Vaccinations before and during pregnancy. What vaccinations are required before pregnancy? Vaccinations before pregnancy

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So that at the stage of bearing the future baby there are no problems, you need to prepare for it, and it is recommended to start doing this in advance. Preparation must be thorough and comprehensive. So, the expectant mother should protect herself from diseases that can be dangerous to the fetus. And vaccinations will help in this when planning a pregnancy.

Many people think that vaccination is necessary only in childhood. And the child really needs vaccinations, because his immune system has not yet had time to fully form. Any attacks of viruses lead to infection, and some diseases are extremely unpleasant and dangerous.

During pregnancy, immunity is significantly reduced, because a huge load falls on the body, and it may not be able to cope with it. Any contacts of the expectant mother with infected or sick people can lead to the development of a particular disease. And if in the normal state they do not entail consequences, then during pregnancy they can be (and often are) extremely dangerous, and especially in the early stages. Toxins secreted in the mother's body through the placenta will certainly get to the fetus, causing malformations, pathologies. And in order to avoid all this, you need to take preventive measures in advance, that is, start vaccination.

What vaccinations are needed?

So, what vaccinations should a woman do when planning a pregnancy?

Rubella

This disease is not considered common, but it’s still better to be safe, because in case of infection, nothing will happen to the expectant mother herself, but there is a threat to the fetus. There is a risk of early labor or miscarriage, as well as extremely severe developmental pathologies.

The vaccine is live, that is, it contains viruses, but weakened ones that do not cause symptoms. It is advisable to vaccinate three months before the start of active attempts at conception. Only one single injection is required.

Measles

Infection with the measles virus at the stage of gestation (especially in the very early stages) can lead to the onset of spontaneous abortion. The incidence is high, that is, the risk of infection through contact with the patient is above 70%.

The vaccine refers to the living, but weakened. It is advisable to vaccinate three months before conception. Revaccination (that is, repeated administration in order to form stable full-fledged immunity) is not needed.

Mumps

Another name for this disease is mumps. The incidence cannot be called high, because parotitis is not very common, but there are still risks. The danger is significant: if the virus enters the body in the first trimester of pregnancy, a miscarriage is likely.

The vaccine must be administered approximately three months in advance, that is, at the first stage of planning. Re-vaccination is not provided. The drug itself contains a virus, but significantly weakened.

Good to know: It is advisable to get a combined vaccination against mumps, rubella and measles.

Chicken pox

Chickenpox or, as it is usually called by the people, chickenpox is a fairly contagious disease. Moreover, it can harm even a pregnant woman, since in this position the risks of complications increase, the most common of which is pneumonia. There is also a threat to the fetus. So, when infected in the second or third trimester, there is a risk of congenital chickenpox, which will develop even in the womb and can lead to developmental abnormalities.

It is advisable to vaccinate at least 3-4 months in advance, since two doses will be required (the interval should be approximately one to two months).

Hepatitis B

Type B hepatitis is a rather dangerous disease. During pregnancy, it is more difficult, and it is also dangerous for the fetus. First, the risk of preterm birth increases significantly. Secondly, there is the possibility of intrauterine infection, which will lead to significant liver damage.

Vaccinations are done three times, namely after a month and six months. The drug is a carefully purified surface antigen.

Flu

If early gestation occurs during an influenza epidemic, then it is advisable to protect yourself, since this virus can provoke a miscarriage and even malformations of the unborn child.

It is possible to vaccinate a month before the intended conception, but it is also acceptable to vaccinate pregnant women, since inactivated viruses are used. The introduction will be one-time.

Other vaccinations

If indicated, some other vaccinations may be required:

Diphtheria and tetanus. If the effect of the previous vaccine has ended (that is, it was made more than ten years ago), then revaccination will be required. One maintenance dose is administered intramuscularly (every decade), preferably before conception.
A pneumococcal vaccine will be required if the woman's immunity is reduced and she often suffers from respiratory diseases. The drug is administered once.
The polio vaccine will have to be administered if a woman works in the medical or research field, or lives in an unfavorable region, in which cases of infection with such a disease are often recorded.
If there is an epidemic of meningitis in the region, then it is advisable to get vaccinated against meningococcal infection too.

Be sure to consult with your doctor about the need for a particular vaccine, as well as its exact timing.

As you know, during pregnancy, a woman's body undergoes a huge number of changes associated with hormonal changes, and also becomes very vulnerable to all kinds of viruses, which is easily explained by the instability of the immune system. A decrease in the reactivity of the future mother contributes to infection with dangerous infectious diseases, they can provoke miscarriages in the early stages of pregnancy or intrauterine infection of the fetus with the appearance of gross defects in organ structures during gestation. Due to the high health risks, vaccination is sometimes recommended for pregnant women to avoid complex diseases and their consequences. Is it necessary for pregnant women to be immunized? How does their body react to different types of vaccines?

Rubella vaccination during pregnancy

Rubella is one of the infectious diseases, it is very dangerous for the unborn child. If during pregnancy the mother suffers this ailment, then there is a high probability of her baby developing birth defects, in particular, heart defects, deafness and mental disability. That is why doctors recommend that the fair sex planning a pregnancy 3 months before the intended conception be immunized against rubella with a live inactivated vaccine.

