Vaccine: Which ones to do before, during and after pregnancy?
This is not the first thing you think about when you plan to have a child. And yet, being up-to-date on your vaccines before or during pregnancy can protect the mother and unborn child from possible serious diseases such as whooping cough, influenza, measles or rubella.
Before being pregnant
Three vaccinations are recommended before attempting to conceive a child:
This respiratory infection is one of the leading causes of death by community bacterial infection in infants under 3 months, informs Public Health France.
Vaccination is recommended at the age of 25 years. Women who are planning to become pregnant and who are still on contraception are advised to be vaccinated if they have not done so or if the vaccine was done more than 10 years ago. In addition, people who are likely to be close to infants during the first 6 months of life (father, brotherhood, etc.) are also required to use them.
- Measles, mumps and rubella (MMR)
As explained by the health organization, these infections can, during pregnancy, be responsible in pregnant women for serious infections and / or miscarriage. The child may be subject to severe neurological complications such as blindness, deafness or mental retardation related to rubella.
Anyone born since 1980 must have received two doses of MMR vaccine. If this is not the case, the woman must wait at least four months (two months for both doses of the vaccine and two months of waiting) before starting to conceive a child. On the other hand, "no inadvertent vaccination in a pregnant woman does not justify a medical termination of pregnancy", Says Public Health France.
Controlling chickenpox during pregnancy can have several pregnancy-dependent consequences, including birth defects, birth infection, and severe chickenpox at birth.
Vaccination against chickenpox is therefore recommended for women of childbearing age who have never contracted chickenpox. In case of doubt, serology can be performed before vaccination. If this is necessary, a check of absence of pregnancy is established and then two doses spaced at four to eight weeks for Varivax® or six to ten weeks for Varilrix® are administered. No reminder is necessary. Throughout the vaccination, reliable contraception must be ensured. No inadvertent vaccination in pregnant women justifies medical termination of pregnancy.
Ensuring that immunizations are updated according to the vaccination schedule for other vaccinations (meningococcus C, pneumococcus, hepatitis B, yellow fever ...) is also recommended by the health organization.
Only vaccination against seasonal flu is recommended for all pregnant women. This disease can lead to respiratory complications, especially during the 2nd and 3rd trimesters of pregnancy and the month following birth. Fever can also result in early childbirth. In addition, a vaccinated pregnant woman transmits the antibodies to her baby during the first months of her life.
The patient can be vaccinated at any stage of her pregnancy at the time of the flu shot, usually between October and the end of January. This vaccine is fully supported by the Health Insurance for pregnant women.
- Hepatitis A and B, dTP, rabies ...
It is suitable for pregnant women traveling or residing in areas at risk of being vaccinated against hepatitis A and B, dTP and meningococcal infections. They are safe for the baby or the mother. The indication, taken by a doctor, depends on the benefit / risk balance.
The rabies vaccine is only for curative vaccination, that is to say in case of possible contamination. As for vaccination against tick-borne encephalitis, it is only administered in case of emergency after medical consultation.
After the birth
It is recommended that all vaccines be updated if this has not been done before pregnancy, including the MMR vaccine for breastfeeding women and chickenpox. As a reminder, it is possible to get vaccinated if the woman breastfeeds except for yellow fever where the process must be interrupted for two weeks.
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