Pregnancy vaccination

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Pregnancy vaccination

vaccination-whooping-cough-pregnancyIdeally women should be vaccinated against preventable diseases prior to pregnancy. However, the two main vaccines that are currently recommended Pregnancy Vaccination include;

Seasonal influenza vaccine (flu vaccine) Tetanus, diphtheria , pertussis (whooping cough) vaccine .

  • Flu Pregnancy Vaccination

The yearly flu vaccine is usually available mid to end of September. All women who will be pregnant during the flu season (peaks in January – February) should have their pregnancy vaccination regardless of the stage of their pregnancy. The ideal time is October to November.

The recommended vaccine for pregnancy vaccination is the intramuscular inactivated one. The intranasal (LAIV, FluMist) is a live attenuated vaccine and is NOT recommended during pregnancy. Read our blog post flu in pregnancy 

  • Tetanus, Diphtheria,pertussis whooping cough pregnancy vaccination

If the mother has her Tetanus – Diphtheria complete and up to date they should receive a single dose of Tetanus – Diphtheria – pertussis (whooping cough) pregnancy vaccination weeks 27-36  to deal with whooping cough immunity. This should be repeated in each pregnancy. If the mother has not had the vaccination during pregnancy then a postnatal vaccine may be given to provide some passive protection to baby by passive antibody transfer through the milk (applies to breastfeeding mothers). 

If the mother has had incomplete or unknown immunisation against Tetanus Diphtheria then they should receive the complete three doses. The best vaccination during pregnancy schedule is 0 (first dose should target second trimester), 4 weeks and the third dose 6-12 months later. One of the doses should be the tetanus-diphtheria-pertussis (whooping cough) to provide protection against whooping cough in pregnancy. More info whooping cough in pregnancy

 

Dr George Michailidis MRCOG Fetal & Maternal Medicine Consultant

Obstetrician & Gynecologist

Genesis Perinatal Care Clinic

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