In most cases, doctors offer women to be vaccinated with combined vaccinations, they contribute to the development of immunity from several diseases at once, namely rubella, measles infection and. Most often, this vaccine is a live attenuated suspension of Priorix. Immunity lasts for decades, so a woman can be completely sure of the safety of her baby.

After vaccination, a woman must be protected for at least 3 months. Only in this way will antibodies to have time to develop in sufficient quantities to protect the body from the penetration of infectious agents. During pregnancy, prophylactic is strictly contraindicated, since the vaccine contains live viruses, they easily penetrate the placental barrier and, accordingly, can cause ontogeny of the disease in the fetus.

Polio vaccine

In our country, if you plan a pregnancy, then it is not necessary to be vaccinated against polio. Experts explain this fact by a very low risk of infection for a pregnant woman. But foreign experts will not agree with this, who have long insisted on the need to introduce a prophylactic suspension a few months before the planned conception.

When should vaccination not be withheld? Immunization is recommended for those women in whose family there are already children in the first years of life. The fact is that babies after three years of age are given an oral live vaccine, the viruses in which can be released into the environment, and therefore be dangerous for the environment of the immunized child. If there are pregnant women in the baby's family, then they are recommended to carry out routine vaccination by introducing an inactivated injection solution, it is not able to provoke pathological conditions in people with impaired immune function.

Tetanus toxoid and diphtheria vaccination

And tetanus is recommended to do every 10 years. To do this, use a vaccine or DPT, if you need to vaccinate a person also. These vaccinations are contraindicated for pregnant women, since these vaccines at the beginning of pregnancy can cause a miscarriage, and in the second half of it, the fetus will die, after which it is necessary to induce artificial labor. In addition, tetanus toxoid also has a pronounced teratogenic effect, and therefore they act as the culprits for the occurrence of ontogenesis defects in the unborn child.

Experts advise planning pregnancy for women with a pre-vaccinated against tetanus, as well as immunized against diphtheria. Why is this happening? It is known that both viruses are extremely dangerous for normal human life, and tetanus is generally among the incurable pathologies. Diphtheria is easily transmitted from an infected person to a healthy one, which contributes to its rapid spread in communities where pregnant women are also likely to be. It is for this category of patients that the disease is of particular danger and often leads to death.

Tetanus vaccination is prescribed according to the vaccination plan for the immunization of the population. It is done no later than a month before the probable conception. The injection of the solution should be carried out in a special room, which will guarantee its safety and minimize the risks of post-vaccination complications.

The flu vaccine and pregnancy

Influenza is a serious viral disease that annually provokes outbreaks of seasonal epidemics throughout the country. For this reason, doctors constantly remind their patients of the importance of vaccination against this disease, which allows them to create protection against a dangerous virus. This makes it possible not only to eliminate the risk of infection, but also to maintain their working capacity without interrupting the labor process.

Since pregnancy is a special period when the body of the expectant mother is extremely susceptible to viral agents, it is this category of the population that should take care of itself and think about immunization during the planning period for the child. You can get vaccinated at every clinic. To do this, use a vaccine called, which is recommended to be given a month before the expected pregnancy.

Is it possible to inject the influenza vaccine in women who have already begun pregnancy? If the patient has no general contraindications to vaccination, then there are no restrictions for her to be vaccinated against influenza during pregnancy. After vaccination, the expectant mother is not only reliably protected from the influenza virus, but is also able to transfer antibodies from it to her newborn child, thereby creating protection for him in infancy. These women are injected with a vaccine for children, known as "".

Many women are not even aware of the existence of such a serious disease as hepatitis B. And there is nothing strange in this. The fact is that the danger of contracting hepatitis appears in people who need surgical procedures, frequent injection of liquids, blood transfusion, since the pathogen is transmitted exclusively through the blood. It is known that women who are registered in the antenatal clinic for pregnancy are forced to constantly take tests, undergo examinations, and undergo medical manipulations. This increases the likelihood of both the mother and her unborn child becoming infected with hepatitis.

It is forbidden to vaccinate all girls "in position", since its effect on the embryo has not been studied. Vaccination is possible only in exceptional situations, when the risk of catching an infection is very high. When planning a baby, they prefer to administer the vaccine three times six months before deciding to give birth. This will provide decent immunity and allow him to form immunity, lasting 15-20 years.

You can also get vaccinated three months before pregnancy, but then you will need to revaccinate once, about a month later. Although such actions will help protect yourself from the penetration of hepatitis B viruses, such protection will be short-term and will last only 1-1.5 years. The third injection will allow you to create long-term post-vaccination immunity, which should be done after the birth of the crumbs, if she feels good.

Chickenpox vaccine during pregnancy

It usually occurs in preschool children. Most people get it in early childhood, but there are always those who are bypassed by the virus. Such patients are at risk of contracting a disease during their lifetime, which is much more difficult in adulthood. In addition, during pregnancy, the disease provokes a violation of the formation of organs in the fetus, the appearance of soil for the development of mental or physical retardation. The only way to protect yourself from the disease is to get the vaccine recommended by your doctor.

