way to protect against the flu. Both shots are recommended as soon as they are available to protect mother and baby. The seasonal flu shot has been shown to protect both the mother and her baby (up to 6 months old) from flu-like illness, if you have close contact with someone who has H1N1 swine flu.

Seasonal and H1N1 flu shots can be given on the same day but should be given at different sites (e.g., one shot in the left arm and the other shot in the right arm). An inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm.

It is safe during pregnancy. The seasonal flu shot has been given to millions of pregnant women over many years. Flu shots have not been shown to cause harm to pregnant women or their babies.

It is very important for pregnant women to get both the seasonal flu shot and the H1N1 flu shot.


4. Rubella vaccine (Select True)

a) Rubella negative patients should be vaccinated during pregnancy

b) Rubella vaccine is a Toxoid

c) The majority of pregnant patients are rubella non immune

d) Breast feeding should be inhibited if vaccine is given postnatally

e) Pregnancy should be avoided for 3 months after vaccination

Correct Answer: None.

Pregnancy should be avoided for 1 months after vaccination. The rubella virus in this vaccine is alive, but it has been weakened (attenuated) so that it has a decreased ability to cause illness. If one needs to get vaccinated for rubella, should avoid becoming pregnant until one month after receiving the MMR vaccine and, ideally, not until immunity is confirmed by a blood test.


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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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