VACCINES IN PREGNANCY

:: VACCINES AND PREGNANCY :: VACCINES / TOXOIDS SAFE IN PREGNANCY : All are KILLED or TOXOIDS vaccines. 1. TT (Toxoid) :- ONLY toxoid given ROUTINELY in pregnancy as par National Immunization Schedule is Inj TT. Two doses given - 1st one at registration visit and 2nd one after 4 weeks of 1st injection. Last injection is given preferably by 36 weeks of gestation but can be given even at labour table if not given earlier. If pregnancy spacing in subsequent pregnancy is less than 3 Yrs then give only a booster. If more than 3 Yrs give both the doses. 2. Td (Toxoids) 3. Tdap (Toxoids) :- Avoid in previous convulsions as contain pertussis component ; Given single dose between 27 and 36 weeks gestation. 4. Influenza :- Avoid in Egg allergy. Nasal influenza vaccine being live vaccine is avoided in pregnancy. Given after first trimester to get rid of vaccine related abortion. 5. Rabies :- If indicated in animal bite. 6. Hepatitis B :- Avoid if allergy to Baker's Yeast (Present in bread); Given to IV abusers, recent blood transfusion history, partner Hep B positive, Medical professionals. 7. Meningococcal VACCINES CONTRAINDICATED IN PREGNANCY : LIVE vaccines like BCG, MMR or any component of it, Varicella, Yellow fever (Can be given in extreme recommendations) **, Nasal influenza vaccine, OPV. VACCINES PREFERABLY AVOIDED IN PREGNANCY (GIVEN IN SPECIAL RECOMMENDATIONS) : All are KILLED except Yellow Fever vaccine which is given if extremely recommended. 1. Hep A 2. Pneumococcal :- In pregnancy with Diabetes, Cardiovascular disease, Immunodeficiency, Asthma, CKD. 3. Typhoid 4. Yellow fever (Live)** :- When travel to endemic area can't be postponed and exposure is likely. 5. HPV :- Given before 26 Yrs of age if only highly recommend. 6. IPV 7. JE 8. Anthrax 9. Vaccinia NOTE : -AVOID PREGNANCY FOR AT LEAST 4 WEEKS (FOR JE VACCINE 3 MONTHS) IF ANY LIVE VACCINE IS TAKEN BEFORE PREGNANCY. -NO VACCINES ARE CONTRAINDICATED IN LACTATING MOTHER.

(Edited)

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avoid preg for 4wee-6weeks after receiving rubella vaccine while planning pregnancy.before that get the immunization status checked by IgM,IgG status

Ma'am mentioned it in the bottom lines.
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Thanks for valuable information

Thank you doctor
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Nice information,Thank you

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Quite informative .

Thank you sir
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Thanks for sharing

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Informative

Thank you sir
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Good info

Thank you doctor
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