Girls who are thinking about conception are advised to use the vaccine 3 months before pregnancy. During all this time, they are strongly advised to protect themselves with the help of various contraceptives. For immunization, they take proven Okavax and Varilrix vaccines, after which complications are almost never diagnosed.

What should a future mother do if she does not have protection against chickenpox, if for some reason she was in contact with the patient? Can such a patient be immunized? According to legislative acts, in our country, any vaccinations are prohibited for pregnant women, if the composition includes live pathogens, and refers to their list. Upon contact with a patient during pregnancy, a potentially infected girl is given an injection of immunoglobulin containing ready-made antibodies against the disease. This allows you to prevent the development of the pathological process and ensures the preservation of the health of the fetus.

Vaccination of a future mother against rabies and its effect on the body

In our country, it is assigned only to those who are directly related to this infection, that is, workers in virological laboratories, foresters, farmers, and the like. But anyone can get sick with an incurable disease if he is bitten by an infected animal. Therefore, pregnant girls constantly risk their health, as it can be bitten, for example, by a rabid stray dog. What to do in this case?

During pregnancy, it is forbidden to enter. But this applies only to preventive measures. If the injured person was bitten by a wild animal, then vaccination is indicated for health reasons, since in any case the disease is fatal. It is possible to vaccinate by injection of an inactivated suspension, the effect on the baby remains unknown. Naturally, this is a big risk, but there are no other treatment options. In addition to the girl, anti-rabies immunoglobulin was shown.

When put according to the plan a month before pregnancy. It is made to such categories of girls:

laboratory workers associated with the rabies virus;
any person who wishes;
ladies planning a trip to countries with an increased incidence of the disease.

Tick-borne encephalitis vaccine

Vaccination against this disease is included in the preventive plan for vaccinating women before pregnancy only in endemic foci of infection, that is, in areas where many ticks live. The vaccination should be applied in a course 1.5-2 months before conception. If pregnancy occurs during immunization, then the next injection should be postponed until delivery.

Vaccination is prohibited during pregnancy. What if the girl did it first, and only then found out that she was pregnant? Are such actions dangerous for the baby? Studies on the teratogenicity caused by a tick bite have not been conducted, respectively, there is no confirmation that he is the culprit of a pregnancy complication. Female representatives who find themselves in an ambiguous situation need to be patient, regularly see a gynecologist and visit an experienced immunologist who can determine the possible negative consequences of vaccination for the fetus.

Rh negative vaccine

All preventive measures in the management of pregnant women with a negative Rh factor are aimed at preventing sensitization, that is, they are designed to prevent the development in the mother's body of antibodies to fetal erythrocyte cells that have entered the girl's circulatory system. The process of formation of protective complexes can be suppressed by introducing an anti-Rhesus immunoglobulin or a sufficient dose of ready-made antibodies to a problem patient.

Vaccination at risk of Rhesus conflict is a specific human immunoglobulin. It is assigned to negative girls who carry a child with a positive Rh under their hearts. In addition, the drug is used in women with a negative factor in the following cases:

natural abortion or artificial termination of pregnancy;
when there is a threat of losing a child at any stage of pregnancy;
ectopic pregnancy;
after the amniocentesis procedure, when there is a possibility of mixing of maternal and child blood.

As a rule, the solution is administered intramuscularly in the doses prescribed by the doctor. If vaccination was not carried out before the baby was born, then the suspension is administered 72 hours after birth. In the case of immunization of a pregnant patient, after delivery, the drug is prescribed to her in a single dose after three days. It is forbidden to infuse intravenously. Before the procedure, the liquid should be heated to 20 0 C. Patients whose husbands are also Rh-negative do not need an injection.

To prevent conflict, the following steps should be taken:

a potentially sick girl in a state of pregnancy, regardless of her husband's Rh, should be tested for antibodies between 12 and 19 weeks of pregnancy;
with a titer of one to four, it is mandatory to pass a second analysis at the 28th week;
if abnormalities in the development of the fetus are detected, monitoring of the amount of antibodies is prescribed earlier than the above period;
the level of immunoglobulin should be determined every 6-8 weeks;
if up to 20 weeks the titer exceeds the permissible ratio, then an additional study is carried out every half a month and the dynamics of such growth is observed;
the presence of immunoglobulin requires constant ultrasound monitoring of the baby's condition (if gross violations are detected, delivery or intrauterine blood transfusion is recommended to save the baby's life).

After the use of immunoglobulin, adverse reactions are possible in the form of local and general pathological manifestations after an injection. Most often, patients complain of the development of hyperemia, fever, digestive disorders. Naturally, all these changes pass quickly and, unlike dangerous antibodies, do not lead to irreparable impairment of life. In rare cases, doctors diagnose an allergy to a vaccine, and even anaphylactic shock after its administration.

It is important to remember that the achievements of modern medicine allow us to hope for a successful solution to the problem and the prevention of complications associated with Rh-conflict pregnancy. Fortunately, today doctors have everything necessary for the successful bearing of conflict children. The main thing that is needed is the timely response of the woman herself and a thorough examination of her in a consultation.

