However, the CDC states that IPV may be administered in accordance with the recommended schedules for adults if a pregnant woman is at increased risk for infection and requires immediate protection against polio.1 Situations that might warrant immediate protection in pregnancy include possible occupational exposure or travel to areas of endemic polio. Measles, mumps, and rubella—vaccine use and strategies for elimination of measles, rubella, and congenital rubella syndrome and control of mumps: recommendations of the Advisory Committee on Immunization Practices. To see the full article, log in or purchase access. 1999;48(RR-6):1–5. Yellow fever vaccine. (AU, UK)Use is not recommended. Recent world events have brought to light the threat of terrorists who may deliberately release smallpox, and have prompted an evaluation of vaccination policies and emergency preparedness. While no harmful fetal side effects have been identified to date, data from BCG immunization research have not been studied extensively in pregnant women. (5) The contraindications of pertussis vaccination are now well defined (mainly neurological diseases). A pregnancy test may be considered for women who might be pregnant with the caveat that very early pregnancies will not be detected.19 Inadvertent vaccination during pregnancy, however, should not be considered a reason to terminate the pregnancy.

Marinho PS, Cunha AJ, Junior JA, Prata-Barbosa A. In addition, protective concentrations of antibodies are transferred to the fetus transplacentally, resulting in increased infant protection in the early postnatal period. DENISE K. SUR, M.D., is associate clinical professor of family medicine at the David Geffen School of Medicine, University of California–Los Angeles, and director of the family practice residency program at the UCLA–Santa Monica Medical Center, Santa Monica, Calif. She earned her medical degree from the University of California, Davis, School of Medicine, and completed a residency in family medicine at Long Beach Memorial Medical Center, Long Beach, Calif.... DAVID H. WALLIS, M.D., is a senior resident in family medicine at the UCLA–Santa Monica Medical Center, Santa Monica, Calif. Patients with close-proximity contact with a smallpox patient should be vaccinated regardless of their pregnancy status or that of their household contacts. (6) Very few studies have assessed the adverse effects of vaccination on the outcome of pregnancy or on the unborn child. Sources of funding: none reported. 9. [5] It has been suggested that vaccinating mothers against Hep B in pregnancy may reduce the risk of the baby becoming infected. Inactivated Japanese encephalitis virus vaccine. Organon Pharmaceuticals, West Orange, NJ. There is no known or theoretical risk to the fetus or to a pregnant woman from their administration. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 2003 Jul 15;68(2):299-309. Recommendations of the Immunization Practices Advisory Committee. BCG (bacille Calmette–Guérin) (live attenuated bacterial vaccine) Contraindicated. Passive immunization is achieved through administration of human rabies immune globulin (HRIG).

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