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Case 11 - Recommended Vaccinations at an 8-Week Prenatal Intake

from Section 1 - Antepartum (Early Pregnancy)

Published online by Cambridge University Press:  08 April 2025

By
Corinne A. Bazella
Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Vaccination during pregnancy is an effective route of protecting pregnant individuals, their fetuses, and neonates from morbidity and mortality of vaccine preventable diseases. There is sufficient epidemiologic safety data to support routine administration of influenza vaccine, Tdap, and COVID-19 vaccine, however there are poor rates of vaccine uptake in pregnancy due to low vaccine confidence and barriers to care. Routine inactivated childhood vaccines, travel vaccines, and live attenuated vaccine recommendations are reviewed, and recommendations are made based on weighing the risk of exposure, risk of the vaccination, and necessity of travel.

Keywords

vaccinationpregnancyimmunogenicitymaternal vaccinationpassive immunityneonatesvaccine safetypublic health
Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 32 - 36
Publisher: Cambridge University Press
Print publication year: 2025

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References

American College of Obstetricians and Gynecologists. Maternal Immunization. Practice Advisory October 2022. www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2022/10/maternal-immunization?utm_source=higher-logic&utm_medium=email&utm_content=oct-5&utm_campaign=acog2022-digest (accessed September 23, 2024).Google Scholar
United States Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices (ACIP): Guidance for Vaccine Recommendations in Pregnant and Breastfeeding Women. www.cdc.gov/vaccines-pregnancy/hcp/vaccination-guidelines/index.html (accessed October 21, 2024).Google Scholar
Murthy, N, Wodi, AP, Bernstein, H, et al. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older – United States, 2022. MMWR Morb Mortal Wkly Rep. 2022;71:229–233. http://dx.doi.org/10.15585/mmwr.mm7107a1 (accessed September 23, 2024).Google ScholarPubMed
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Laris-González, A, Bernal-Serrano, D, Jarde, A, et al. Safety of Administering Live Vaccines during Pregnancy: A Systematic Review and Meta-analysis of Pregnancy Outcomes (Review). Vaccines. 2020;8(1):124.CrossRefGoogle Scholar
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