Vaccinations during pregnancy

Vaccination schedule for pregnant mother

Vaccinations during pregnancy of women support a number of important health benefits for mother and the baby.
Vaccines containing live, attenuated organisms pose a theoretical risk to the fetus. Therefore, live vaccines are contraindicated during pregnancy it is advised for women to avoid conception for 4 weeks after vaccination with live vaccines.
However, there are more benefits to vaccinating pregnant women than potential risks in the following circumstances when the likelihood of disease exposure is high, when infection would pose a risk to the mother or fetus, and when the vaccine is unlikely to cause harm.

What vaccinations do I need before getting pregnant?

Vaccine at Preconception

Hepatitis B30-1-6 MonthsAvoid conception for at least 4 weeks
   after MMR or Varicella Vaccine
Varicella (Chickenpox)22 doses 4- 8 weeks 
HPV (For girls)30-1 month (HPV2) or 2 months  
  6 Months (HPV4) 
Influenza11 Dose every year 
Source: IMA India

Vaccinations during pregnancy

During Pregnancy   
TT/dd2 doses1 Dose early pregnancy andAvoid conception for at least 4 weeks
  2nd Dose 4 weeks after firstafter MMR or Varicella Vaccine
Tdap13rd Trimester  
Influenza11 at any stage of gestation 
Source : IMA India

Vaccination for mother after delivery (During Lactation)

All s Vaccine except typhoid and yellow fever can be given as catch up Immunization .

Recommendations for Vaccination in Pregnant Women

• Tdap is recommended in pregnant women for the prevention of infant pertussis irrespective of whether they have previously received Tdap
• If pregnant women are not vaccinated with Tdap during pregnancy, then it should be immediately administered postpartum
• Pregnant women who are not vaccinated or are only partially vaccinated against tetanus should complete the primary series with at least one of the doses being Tdap
• Women for whom Td is indicated but who did not complete the recommended three-dose series during pregnancy should receive follow-up after delivery to ensure that the series is completed
• There is a high risk for severe illness and complications from influenza in pregnant and postpartum women, compared to women who are not pregnant Thus, routine vaccination with the inactivated influenza vaccine is recommended for all women who are or will be pregnant (in any trimester) during the influenza season

• Pregnant women who are at a risk for exposure to wild-type poliovirus can be given IPV The high-risk group includes
• Travelers to areas or countries where polio epidemic or endemic
Laboratory workers who handle specimens that might contain polioviruses
• Members of communities or specific population groups with the disease caused by wild polioviruses • Healthcare personnel who have close contact with patients who might be excreting wild polioviruses • Children whose parents are unvaccinated against polio will receive oral poliovirus vaccine
• It is advised to administer vaccines, such as Hep A pneumococcal polysaccharide, meningococcal conjugate, and meningococcal polysaccharide, to women who are at a higher risk for these infections
•Pregnant women who have to travel to yellow fever-prevalent areas should receive the yellow fever vaccine, as the limited theoretical risk after receiving Vaccination is outweighed by the risk for yellow fever infection, However, appropriate counseling of the same must be done
•. Hepatitis B vaccine can be administered to pregnant women for whom it is indicated
•. It is contraindicated to administer MMR and varicella vaccine-containing during pregnancy However, if a pregnant woman is vaccinated unknowingly with MMR or varicella, counseling about the theoretical basis of concern for the fetus should be provided. However, MMR or varicella vaccination should not be a reason for terminating the pregnancy
•There should be no change in the schedule of rotavirus vaccination for infants living in households with pregnant women
•Evidence of immunity to rubella and varicella and presence of HBsAg should be evaluated during every pregnancy
• Women should be vaccinated immediately after delivery if there is no evidence of immunity to rubella and varicella. A second dose of varicella should be administered 4-8 weeks later
•• If a pregnant woman is tested to be HBsAg-positive, she should be carefully monitored and the infant should receive HBIG and hepatitis vaccines within 12 hours of birth .