Preparing for the birth of an heir is an important step towards a happy motherhood. Therefore, modern women make every effort to prevent unwanted manifestations before the birth of a child. After all, it is always easier to prevent possible problems than to deal with their consequences later. The health of the unborn child largely depends on premature vaccination, since immunity can be transmitted to the baby not only through the blood, but also with the breast milk of his mother.

During childbearing The body of a woman is susceptible to the development of various diseases. This is due to a significant decrease in immunity. To protect herself and her child from possible problems in the future, a woman should be vaccinated before pregnancy.

What vaccinations should be done when planning a pregnancy?

Diseases transferred during pregnancy can leave an imprint on the health of the child. Experts recommend taking care of the adoption in advance preventive measures. These include vaccination against certain diseases. A woman can get vaccinated before pregnancy by contacting the antenatal clinic at the place of residence.

The most appropriate time is scheduled for the administration of each vaccine. There are some diseases that are very important to get vaccinated against.

IMPORTANT! If in childhood a woman suffered some diseases, then an injection is not given against them.

Rubella vaccine before pregnancy

Rubella is a disease whose main symptom is a multiple rash all over skin surface. The incubation period has a duration of 13 to 23 days. At this time, the person is already a carrier of the disease.

Rubella is transmitted by airborne droplets so it's very easy to get infected. During pregnancy, the development of this disease is highly undesirable.

There are two main varieties of the disease - typical and atypical. In the second case, there is no characteristic the appearance of a skin rash. A woman can detect rubella in herself by the following symptoms:

Fever.

Enlarged lymph nodes.

Pain in the joints.

Fever.

Rash.

A sore throat.

Transferred early, rubella leads to negative consequences in 90% of cases. Most often, spontaneous miscarriage occurs. If the fetus is preserved, the following developmental defects may occur:

complete or partial deafness;

microcephaly;

heart disease;

problems in the development of the genitourinary system;

pathology of the liver and spleen;

cataract.

Getting vaccinated against rubella before pregnancy helps to avoid the onset of the disease and the complications it brings. Should be vaccinated at least three months before the expected date of conception. This period is necessary so that the vaccine does not have a negative effect on the fetus. After all, the vaccine contains live viruses, albeit weakened, which can also influence the development child. This vaccine is not recommended if you are pregnant.

REFERENCE! There is no effective treatment for rubella. The body copes with the disease on its own.

Chickenpox vaccine

Chickenpox is a common airborne disease. In childhood it is fairly easy to carry. A characteristic symptom of the disease is a large rash spread throughout the body. During pregnancy, chickenpox is tolerated in exactly the same way as in the normal state. The general state of health worsens, the temperature increases, chills appear.

IMPORTANT! To determine the presence of antibodies to the disease, it is necessary to undergo a special examination. If there are no antibodies, a vaccine is given.

The transfer of chickenpox during pregnancy is undesirable. The well-being of a woman affects the condition of the child. In addition, the infection has the ability to cross the placenta and inhibit fetal development.

If the infection occurred immediately before labor, then you should first get rid of the disease and only then provoke delivery.

Vaccination should be carried out in advance - not earlier than 4 months before the alleged pregnancy. If a woman had body contact with a patient with chickenpox, then the injection must be administered no later than 96 hours later.

measles vaccine

Measles is a serious viral disease that can lead to health complications. Having been ill with it once, a person receives immunity against the disease. Incubation period usually lasts for a week. Then symptoms begin to appear.

Together with a general deterioration in the condition, the patient begins to find whitish spots on his body. At the stage of pregnancy planning, women are advised to determine the presence of antibodies to the disease in the blood. If they are absent, appropriate vaccination is carried out.

Get vaccinated not allowed during pregnancy. It can cause fetal rejection. Therefore, it makes sense to think about it in advance, the measles vaccine before pregnancy is done about three months before conception. Sometimes measles injections combine serums against mumps and rubella.

REFERENCE! The onset of the disease is characterized by an acute form. Deterioration of well-being occurs instantly.

Mumps vaccine

Parotitis or mumps is a viral disease. It affects the nervous system, glandular organs and pancreas. In most cases, the disease resolves without complications. The most rare consequence is education inflammatory processes in the region of the brain.

The first vaccine is given in childhood, at the age of 1 year. The second injection is done at 6 years of age. The disease carries with it a complication in the form of infertility, which affects both men and women.

pregnant woman very difficult to bear the disease. This is due to a general deterioration in well-being. In addition, edema appears in the area of the salivary or mammary glands. The child, being in the womb, is protected from this type of infection. But in some cases, a miscarriage is possible against the background body intoxication women.

Mumps vaccination is most often done in combination with other sera. Injections are carried out in advance, before the woman knows that she is in position.

Hepatitis B vaccine

Hepatitis is a disease that affects liver cells. An advanced disease can lead to to death. Hepatitis in this group can only be transmitted through blood. Despite this, a woman should insure herself with a vaccine.

REFERENCE! You can become infected with hepatitis if sterility is not observed in medical centers, beauty salons or tattoo parlors.

Hepatitis vaccine includes three stages. The first injection is given on absolutely any day. The second vaccination is done after a month. The third stage begins only six months later. During this period, a woman is not recommended to become pregnant. Manipulations should be carried out 7-8 months before planned pregnancy.

