Vaccination in Pregnancy

Zain A Al-Safi; Valerie I Shavell; Bernard Gonik


Women's Health. 2011;7(1):109-119. 

In This Article

Immunization during Pregnancy

Ideally, all women should have their immunization status up to date prior to conception. However, owing to suboptimal vaccine administration in all adult women (Figure 1) and the fact that many pregnancies are unplanned, this goal is difficult to accomplish. Pregnancy provides an opportunity for healthcare professionals to provide primary prevention measures as well as to increase awareness of health-related issues as a component of routine prenatal care with the added benefit of the availability of support services and often insurance coverage. Vaccination during pregnancy and the puerperal period includes vaccines routinely recommended to all pregnant women, vaccines administered for certain medical or exposure indications and postpartum immunizations. The use of the mother as a vehicle to protect her fetus and newborn infant against recognized pathogens through transplacental passive antibody transfer is another advantage of immunization during pregnancy.[2,3] Obstetricians and primary care providers should be aware of the vaccination guidelines published by the CDC's Advisory Committee on Immunization Practices (ACIP).[101]

Figure 1.

Receipt of selected vaccinations among women aged 18 years and older.
Adapted from [104].


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: