6: Vaccines in Pregnancy

Question 1

Why is the Tdap recommended with each pregnancy?

Answer 1

After maternal vaccination, antibodies cross the placenta and decrease risk of pertussis infection in the newborn.

Question 2

What are increased risk factors for Hep B in pregnancy?

Answer 2

Occupational exposure to blood
Treatment for an STI
More than 1 sex partner in past 6 months
Recent IV drug use
HBsAG-positive partner

Question 3

Why are live vaccines contraindicated in pregnancy?

Answer 3

They have a theoretical risk to the fetus.

Question 4

When should the flu vaccine be given in pregnancy?

Answer 4

Any gestation when the injection is available.

Question 5

Which vaccine is advised if mother is at risk?

Answer 5

Hep B

Question 6

Which vaccines are contraindicated during pregnancy?

Answer 6

MMR
Varicela
FluMist
(Basically, live vaccines)

Question 7

When should the Tdap be given during pregnancy?

Answer 7

3rd trimester (ideally 27-36 weeks)

Question 8

When should the Hep B vaccine be given if needed?

Answer 8

3 injections beginning at any point in gestation.

Question 9

Which vaccines are recommended EACH pregnancy?

Answer 9

Influenza (shot, not live)

Tdap

Question 10

Why is the flu recommended in pregnancy?

Answer 10

Women who are pregnant are at increased risk for flu-related complications.