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<div class="HwContainer HwElement" id="HwContainer"><a class="HwMainSkipNavigation" href="#HwContentTitle"><span class="HwAccessibilityText">Skip Navigation</span></a><div class="HwBlock" id="HwMain" role="main"><div class="HwRow"><div class="HwColumn" id="HwColumnSidebar1"><div class="HwCustom" id="HwCustomSidebar"> </div></div><div class="HwColumn" id="HwColumnContent"><div id="HwContentTop"> </div><div class="HwTypeFocus HwContentWrapper HwElement" role="article" id="HwContentWrapper"><div class="HwCustom" id="HwCustomContentTop"> </div><div class="HwContentHeader"><p><a name="top" id="Hwtop"><span class="HwAccessibilityText">Top of the page</span></a> </p></div><div class="HwContentTitle"><h1 id="HwContentTitle" tabindex="-1">Immunizations and Pregnancy</h1></div><div class="HwContentTopNavigation"> </div><div class="HwContent"><div class="HwNavigationSection HwSectionSpecialSection" id="sec-tn9107-sec"><h2 class="HwSectionTitle" fingerprint="b4cb0a40" fingerprint-exact="e7c3d1bb">Overview</h2> <p fingerprint="731cb751" fingerprint-exact="ba2372a4">Your immunity protects both you and your unborn baby (fetus). After you have been immunized (vaccinated) against or infected by a virus or bacteria, your body forms an immunity to it. <b>Full immunity</b> can protect you from future infection, either for a lifetime or a limited period. <b>Partial immunity</b> strengthens how well your body can fight that infection. </p> <p fingerprint="72158532" fingerprint-exact="0d38383c">Before you become pregnant, be sure to review your immunization history with your doctor. Even if you had a vaccine as a child, it doesn't guarantee that you are now fully immune. It depends on the virus or bacteria. </p> <h3 class="HwSubSectionTitle" fingerprint="e698ed94" fingerprint-exact="41a76492">Before pregnancy: Rubella, measles, mumps, chickenpox</h3> <p fingerprint="a5ee8cf4" fingerprint-exact="1293becb"> <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="str2496" data-hw-section="str2496-sec" rel="Definition" hw:document-type="Definition" hw:document-href="str2496" data-hwid="str2496" hw:section-href="str2496-sec" href="?id=str2496#str2496-sec"><span class="HwLinkText">Rubella</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stm159343" data-hw-section="stm159343-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stm159343" data-hwid="stm159343" hw:section-href="stm159343-sec" href="?id=stm159343#stm159343-sec"><span class="HwLinkText">measles</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stm159632" data-hw-section="stm159632-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stm159632" data-hwid="stm159632" hw:section-href="stm159632-sec" href="?id=stm159632#stm159632-sec"><span class="HwLinkText">mumps</span></a>, and <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stc123689" data-hw-section="stc123689-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stc123689" data-hwid="stc123689" hw:section-href="stc123689-sec" href="?id=stc123689#stc123689-sec"><span class="HwLinkText">chickenpox</span></a> can harm a growing fetus. They can cause birth defects, fetal death, or premature birth. Chickenpox can also be dangerous for you when you're pregnant. </p> <p fingerprint="1eabbfcc" fingerprint-exact="e57a7d7b">If you don't know if you're immune to rubella, measles, or chickenpox, talk to your doctor about a blood test for <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sta123301" data-hw-section="sta123301-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sta123301" data-hwid="sta123301" hw:section-href="sta123301-sec" href="?id=sta123301#sta123301-sec"><span class="HwLinkText">antibodies</span></a> to that virus. If you aren't immune, have the vaccination before you get pregnant. To allow time for your body to develop antibodies to the virus, keep using birth control for at least 4 weeks after the vaccination.