This vaccination is essential in preparation for pregnancy. Hepatitis can be passed on to a child during labor. Even though the disease treatable, the prognosis for sick people is not the most favorable.

flu vaccine

There are many varieties of the flu. Each vaccine protects against a specific virus. Therefore, she does not give a 100% guarantee that a woman will not get sick. However, it is still necessary to be vaccinated, there is quite enough for this. good reasons.

Influenza vaccination is carried out already in the presence of pregnancy, after 14 weeks. In the midst of an epidemic, it is undesirable to be vaccinated.
It is better to do this in advance, based on the recommendation of a doctor. If a woman gets the flu, she will be disturbed by the following symptoms:

Heat.

Decreased performance.

Headache.

Chills.

Weakness of the body.

For a child, this condition is considered dangerous. In the first trimester, the laying of important organs occurs. The transfer of influenza during this period can cause disturbances in the development of the child.

ADVICE! For the prevention of influenza during pregnancy, it is recommended to use lemon, honey, raspberry jam, herbal decoctions and other means that strengthen the immune system.

Polio vaccination

Poliomyelitis is difficult to tolerate at any age. It is viral in nature, so it is not difficult for them to get sick. Its source is considered enterovirus.

The polio vaccine is considered mandatory. It protects against serious consequences of the course of the disease. If not accepted preventive measures, there are complications in the form of pneumonia, intestinal obstruction and bleeding in the stomach. The occurrence of an ailment during pregnancy is the reason for abortive actions. The vaccine should be given two months before pregnancy.

Vaccination against diphtheria and tetanus

Diphtheria results from infection by airborne droplets. Tetanus is spread by an open wound in which spores of the virus enter.

Vaccination against these diseases does not provide full protection against them. But she stimulates the production of immunity, which allows you to successfully deal with the disease.

Women who are pregnant are not allowed to vaccinate against tetanus and diphtheria. The vaccine causes reactions in the body that can adversely affect the child. It is recommended to carry out the vaccination procedure for a month before conception.

Vaccination for rhesus conflict

The vaccine that is given in the event of an Rhesus conflict between mother and child is called Bairow-Dee. The indication for such a procedure is repeated termination of pregnancy earlier.

ON A NOTE! A child who has an Rh conflict with his mother may notice changes in his Rh throughout his life.

The vaccine is given if a pregnant woman has Rhesus conflict with fruit. All manipulations are divided into several stages. The first vaccine is given during pregnancy. The second is done when the child is born. Failure to vaccinate is dangerous due to fetal rejection pregnant woman's body women.

Each woman decides for herself whether to vaccinate before pregnancy or not. The vaccine made is a guarantor of the safety of the health of a woman and her unborn child. This is one of the best ways to strengthen reduced immunity women.

Vaccination has already saved millions of lives. One injection is enough not to get sick with serious infectious diseases. The immunity of a pregnant woman is suppressed, so all women in the “position” are especially susceptible to bacteria and viruses. Proper vaccination during pregnancy planning will avoid such problems, but it is important to know how and when to vaccinate.

Unfortunately, a healthy lifestyle and good nutrition alone is not enough for the body to be able to defend itself against all the viruses and bacteria that try to attack it. Some pathogens turn out to be too “insidious” and do not miss the opportunity to become more active when they find themselves in favorable conditions.

The situation is aggravated by the fact that during pregnancy, women's immunity is reduced for natural reasons. In this way, nature protects the "alien" male seed from destruction and prevents the rejection of the new little man who appears inside the mother's body.

Diseases can greatly harm a mother or an unformed child. Therefore, for many centuries, the issue of the safety of pregnant women has excited the minds of doctors and other pundits. And with the advent of vaccines, the answer to it, it would seem, became obvious.

However, over time, many "horror stories" associated with immunization have appeared. Therefore, even today, the opinions of professionals regarding preventive vaccinations against diseases before the start of active planning for replenishment in the family differ.

Opponents of vaccination most often refer to the lack of knowledge of the impact of such manipulations on the immunity of future parents. They note that the manifestation of possible side effects can be significantly extended in time. And if they did not appear immediately after the introduction of the vaccine, there is no complete certainty that after a month, a year or ten years the situation will not change.

In addition, the artificial strengthening of the body's defenses at the planning stage can "distract" it from the process of preparing for procreation.

On the other hand, it is impossible to determine in advance which pathogens and where a woman will encounter while carrying a baby. The pregnancy period stretches for many months, during which the expectant mother will not hide in sterile conditions.

She will most likely continue to lead a more or less social lifestyle - go to work or school, travel by public transport, go to shops or other crowded places, regularly attend antenatal clinics at a clinic or medical center. In addition, members of her family will also have to “circulate” in society. Therefore, a meeting with the disease can occur in the most unexpected place and, of course, at the wrong time.

When and how to carry out when planning

The immunization procedure for adults is not as popular as for children. Therefore, the vaccination schedule for diseases is forgotten immediately when this issue ceases to worry the nurse at school or university.

In addition, not every future parent considers it necessary to “prepare” for pregnancy - to dedicate a gynecologist or family doctor to their plans. And he gets an appointment only when a little life inside has already been born. That is, in a period not suitable for routine vaccination.

