Vaccines: Pre- and During Pregnancy

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Questions and Answers

Why is it important for pregnant individuals to receive the Tdap vaccine during the 27th through 36th week of each pregnancy?

  • To prevent the pregnant person from contracting rubella.
  • To protect against potential complications from COVID-19.
  • To prevent the pregnant person from contracting the flu.
  • To provide the newborn with short-term, early protection against whooping cough through the transfer of antibodies. (correct)

Why do healthcare providers recommend a pre-pregnancy blood test for rubella immunity?

  • To check for potential flu complications.
  • To determine the need for COVID-19 vaccination.
  • To ensure the individual has immunity before pregnancy to prevent potential miscarriage or birth defects caused by rubella. (correct)
  • To prepare for potential international travel.

If a pregnant individual is planning international travel, when should they consult with their doctor or healthcare professional regarding necessary vaccines?

  • Only if they have a history of chronic liver disease.
  • After the first trimester.
  • Immediately before departure.
  • At least 4 to 6 weeks before their trip. (correct)

Why might a healthcare provider recommend certain vaccines immediately after childbirth?

<p>To protect the mother from illness and pass antibodies to the baby through breastmilk. (A)</p> Signup and view all the answers

What is the purpose of administering prophylactic anti-D immune globulin to unsensitized Rh D-negative pregnant individuals?

<p>To prevent Rh sensitization and hemolytic disease of the fetus or newborn. (A)</p> Signup and view all the answers

For whom is the COVID-19 vaccine recommended?

<p>For everyone aged 6 months and older. (A)</p> Signup and view all the answers

What should healthcare professionals do if they or the patient do not have a current record of the patient's vaccinations?

<p>Help the patient locate their vaccination records or recommend appropriate vaccines based on individual health assessments. (A)</p> Signup and view all the answers

Why is testing for hepatitis B recommended for pregnant individuals?

<p>To identify and protect babies at risk of hepatitis B infection during delivery. (A)</p> Signup and view all the answers

According to the recommendations, when should pregnant individuals ideally receive the flu vaccine?

<p>By the end of October. (D)</p> Signup and view all the answers

What is the recommended course of action for a woman who is not up to date with the MMR vaccine and is planning to become pregnant?

<p>Delay pregnancy until one month after receiving the MMR vaccine and confirm immunity with a blood test. (B)</p> Signup and view all the answers

Besides pregnancy, in which of the following situations is anti-D immune globulin offered?

<p>External cephalic version. (D)</p> Signup and view all the answers

What factors contribute to pregnant women being more likely to experience severe illness from the flu?

<p>Changes in immune, heart, and lung functions during pregnancy. (A)</p> Signup and view all the answers

When is the RSV vaccine recommended during pregnancy to protect the baby from RSV?

<p>Weeks 32 through 36 during September to January. (D)</p> Signup and view all the answers

Why is postpartum vaccination important, especially if certain vaccines were missed during pregnancy?

<p>It helps protect the mother from getting sick and allows her to pass antibodies to the baby through breastmilk. (D)</p> Signup and view all the answers

What is a key consideration when deciding whether a healthcare professional may recommend the hepatitis A vaccine to a pregnant individual?

<p>If the pregnant women has a history of chronic liver disease. (D)</p> Signup and view all the answers

If a baby younger than 2 months old contracts whooping cough, which of the following is most likely to occur?

<p>They will likely need to be treated in a hospital. (D)</p> Signup and view all the answers

What is the most effective strategy to protect against rubella, a contagious disease that can be dangerous during pregnancy?

<p>MMR vaccine. (A)</p> Signup and view all the answers

What is a potential sign of whooping cough in babies?

<p>Babies with this disease don't cough at all. Instead, it can cause them to stop breathing and turn blue. (B)</p> Signup and view all the answers

What should healthcare professionals do to determine which vaccines a patient might need before becoming pregnant?

<p>Consult the Adult Vaccine Self-Assessment Tool. (B)</p> Signup and view all the answers

How long does it typically take for the body to develop antibodies after receiving a vaccine?

