Vaccinations in Pregnancy: Types, Recommendations, and Safety Guidelines
Learn about different types of vaccinations recommended during pregnancy, including Tdap, Influenza, and COVID vaccines. Understand which vaccinations are safe and contraindicated during pregnancy, along with guidelines for COVID vaccination and uncommon vaccinations like Monkeypox. Stay informed to make well-informed decisions for a healthy pregnancy.
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Presentation Transcript
VACCINATIONS VACCINATIONS IN PREGNANCY IN PREGNANCY Donna D. Johnson, MD
TYPES OF VACCINATIONS TYPES OF VACCINATIONS Live Rubella Varicella Inactivated/toxoid Tdap Influenza (injection) mRNA or vector COVID
PREGNANCY & VACCINATIONS PREGNANCY & VACCINATIONS Live Usually contraindicated Inactive/toxoid Considered safe mRNA COVID considered safe
VACCINATIONS: EVERY PREGNANCY VACCINATIONS: EVERY PREGNANCY Tdap 28-36 weeks Every pregnancy Influenza Yearly Not a candidate for LAIV (nasal prep)
VACCINATIONS NOT INDICATED IN PREGNANCY VACCINATIONS NOT INDICATED IN PREGNANCY Rubella (MMR) Varicella HPV If in a series do not continue Zoster (Shingrix) Recombinant Preconception
COVID VACCINATION COVID VACCINATION Safe in pregnancy Booster is recommended If > 2 months: Omicron booster recommended https://www.cdc.gov/coronavirus/2019-ncov/need-extra- precautions/pregnant-people.html
COVID VACCINATION COVID VACCINATION
COVID VACCINATION COVID VACCINATION https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to- date.html
MONKEYPOX VACCINATION https://www.cdc.gov/poxvirus/monkeypox/clinicians/pregnancy.html JYNNEOS live, non-replicating viral vaccine prevention of monkey pox & smallpox ACAM2000 replicating viral prevention of smallpox Post-exposure prophylaxis: JYNNEOS
UNUSUAL VACCINATIONS DURING PREGNANCY UNUSUAL VACCINATIONS DURING PREGNANCY Yellow fever Live Rabies Inactivated Hepatitis A and B Inactivated Meningococcal quadrivalent meningococcal conjugate vaccines Considered safe if indicated meningococcus serogroup B vaccines Defer until after pregnancy
UNUSUAL VACCINATIONS DURING PREGNANCY UNUSUAL VACCINATIONS DURING PREGNANCY Polio Oral Inactivated Typhoid Inactivated Anthrax Post-exposure
IMMUNOCOMPROMISED IMMUNOCOMPROMISED Pneumococcal PCV-20 and PCV-15: pneumococcal conjugate vaccines Very little data PPSV23: Pneumococcal polysaccharide Consider safe in 2ndand 3rdtrimester Haemophilus influenzae (Hib) vaccination Inactivated Meningococcal https://www.cdc.gov/vaccines/hcp/acip-recs/general- recs/immunocompetence.html
POSTPARTUM POSTPARTUM MMR Varicella Not recommended in immunocompromised patients