Nevertheless, it is better to worry about protecting the mother and the unborn baby from diseases in advance. Since the process of “providing” immunity can take several months, during which you will have to protect yourself, preventing conception. In the future, this will avoid serious complications and consequences that will cause infections if a pregnant woman becomes infected with them.

From rubella

There is an opinion that "children's" diseases are not dangerous, therefore, it is not worth overloading the immune system with artificial methods of protection against them. Experts note that babies do tolerate some infections quite easily, after which they develop a completely resistant immunity to re-infection.

However, the disease that in a child manifests itself as “itched and gone” in an unvaccinated adult can cause a trip to the hospital of the infectious diseases department and stay on a drip.

In the case of an unprotected pregnant woman, this situation can turn into an additional tragedy. The causative agent of rubella will easily penetrate the placenta to the baby, who is not yet able to defend himself against it on his own. And the result of meeting with the disease with a probability of 75 - 95% will be sad.

According to statistics, the majority of children whose mothers during gestation are born with significant external injuries or serious malformations. It is not always possible to correct them even surgically. The infection is especially dangerous in the first trimester of pregnancy. At this time, it can threaten with serious defects of the heart, brain in a baby or developmental fading.

Therefore, it is important to check your immunological status for rubella before pregnancy. To do this, you can pass a special analysis in the laboratory and, if necessary, be vaccinated. Modern vaccines are able to remove the question of the possibility of infection with this disease for 20 years with an efficiency of almost 100%.

However, it should be borne in mind that rubella injections are given as a live vaccine. Therefore, for at least two and a half months after it, it is better to refrain from conception until the body completely destroys the weakened pathogen and develops immunity to it.

from measles

Usually the vaccine against this disease comes in combination with "protection" against mumps. The causative agents of measles and mumps are also able to penetrate the placenta and have a negative impact on the development of the fetus. In the early stages, they can become a cause, later they are highly likely to lead to anomalies in the formation or disruption of the baby's internal organs.

If a woman in her childhood did not encounter these infections, she needs “artificial” protection against diseases before a planned pregnancy. Especially if she works in a kindergarten or school, or there is a child in the family who attends a children's group.

You can do such a comprehensive vaccination along with the measles vaccine, but no later than three months before the “probable” pregnancy.

From chickenpox

Another disease that has a "non-childish" effect on the adult body. Moreover, the older the person, the more pronounced the intoxication caused, and the higher his body temperature will rise. The causative agent of chickenpox is a special type of herpes. Like its “brothers”, it easily penetrates the blood and tissues of the body, so it will not be difficult for it to slip through the placental barrier either.

The degree of negative impact of this virus on the unborn baby will depend on the period of infection of the pregnant woman. The disease is most dangerous in the early stages and before childbirth.

But at other times, its impact will not remain without a trace. And although modern medicine has tools that can reduce the likelihood of a negative impact of the pathogen, the only effective method of protection against chickenpox is still vaccination (if the woman has no other immunity to the disease).

The chickenpox vaccine is strictly prohibited during pregnancy. Therefore, the interval between injection and conception can be from one to four months, depending on the type of drug.

From dysentery

This acute intestinal infection was the cause of a deadly epidemic in the 1940s. And although with the discovery of antibiotics, the treatment of dysentery has become more effective, it cannot completely eliminate the possibility of severe complications in the course of the disease.

Dysentery is especially dangerous for pregnant women. In addition to the fact that the physiological decline in immunity predisposes to rapid infection, the state of "position" significantly limits the possibility of using all groups of drugs.

If the correct treatment is not started in time, attributing the manifestations of the disease to ordinary poisoning, intrauterine infection of the baby or the development of pathology due to severe intoxication is possible. Also, the infection can cause premature birth or leakage of amniotic fluid.

For elementary prevention of this disease, the expectant mother needs to wash her hands, drink only purified water, avoid “dangerous” foods and dubious catering places. But if this is not enough, for example, after floods or other emergencies, or in regions where the risk of outbreaks of dysentery is very high, vaccination is necessary.

The effect of one vaccination is enough for about a year. Therefore, an injection during the planning period will protect both the woman herself and her unborn baby. The exact timing will depend on the specific diphtheria vaccine.

ADSM (tetanus, diphtheria)

Most of the adult population received vaccinations against these diseases in childhood. But few people know that they need to be revaccinated every ten years.

Therefore, if the expectant mother at the time of planning the baby is over 25 years old, it is highly likely that she no longer has protection against diphtheria and tetanus.

Both diseases are equally dangerous for both an adult and a child (regardless of whether he was born or not yet). They are difficult to treat and cause very serious complications that can lead to death. Therefore, it is important not to miss vaccinations against tetanus and diphtheria. And if their revaccination coincided with the “planning” period, then after the injection, contraceptives should be used for four months.

A timely maternal vaccination will provide protection against diseases and a newborn baby. Antibodies from an adult body will enter the baby along with breast milk. This will allow the baby to receive "temporary" immunity, which should be enough until he himself receives the first injection from these diseases at three months or later if there are contraindications.

Do I need a flu shot

Even the most harmless SARS can cause failures in the intrauterine development of the baby. Therefore, the likelihood of complications with a more serious illness (flu) during the "waiting" period increases several times.

