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Vaccination in pregnancy

vaccination in pregnancy
  • Most of the vaccinations, especially live vaccines are harmful in pregnancy and just preconceptionally.
  • Tetanus toxoid is a vaccine that has been widely used in developing countries and in India to prevent tetanus infection in the mother and the newborn.
  • The usual dosage is 0.5ml intramuscular at 16 weeks and 20 weeks of pregnancy.
  • There are hardly any side effects other than slight swelling and pain at the injection site for a few days.
  • WHO recommend Td vaccine, against tetanus and diphtheria in pregnancy instead of just the TT injection
  • The other vaccine which is known to be safe in pregnancy and is given world-wide during influenza epidemic.
  • Vaccinations for chicken pox, rubella, human pappiloma virus (HPV-cervical cancer vaccine) should be avoided during pregnancy and ideally in the 3 months prior to conceptions.
  • Prior to pregnancy women who take preconceptional advice may be offered a check of their immunity against rubella, varicella and Hepatitis B. If immunity is not present, they may be offered protective vaccination.
  • If preconceptional vaccines are offered, couple should not conceive in he next 2-3 months-depending on the vaccine taken. Professional help should be sought for pregnancy planning.
  • Most of the vaccinations, including live vaccines are safe in lactation; but caution should be exercised, and should be taken only after consulting with a doctor
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