Rafed English
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Risk to a developing fetus from vaccination of the mother during pregnancy is theoretical. No evidence exists of risk to the fetus from vaccinating pregnant women with inactivated virus or bacterial vaccines or toxoids. Live vaccines administered to a pregnant woman pose a theoretical risk to the fetus; therefore, live, attenuated virus and live bacterial vaccines generally are contraindicated during pregnancy.

Benefits of vaccinating pregnant women usually outweigh potential risks when the likelihood of disease exposure is high, when infection would pose a risk to the mother or fetus, and when the vaccine is unlikely to cause harm.
CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2011; 60 (No. 2): 26.

 

  • The table on the following page may be used to find the general rule for vaccinating a pregnant woman with a particular vaccine.
  • The third column of the table refers the reader to the page in this document where more specific information from the appropriate ACIP recommendations will be found.
  • Each quotation from an ACIP recommendation in turn references the entire document, where the quotation(s) may be found in context.

 

VaccineGeneral Recommendation for Use in Pregnant WomenFor More Information See text
Routine Hepatitis A Recommended if otherwise indicated. See Hepatitis A text
Hepatitis B Recommended in some circumstances. See Hepatitis B text
Human Papillomavirus (HPV) Not recommended. See HPV text
Influenza (Inactivated) Recommended. See Influenza text
Influenza (LAIV) Contraindicated. See Influenza(LAIV) text
MMR Contraindicated. See MMR text
MCV4 (MenACWY) May be used if otherwise indicated. See Meningococcal text
PCV13 Inadequate data for specific recommendation. See Pneumococcal Conjugate text
PPSV23 Inadequate data for specific recommendation. See Pneumococcal Polysaccharide text
Polio May be used if needed. See Polio text
Td Should be used if otherwise indicated. See Tetanus and Diphtheria text
Tdap Recommended. See Tetanus, Diphtheria, and Pertussis text
Varicella Contraindicated. See Varicella text
Zoster Contraindicated. See Zoster text
Travel & Other Anthrax Low risk of exposure – not recommended. High risk of exposure – may be used. See Anthrax text
BCG Contraindicated. See BCG text
Japanese Encephalitis Inadequate data for specific recommendation. See Japanese Encephalitis text
Meningococcal (MPSV4) May be used if otherwise indicated. See Meningococcal text
Rabies May be used if otherwise indicated. See Rabies text
Typhoid Inadequate data for specific recommendation. See Typhoid text
Smallpox Pre-exposure – contraindicated.
Post-exposure – recommended.
See Smallpox text
Yellow Fever May be used if benefit outweighs risk. See Yellow Fever text