According to WHO, pregnant women represent a special risk group during the seasonal rise in the incidence. The course of the pathology in the expectant mother is more difficult compared to other people and is more likely to lead to pneumonia, otitis media and other serious complications. All this is fraught with a negative impact on the formation of the child, often there is a threat of termination of pregnancy or premature birth.

That is why it is important to have time to take the necessary measures to protect against the disease even before the causative agent of an acute infection begins to circulate in the air.

Most often, seasonal flu vaccines appear in clinics in early to mid-autumn. And if you manage to get vaccinated at this time, you can survive the winter without serious health problems. In the case of preparation for pregnancy or already in the period of "waiting", the timing of such manipulation is specified by the doctor individually.

Hepatitis vaccination at the time of planning

As with tetanus and diphtheria, viral liver damage is a danger to any woman and man. However, during pregnancy, the chance of contracting hepatitis B increases. This disease is transmitted through blood and other bodily fluids. Contact with them can occur during manipulations and procedures that are carried out in large numbers by expectant mothers. However, this is casuistry.

The use of disposable devices and strict adherence to sterilization techniques reduce the risk of infection in a medical setting. More often, a future mother can get infected after a salon trimmed manicure, if the master shows negligence and poorly processes the instrument before the procedure, as well as during unprotected sexual intercourse.

The course of the disease is not good for either the mother or the child, so you need to take care of prevention in advance. The vaccination process takes place in several stages and can take up to six months. The sooner a young woman begins to be vaccinated against hepatitis B, the sooner immunity to it will form.

But here it is necessary to take into account that there is a calendar of vaccinations against this infection in childhood. The expediency and necessity of revaccination should be checked with the doctor individually.

Is it safe to do them

Each vaccine has a list of contraindications under which such manipulation is prohibited. Most often, they are due to the likelihood of an allergy to any component of the drug or another "uncharacteristic" reaction. Depending on the individual characteristics, for some time after the injection, pain may be felt at the injection site, the temperature may rise, or a state of mild intoxication may be observed.

A woman is warned about all these side effects in advance. The main thing is that the quality of the drug is not in doubt, and the vaccination process takes place under the supervision of a specialist.

Watch the video about vaccination before preparing for pregnancy:

What if you don't

No doctor can force a woman to be vaccinated against any disease if she does not want it, since only she is responsible for her own health and that of her unborn baby. However, he can provide complete information and assess the level of risks to which the fair sex exposes herself by refusing immunization.

There are women who safely endured and gave birth to full-fledged children, even after having been ill with something serious during pregnancy. But doctors also know many cases when the situation after the disease developed very tragically.

Is it possible to inject in the early stages of pregnancy

The most vulnerable in all respects is the first trimester of expectation of the baby. At this time, it is better for the expectant mother to avoid any non-physiological processes that affect the body. That is, it is no longer worth grafting. However, any disease before the thirteenth week of pregnancy is a significant “risk factor”.

The body must direct all efforts to building a new person, laying his organs and systems, so it is important to make enough efforts so that nothing “distracts” him at this time.

Today, most experts consider pre-vaccination the only effective method of preventing infectious diseases. For its implementation, new drugs are being developed and special detailed protocols are being drawn up. But in the end, the decision to vaccinate is made by the woman herself, guided by logic or maternal instinct.

Infections for a pregnant woman are very dangerous, as they can cause pathologies, mutations in the fetus, deviations in its development, etc. Therefore, at the stage of preparation for bearing, it is important to carefully protect yourself from a possible disease. One of the important components of the prevention of infectious, viral, and other diseases is vaccination. The material considers vaccinations when planning pregnancy, especially the appointment, vaccination of expectant mothers.

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Are vaccinations necessary before pregnancy?

Vaccination before pregnancy is extremely important. Most of the infections for which vaccinations are prescribed are potentially dangerous for the fetus, can lead to mutations, developmental delays, death, miscarriage, miscarriage. The probability of pathology is so high that if the expectant mother has suffered such a disease, the doctor is obliged to recommend that she have an abortion. Especially dangerous are the infections discussed in the material in the early stages, when the fetus does not even have placental protection.

Some diseases, which are called "children's" are extremely difficult to tolerate by adults, can lead to serious consequences not only for the fetus, but also for the health of the mother. If you did not get sick with them in childhood, it is imperative to get vaccinated against them. At the same time, if you have already had such infections, now you are not afraid of them, since it is impossible to get infected with mumps or chickenpox again.

Some vaccines have a certain "expiration period" - the body's immunity, developed by their administration, lasts for several years. If you still have such vaccinations, and your immunity will remain active throughout your pregnancy, you do not need to repeat them on the eve of conception. If the effect, presumably, is coming to an end, then the vaccine is re-introduced.

Some vaccinations are prescribed at certain intervals, at a particular age. Based on your medical record, the doctor will determine what you have already been vaccinated against and what you have not yet. Based on this, he will give you directions for the necessary vaccinations.

