Vaccination and pregnancy

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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.

F- COQUELUCHE:

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