Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Case 1 A Patient of Ashkenazi Jewish Ancestry Presents for Preconception Counseling
- Case 2 A Patient with a Subchorionic Hematoma Presents with Early Vaginal Bleeding
- Case 3 A 25-Year-Old with a Twin Gestation at 9 Weeks
- Case 4 A 35-Year-Old with HSIL Cervical Cytology at 10 Weeks
- Case 5 A 20-Year-Old with a Molar Pregnancy at 8 Weeks
- Case 6 A 20-Year-Old with Anxiety and Depression at 7 Weeks
- Case 7 A 40-Year-Old with Nausea, Vomiting, and Weight Loss at 7 Weeks
- Case 8 A 30-Year-Old with Worsening Migraine Headaches at 14 Weeks
- Case 9 A 30-Year-Old with Isoimmunization at 9 Weeks
- Case 10 A 25-Year-Old with an Early Pregnancy and Bicornuate Uterus
- Case 11 Recommended Vaccinations at an 8-Week Prenatal Intake
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
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
Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Case 1 A Patient of Ashkenazi Jewish Ancestry Presents for Preconception Counseling
- Case 2 A Patient with a Subchorionic Hematoma Presents with Early Vaginal Bleeding
- Case 3 A 25-Year-Old with a Twin Gestation at 9 Weeks
- Case 4 A 35-Year-Old with HSIL Cervical Cytology at 10 Weeks
- Case 5 A 20-Year-Old with a Molar Pregnancy at 8 Weeks
- Case 6 A 20-Year-Old with Anxiety and Depression at 7 Weeks
- Case 7 A 40-Year-Old with Nausea, Vomiting, and Weight Loss at 7 Weeks
- Case 8 A 30-Year-Old with Worsening Migraine Headaches at 14 Weeks
- Case 9 A 30-Year-Old with Isoimmunization at 9 Weeks
- Case 10 A 25-Year-Old with an Early Pregnancy and Bicornuate Uterus
- Case 11 Recommended Vaccinations at an 8-Week Prenatal Intake
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
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
- Type
- Chapter
- Information
- Pregnancy ComplicationsA Case-Based Approach, pp. 32 - 36Publisher: Cambridge University PressPrint publication year: 2025
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
Etti, M, Calvert, A, Galiza, E, et al. Maternal Vaccination: A Review of Current Evidence and Recommendations. Am J Obstet Gynecol. 2022;226:459–474.CrossRefGoogle ScholarPubMed
United States Centers for Disease Control and Prevention. Chickenpox (Varicella) for Healthcare Professionals. www.cdc.gov/chickenpox/hcp/clinical-overview/ (accessed October 21, 2024).Google Scholar
Gidengil, C, Bidwell Goetz, M, Newberry, S, et al. Safety of Vaccines Used for Routine Immunization in the United States: An Updated Systematic Review and Meta-analysis. Vaccine. 2021;39(28):3696–3716.Google ScholarPubMed
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
ACOG Committee Opinion No 718: Update on Immunization and Pregnancy: Tetanus, Diphtheria, and Pertussis Vaccination. Obstet Gynecol. 2017;130:e153–e157.CrossRefGoogle Scholar
ACOG Committee Opinion No. 732: Influenza Vaccination during Pregnancy. Obstet Gynecol. 2018:131:e109–e114.CrossRefGoogle Scholar
ACOG Committee Opinion No. 741: Maternal Immunization. Obstet Gynecol. 2018;131:e214.CrossRefGoogle Scholar