<sup class="Reference"><a class="HwLinkReference" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" rel="cite1-Cit" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" hw:name-href="cite1" href="?id=tn9107#tn9107-Bib"><span class="HwAccessibilityText">footnote </span>1</a></sup></p> <h3 class="HwSubSectionTitle" fingerprint="9603201a" fingerprint-exact="d6692eff">Before or during pregnancy: Flu, COVID-19, whooping cough (pertussis), and respiratory syncytial virus (RSV)</h3> <p fingerprint="6c673a7f" fingerprint-exact="cc88dbcf">Flu, COVID-19, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stw5521" data-hw-section="stw5521-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stw5521" data-hwid="stw5521" hw:section-href="stw5521-sec" href="?id=stw5521#stw5521-sec"><span class="HwLinkText">whooping cough (pertussis)</span></a>, and RSV are dangerous diseases for newborns and young infants. The flu and COVID-19 can also be dangerous for you when you're pregnant. Getting the flu, COVID-19, Tdap (tetanus, diphtheria, and pertussis), and RSV vaccines during pregnancy is considered safe for your fetus. And these vaccines protect both you and your newborn. The U.S. Centers for Disease Control and Prevention (CDC) recommends the following: </p> <ul fingerprint="ed410adc" fingerprint-exact="235152d5"> <li>If you didn't get the yearly flu vaccine yet, get the flu shot before or during your pregnancy.<sup class="Reference"><a class="HwLinkReference" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" rel="cite2-Cit" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" hw:name-href="cite2" href="?id=tn9107#tn9107-Bib"><span class="HwAccessibilityText">footnote </span>2</a></sup> This is especially important if you have a chronic health problem (including asthma). The intranasal vaccine contains live virus, so it is not used during pregnancy. </li> <li> Protect yourself against pertussis with the Tdap (tetanus, diphtheria , and pertussis) vaccine before or during <b>each</b> pregnancy.<sup class="Reference"><a class="HwLinkReference" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" rel="cite1-Cit" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" hw:name-href="cite1" href="?id=tn9107#tn9107-Bib"><span class="HwAccessibilityText">footnote </span>1</a></sup></li> <li>Get the COVID-19 vaccine before or during your pregnancy.<sup class="Reference"><a class="HwLinkReference" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" rel="cite3-Cit" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" hw:name-href="cite3" href="?id=tn9107#tn9107-Bib"><span class="HwAccessibilityText">footnote </span>3</a></sup></li> <li>Get the vaccine for RSV. Getting the vaccine during pregnancy can help prevent your infant from getting the infection.</li> <li>Your other children should receive their immunizations on schedule. Having your child vaccinated against diseases does not increase your risk for becoming infected with them. You do not need to speed up or delay your child's immunizations. </li> </ul> <h3 class="HwSubSectionTitle" fingerprint="ad3f440d" fingerprint-exact="0d9f30d8">If you are already pregnant and are not immune</h3> <ul fingerprint="35046b35" fingerprint-exact="764b0260"> <li> Rubella, measles, or chickenpox: If you are not immune to these diseases, your doctor will recommend that you <b>wait until after childbirth</b> to have the vaccine. Instead, you must take every precaution to prevent exposure to these viruses while you're pregnant. </li> <li> Other vaccines: If you are at risk of being exposed to <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sth149722" data-hw-section="sth149722-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sth149722" data-hwid="sth149722" hw:section-href="sth149722-sec" href="?id=sth149722#sth149722-sec"><span class="HwLinkText">hepatitis A</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sth149741" data-hw-section="sth149741-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sth149741" data-hwid="sth149741" hw:section-href="sth149741-sec" href="?id=sth149741#sth149741-sec"><span class="HwLinkText">hepatitis B</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stp1874" data-hw-section="stp1874-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stp1874" data-hwid="stp1874" hw:section-href="stp1874-sec" href="?id=stp1874#stp1874-sec"><span