Infectious Disease Book

Immunization

  • Vaccination in Pregnancy

Pharmacology

Travel Medicine

http://www.fpnotebook.com/

Vaccination in PregnancyAka: Immunization in Pregnancy

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  1. See Also
    1. Adult Vaccination
    2. Pediatric Vaccination
    3. Immunization Status Unknown
    4. Immunizations in HIV
    5. Antiviral Medications in Pregnancy
  2. Class C: Small risk in controlled animal studies
    1. Td (Tetanus Toxoid and Diphtheria Toxoid)
      1. Give after first trimester if none in last 10 years
    2. Hepatitis A Vaccine
      1. Give if travel to endemic area or IVDA in pregnancy
    3. Hepatitis B Vaccine
      1. Administer in pregnancy for Hepatitis B risk factor
    4. Influenza Vaccine
      1. Indicated if pregnant in Influenza season
      2. Immunize after first trimester
    5. Meningococcal Vaccine
      1. Standard indications (dormitory, barracks, travel)
    6. Plague Vaccine
    7. Polyvalent Pneumococcal Vaccine
      1. Vaccinate high risk women before pregnancy
      2. ACIP recommends avoiding during pregnancy
    8. Polio Vaccine (live and inactivated)
      1. Avoid during pregnancy in most cases
      2. Use IPV in pregnancy if high risk Polio exposure
    9. Rabies Vaccine
    10. Tularemia Vaccine
    11. Typhoid Vaccine
  3. Class D: Strong evidence of risk to the human fetus
    1. Yellow Fever Vaccine
  4. Class X: Very high risk to the human fetus
    1. BCG vaccine (Bacille Calmette-Guerin Vaccine)
    2. Measles Vaccine
    3. Mumps Vaccine
    4. Rubella Vaccine
    5. Small Pox Vaccine
    6. TC-83 Venezuelan Equine Encephalitis Vaccine
    7. Varicella Vaccine (Varivax)
      1. Risk if vaccinated within 4 weeks of conception
      2. Theoretic risk only; not an indication for EAB
  5. Resources
    1. CDC Guidelines for vaccinating pregnant women
      1. http://www.cdc.gov/nip/publications/preg_guide.htm
  6. References
    1. Briggs (1998) Drugs in Pregnancy and Lactation, 5th ed
    2. Black (2003) Am Fam Physician 67(12):2517
    3. Larimore (2000) Prim Care 27(1):35
    4. Sur (2003) Am Fam Physician 68(2):299

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