At this stage, some expectant mothers have difficulties. A woman may not remember past illnesses, and there is no entry in the medical record. Then it is necessary to pass a specific test to determine the existence of antibodies to the most common, dangerous pathogens, their concentration. If there are antibodies, there are a lot of them, the vaccine is not administered. If there are no antibodies, vaccination takes place.

What vaccinations are required before pregnancy?

Although different pathologies have a different degree of effect on the fetus, it is necessary to be vaccinated from everyone. Such vaccination is implemented using complex vaccines, when several inactivated pathogens are introduced in one injection, that is, one vaccine protects against several pathologies. You need to get vaccinated against all diseases that you have not yet had in childhood, and which can occur again.

Vaccination against measles, rubella, mumps, chicken pox

Do I need to get the rubella vaccine before pregnancy? These "children's" pathologies for the unborn child are the most dangerous, provoke the death of the embryo, the formation of deformities, mutations, especially if a pregnant woman of the first trimester has become infected with them. Also, these diseases are extremely dangerous, hard to tolerate by adults, so it is necessary to be vaccinated.

Rubella is the most dangerous infection for a child if a pregnant woman of the second or third trimester has contracted it. It provokes mutations in the development of the brain, heart defects, physical deformities, mental and physical retardation, eye damage, loss of hearing, speech. Infection of early, middle terms is an indication for abortion, infection of the third trimester does not pose a threat to the child. Vaccination is done once, protects for 20-25 years. If you have already had rubella, you do not need to get vaccinated again.
Measles is not too dangerous for the unborn child in late pregnancy. In the early stages, a miscarriage most often occurs, if it has not occurred, the birth of a child with an affected nervous system, mental retardation is likely. The expectant mother endures the pathology extremely hard, with consequences, complications, the most common of which is pneumonia.
Mumps or mumps is most dangerous when infected early pregnancy. In such a situation, it almost always causes a miscarriage. If it does not happen, damage to the nervous system, physical deformities, developmental delays are formed. Can cause meningitis, encephalitis, endocrine disorders. Does not reappear - no need to be vaccinated if you have already had it.
Chickenpox (chickenpox) is difficult to tolerate by adults, causing complications. The fetus is able to form perinatal varicella syndrome, which is expressed in the cumulative course of brain pathology, hand mutations, pneumonia, eye pathology, noticeable immediately after birth. The vaccine is given to women who have not had chickenpox, it is carried out once.

Most often, re-vaccination of a vaccinated/vaccinated person does not stimulate serious consequences. Therefore, if the expectant mother does not remember exactly whether she was vaccinated, the doctor may not prescribe tests for antibodies, but immediately give a referral for vaccination.

Immunizations before pregnancy - hepatitis B

Hepatitis B is potentially dangerous for the following:

It does not provoke violations of the formation of the embryo, but intrauterine infection can occur. Especially when pathology appears in a pregnant woman in the third trimester, then the risk of intrauterine infection is 25-50%. At earlier times it is lower.
Although the condition is not the most common, pregnant women are five times more likely to develop it than non-pregnant women.
Women who are expecting a baby have a very difficult time with hepatitis B.

Vaccination includes three stages: the first introduction, after one month the second introduction, after six months - the third introduction. Pregnancy can only be planned after all three injections.

Vaccinations before pregnancy - influenza

Depending on the strain, the influenza virus can have one or another negative effect on the fetus. It proceeds with complications, potentially life-threatening. You need to get vaccinated against it at least three months before the planned date of conception, if your pregnancy will have a seasonal flu epidemic in the winter. Immunity develops in about two weeks.

Immunizations before pregnancy - diphtheria, tetanus, polio

One complex injection is administered:

Usually, pregnant women are not recommended to be vaccinated against polio separately. This is due to the fact that the probability of contracting the disease is minimal, however, there are reports of its local epidemics in Central Asia. The condition provokes a disease of the nervous system, often ends with paralysis, the onset of disability. Serum components are included in a multicomponent injection for diphtheria, tetanus, poliomyelitis.
Vaccination against diphtheria is necessary, since during pregnancy this disease causes miscarriage.
Tetanus causes 100% death of children in the first month of life. Infection of a pregnant woman with this disease leads to intrauterine infection.

Complex serum is introduced at 6, 16, 26, 36, 46, 56 years and so on. Specialists do not recommend vaccinating additionally. Vaccination is carried out only if the previous vaccination expires.

Is it necessary to get pregnant only 6 months after vaccination?

This period is quite long, it makes no sense to wait so long. It plays a role what kind of vaccine you were injected with. Pregnancy after rubella vaccination is recommended after at least 12 weeks. There is a limitation with the fact that it becomes a live virus, that is, for some time after the injection, it lives, acts in the body, therefore, intrauterine infection of the fetus can occur. Then its action stops, as it is defeated by the body's immune system. Similarly, a live vaccine is serum against mumps, polio, tetanus, influenza - after vaccination, they also cannot be pregnant for at least 3 months.

But the duration of the life of the virus in the serum against chickenpox is much less. If you were introduced only to it, then you can plan gestation in a month. All of these vaccinations are strictly prohibited during gestation, since all live vaccines have the potential to infect the fetus.

Long-term preparation requires vaccination against hepatitis. In fact, it lasts six months, so it should be planned no earlier than 7 months before the planned date of conception.