class="HwLinkText">polio</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stm159376" data-hw-section="stm159376-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stm159376" data-hwid="stm159376" hw:section-href="stm159376-sec" href="?id=stm159376#stm159376-sec"><span class="HwLinkText">meningitis</span></a>, or pneumococcal bacteria, your doctor may recommend that you get vaccinated against these infections <b>during pregnancy</b>. </li> </ul> </div><div class="HwNavigationSection HwSectionRelatedInformation" id="sec-tn9107-RelInfo"><h2 class="HwSectionTitle" fingerprint="d5f858e0" fingerprint-exact="c0ffe04b">Related Information</h2><ul fingerprint="5d3b871c" fingerprint-exact="9cdb3d89"><li class="HwOptionalAny"><a data-hw-type="Special" data-hw-document-href="immun" data-hw-section="acn9177" hw:document-type="Special" hw:document-href="immun" data-hwid="immun" hw:section-href="acn9177" href="?id=immun#acn9177">Immunizations</a></li><li class="HwOptionalAny"><a data-hw-type="Special" data-hw-document-href="hw197814" data-hw-section="acp3039" hw:document-type="Special" hw:document-href="hw197814" data-hwid="hw197814" hw:section-href="acp3039" href="?id=hw197814#acp3039">Pregnancy</a></li><li class="HwOptionalAny"><a data-hw-type="Focus" data-hw-document-href="hw195050" data-hw-section="hw195050-sec" hw:document-type="Focus" hw:document-href="hw195050" data-hwid="hw195050" hw:section-href="hw195050-sec" href="?id=hw195050#hw195050-sec">Preparing for a Healthy Pregnancy</a></li></ul></div><div class="HwNavigationSection HwSectionReferences" id="sec-tn9107-Bib"><h2 class="HwSectionTitle">References</h2> <blockquote> <h3 class="HwSubSectionTitle">Citations</h3> <ol> <li> <a name="cite1"> </a>Centers for Disease Control and Prevention (2012). <i>Guidelines for Vaccinating Pregnant Women</i>. Available online: http://www.cdc.gov/vaccines/pubs/preg-guide.htm. </li> <li> <a name="cite2"> </a>American College of Obstetricians and Gynecologists (2010). Influenza vaccination during pregnancy. ACOG Committee Opinion No. 468. <i>Obstetrics and Gynecology</i>, 116(4): 1006–1007.</li> <li> <a name="cite3"> </a>American College of Obstetricians and Gynecologists' Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group (2020, updated 2021).<i> Practice advisory: COVID-19 vaccination considerations for obstetric–gynecologic care</i>. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/covid-19-vaccination-considerations-for-obstetric-gynecologic-care. Accessed August 4, 2021.</li> </ol> </blockquote> </div><div class="HwNavigationSection HwCreditsSection HwCreditsWithoutNavstack HwSectionCredits" id="sec-tn9107-Credits"><h2 class="HwSectionTitle">Credits</h2><div class="HwContentInformation"><div class="HwLastUpdated"><p><span class="HwInfoLabel">Current as of: </span> April 30, 2024</p></div><div class="HwCredits"><p><span class="HwInfoLabel">Author: </span><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en" title="Opens in a new window"><span class="HwLinkText">Ignite Healthwise, LLC Staff</span></a><br><span><b><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en" title="Opens in a new window"><span class="HwLinkText">Clinical Review Board</span></a></b></span><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</p></div></div></div></div><div class="HwCustom" id="HwCustomContentBottom"> </div><div class="HwContentNavigation"><div class="HwSectionNavItem" style="display:block" id="secNav-tn9107-sec"><div class="HwContentNavigationNone"> </div><div class="HwContentNavigationTop"><a href="#top">Top of the page</a></div><div class="HwContentNavigationNext"><p>Next Section: </p><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-RelInfo" id="nextLink-tn9107-RelInfo" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-RelInfo" href="?id=tn9107#tn9107-RelInfo">Related Information</a><span class="HwNavLinkArrow" aria-hidden="true"> »</span></div><div class="HwClear"> </div></div><div class="HwSectionNavItem" style="display:none" id="secNav-tn9107-RelInfo"><div class="HwContentNavigationPrev"><p>Previous Section: </p><span class="HwNavLinkArrow" aria-hidden="true">« </span><a