RANZCOG - vaccinations in pregnancy Flashcards
1
Q
What is the cause of pertussis infection?
A
- bordatella pertussis
- gram -ve coccobaccilus
2
Q
when is it recommended that a woman have the pertussis vaccination?
A
the best timing is between 20 and 32 weeks
the antibody levels peak 2 weeks after vaccination and transfer of maternal antibodies to the fetus occur from 30 weeks so ideally given before 30 weeks
3
Q
what if the pertussis vaccination is given earlier than 20 weeks
A
no worries
13/40 is still associated with maternal antibodies in infants
4
Q
if a woman presents prior to conceiving - expressing interest in conceiving
what advice would you give her regarding vaccinations for pregnancy?
A
- check chickenpox and rubella immunity
- if not immune then preconception vaccination is recommended
- advised not to conceive within 28 days of vaccinations
