Vaccinations when planning pregnancy

Vaccinations when planning pregnancy

You — responsible expectant mother, and before getting pregnant, you want to provide the maximum possible problems. In particular, the root from dangerous infections that can cause serious harm to your unborn child. What shots are necessary in order to protect her unborn child and herself from the danger of infection?


If you're not sick of rubella, ie you have no information confirming this fact — it is better not to rely on the memory of their parents, and to be vaccinated at least 2 months before the planned pregnancy. You may want to check for immunity to rubella, surrendering antibody test, but not necessarily. As the foreign and Russian studies, vaccination of those who initially had antibodies to rubella is safe and allows for enhanced immunity to infection.

All modern vaccines have protivokrasnushnye 95-100-percent efficiency and immunity, they have created, maintained over 20 years. Because the vaccine is a live virus vaccination course consists of a single vaccination, ie immunity is formed at once, without boosters. Another positive effect of vaccination — is the transfer of antibodies against rubella in the mother's milk to the unborn baby.

Vaccinated against rubella in any case can not be done during pregnancy because of Let the theoretical, yet the likelihood of damage fetal vaccinia virus. That is necessary to protect themselves, for at least 2 months after vaccination against rubella.

Hepatitis B

Although hepatitis B virus has no property damage fruit, as rubella virus, it is transmitted through blood and other body fluids. Pregnant women are injections, surveys manipulation. Actually birth, probable transfusion of blood and blood products — all of this is also the added risk of infection of mothers and children with hepatitis B virus

The standard regimen of vaccination against hepatitis B looks like 0-1-6 months., Ie selected day (0) by month (1) at 6 months. (3) after the first vaccination. Ideally, vaccination should start so as to have time to do all three vaccinations before pregnancy — ie for 6 months. This will ensure protection at the average85-90% Of vaccinees.

However, in preparation for the planned pregnancy in practice (unfortunately, hardly anyone thinks about vaccinations for six months before pregnancy), this scheme is likely to appear as the selected day (0) by month(1) through 6-12 months (3) after the first. In other words, two vaccinations at intervals of 1 month. provide immunity for up to 1 year, the third vaccination (done after birth) creates immunity lasting more than 15 years. The disadvantages of such an approach should include the fact that ensure the protection of between 2 and 3, vaccination can have a somewhat smaller (75%) of the number of graft.

There is an alternative scheme of immunization against hepatitis B (0-1 —2-12mo.) is mainly used, in view of different emergency readings and is more intense and reliable formation of immunity after two months from the beginning of vaccination. The relative disadvantages of this scheme should recognize the higher costs, a greater number of inoculations and doctor visits.

Hepatitis B vaccine is a part, but rather only one viral protein. Vaccine efficacy in adults average 85-90%, And the side effects are insignificant — are possible slight increase in temperature (2% of vaccinees) and light soreness at the injection site.

Additional vaccinations

  • Vaccination against diphtheria and tetanus is desirable, if the time came the next vaccination, or if you missed the first vaccination. By the calendar vaccination against diphtheria and tetanus is done every 10 years after vaccination in 16 years, that is, in 26 years, 36 years, etc. up to 60 years. 90% of adults do not remember about it or do not know. Own antibodies to tetanus stick in a child is not, and mother, passed with the milk in the first few days of feeding, your baby will have an invaluable service.
  • In some European countries the practice of compulsory vaccination polio for women planning pregnancy. This is due to the fact that there is a risk of viral infection, if there's a pregnant woman is a child who has just been planted polio live polio vaccine (OPV). In Russia, this vaccine is included in the calendar of mandatory vaccinations. Vaccine virus multiplication in the gut of the graft, and released into the environment. That is why in France and several other countries before pregnancy is recommended to get vaccinated (booster) of inactivated polio vaccine (IPV).
  • Before the predicted epidemic, doctors recommend pregnant women to get vaccinated against influenza. Modern vaccines contain inactivated (killed) influenza virus, so it is believed that it is safe for the baby. However, if the term of your pregnancy is less than 14 weeks, the vaccine should not be done. In addition, it should be borne in mind that no one flu shot does not guarantee that you will not get sick. Still remains though a small but unpleasant possibility to transfer the flu, often obliterated.

In preparing for pregnancy, the recommended immunization schedule

Number of months before the planned pregnancy



3 months

Hepatitis B (1), rubella

if you can not start a course of vaccinations against hepatitis B for 6 months. before the planned pregnancy, ie fully complete the vaccination before it starts

2 months

hepatitis B (2), polio (IPV)


1 month

diphtheria-tetanus (Td), flu

when the time came routine vaccination (once every 10 years, after 16-year of age) or has skipped previous vaccination

1 month


if the epidemic of influenza accounted forthe second or third trimester

1 month after childbirth

hepatitis In (3)


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