class="HwLinkNavstack" data-hw-type="Focus" 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data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" id="prevLink-tn9107-Bib" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" href="?id=tn9107#tn9107-Bib">References</a></div><div class="HwContentNavigationTop"><a href="#top">Top of the page</a></div><div class="HwContentNavigationNone"> </div><div class="HwClear"> </div></div></div><div class="HwContentInformation"><div class="HwLastUpdated"><p><span class="HwInfoLabel">Current as of: </span>April 30, 2024</p></div><div class="HwCredits"><p><span class="HwInfoLabel">Author: </span><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en">Ignite Healthwise, LLC Staff</a></p><p><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><span><b>Clinical Review Board</b></span></a><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</p></div></div><div class="HwCitations" style="display:none;"><div class="HwCitation" id="cite1-Cit">Centers for Disease Control and Prevention (2012). <i>Guidelines for Vaccinating Pregnant Women</i>. Available online: http://www.cdc.gov/vaccines/pubs/preg-guide.htm. </div><div class="HwCitation" id="cite2-Cit">American College of Obstetricians and Gynecologists (2010). Influenza vaccination during pregnancy. ACOG Committee Opinion No. 468. <i>Obstetrics and Gynecology</i>, 116(4): 1006–1007.</div><div class="HwCitation" id="cite3-Cit">American College of Obstetricians and Gynecologists' Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group (2020, updated 2021).<i> Practice advisory: COVID-19 vaccination considerations for obstetric–gynecologic care</i>. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/covid-19-vaccination-considerations-for-obstetric-gynecologic-care. Accessed August 4, 2021.</div></div></div></div><div class="HwColumn" id="HwColumnSidebar2"><div class="HwCustom" id="HwCustomNavigationTop"> </div><div class="HwElement" id="HwNavigationWrapper"><div class="HwNavigation" id="HwNavigation" role="navigation"><h3 class="HwNavStackHeader" id="HwNavStackHeader">Topic Contents</h3><ul aria-labelledby="HwNavStackHeader"><li id="nav-tn9107-sec"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-sec" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-sec" href="?id=tn9107#tn9107-sec">Overview</a></li><li id="nav-tn9107-RelInfo"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-RelInfo" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-RelInfo" href="?id=tn9107#tn9107-RelInfo">Related Information</a></li><li id="nav-tn9107-Bib"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Bib" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Bib" href="?id=tn9107#tn9107-Bib">References</a></li><li id="nav-tn9107-Credits"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="tn9107" data-hw-section="tn9107-Credits" hw:document-type="Focus" hw:document-href="tn9107" data-hwid="tn9107" hw:section-href="tn9107-Credits" href="?id=tn9107#tn9107-Credits">Credits</a></li></ul></div></div><div class="HwNavigationWrapper HwNavigationEmpty"> </div><div class="HwCustom" id="HwCustomNavigationBottom"> </div></div></div></div><div class="HwBlock" id="HwFooter"><div class="HwRow"><div class="HwCustom HwColumn" id="HwCustomFooterLeft"> </div><div class="HwColumn" id="HwFooterLegal"><div class="HwLegal HwElement" role="contentinfo"><div class="HwLogo"><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><img class="HwNoHcMode" data-hw-resource-path="media/interface/hwlogo.png" alt="Click here to learn about Ignite Healthwise, LLC" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/interface/hwlogo.png" hw:resource-path="media/interface/hwlogo.png" hw:release-quarter="14.3"><img class="HwHcMode" data-hw-resource-path="media/interface/hwlogo_hc.png" alt="Click here to learn about Ignite Healthwise, LLC" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/interface/hwlogo_hc.png" hw:resource-path="media/interface/hwlogo_hc.png" hw:release-quarter="14.3"></a></div><div class="HwDisclaimer"><p>This information does not replace the advice of a doctor. 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