I- INTRODUCTION :
Pregnancy is a is a good time to information about vaccination of women and his entourage
Vaccination is a medical procedure that is done before, during pregnancy or in the postpartum.
II- OBJECTIVES OF VACCINATION :
- Protecting pregnant women whose immunity is altered during pregnancy
- Protect the fetus of any infectious fetopathies and obstetric complications
- Confer immunity to the newborn most vaccines are not immunogenic in the first months of life (except HBV and BCG)
III- RISK OF VACCINATION DURING PREGNANCY :
- For the woman : risks of vaccines in general
- To Fetus : teratogenic risk for live vaccines
- For newborns : risk of interaction with vaccinations during the first months of life.
IV- DIFFERENT VACCINES AND PREGNANCY :
A- RUBELLA :
- Against-indicated in pregnancy
- Accidental vaccination in pregnancy : no reported foetopathy, no indications f IMG just one ultrasound monitoring
- Catch-up vaccination postpartum
- Vaccination of contraception during 2 month
B- VARICELLA :
- If pregnant women not immunized,Igpolyvalentes.
- Vaccination post exposition : cons-indicated during pregnancy
- In pre-conceptual : Vaccination of non-immunized women with contraception during 2 month.
C- MEASLES :
- If eruption in a pregnant woman unimmunized : Administration versatile ig
- vaccination recommended
D- HEPATITIS B :
Vaccine therefore composed of surface antigens no infectivity, Vaccination is possible during pregnancy.
E- TETANOS :
Vaccine consisting of tetanus toxoid
Vaccination can during pregnancy or during lactation.
Acelullaire vaccine composed of bacterial antigens recommended in the United States from the 20th week.
G- INFLUENZA :
The maternal risk : morbidity and increased mortality
obstetric risk : ABRT, MAP or premature delivery, RCIU
Fetal risk : not teratogenic
Neonatal risk : no possible vaccination of newborn under 6 months with high mortality and morbidity in cases of flu in the newborn.
V- VACCINATION AND BREASTFEEDING :
Breastfeeding does not alter the maternal immune response to vaccines Apart yellow fever, all vaccinations are possible in the postpartum.
Course of Dr A. ABSURD – Faculty of Constantine