<p>About 2 weeks. (A)</p> Signup and view all the answers

Flashcards

Rubella

A contagious disease that can cause miscarriage or birth defects if contracted during pregnancy.

MMR Vaccine

Vaccine providing protection against measles, mumps, and rubella; ideally administered before pregnancy.

Whooping Cough (Pertussis)

A serious respiratory infection, especially dangerous for newborns, preventable by vaccination during pregnancy which allows transfer of antibodies to the fetus.

Whooping Cough Vaccine During Pregnancy

Vaccination given during pregnancy (ideally between 27th and 36th week) to protect the baby from pertussis by transferring antibodies.

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Flu Vaccine During Pregnancy

Highly recommended annually to protect pregnant women and their babies from flu-related complications.

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RSV Vaccine During Pregnancy

A vaccine recommended between weeks 32-36 of pregnancy (Sept-Jan) to protect the baby from severe RSV illness.

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COVID-19 Vaccine During Pregnancy

Recommended for all pregnant women to protect against severe illness from COVID-19; also offers protection to the baby.

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Hepatitis A Vaccine During Pregnancy

Vaccine considered for pregnant women with chronic liver disease.

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Postpartum Vaccination

Healthcare providers may recommend certain vaccines right after giving birth to protect the mother and pass antibodies to the baby through breastmilk.

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Anti-D Immune Globulin

Administered to unsensitized Rh-D negative women around 28 weeks of gestation and within 72 hours of delivery (if the infant is Rh-D positive) to prevent Rh sensitization.

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Study Notes

  • Maintaining accurate vaccination records and sharing them with healthcare professionals is vital before and during pregnancy
  • If vaccination records are unavailable, healthcare providers can assist in locating them or recommend appropriate vaccines
  • Utilize the Adult Vaccine Self-Assessment Tool to identify necessary vaccines before pregnancy

Vaccines Before Pregnancy

  • Update vaccinations before pregnancy to safeguard both the mother and the child from preventable diseases
  • Rubella during pregnancy poses risks like miscarriage or severe birth defects
  • MMR vaccine provides the best protection against rubella

MMR Vaccine

  • If not up to date with the MMR vaccine, get vaccinated before pregnancy and confirm immunity, with a pre-pregnancy blood test
  • Avoiding pregnancy for one month post-MMR vaccine and immunity confirmation ensures safety

Vaccines During Pregnancy

  • Vaccination during pregnancy shields both the mother and baby from potentially severe illnesses
  • Getting vaccinated while pregnant helps protect you and your baby from serious diseases.

Whooping Cough

  • Pertussis, or whooping cough, is life-threatening for newborns, with 7 in 10 deaths occurring in babies under 2 months
  • Babies with whooping cough may not cough, but experience breathing cessation and turn blue
  • Maternal whooping cough vaccination during pregnancy transfers protective antibodies to the baby, offering early protection
  • The CDC advises whooping cough vaccination during the 27th through 36th week of each pregnancy

Flu

  • Pregnant women face a higher risk of severe flu complications due to immune, heart, and lung function changes
  • Yearly flu vaccination is crucial for pregnant women to protect against the flu and safeguard the baby for months after birth
  • The CDC recommends getting a flu vaccine by the end of October

RSV

  • Protection against RSV is possible through either RSV vaccination during weeks 32-36 of pregnancy (September to January), or RSV immunization for babies aged 8 months or younger during their first RSV season

COVID-19

  • The CDC advises COVID-19 vaccination for everyone aged 6 months and older
  • Staying up to date on COVID-19 vaccines during pregnancy protects both the mother and baby from severe illness

Other Vaccines

  • Hepatitis B vaccination may be needed, as babies born to mothers with hepatitis B face a high infection risk during delivery
  • The hepatitis A vaccine may be recommended for pregnant women with chronic liver disease
  • For international travel, consult a healthcare professional 4-6 weeks prior to discuss necessary vaccines and precautions

Vaccines After Pregnancy

  • Certain vaccines might be recommended postpartum to protect mothers, and antibodies are passed through breastmilk
  • Postpartum vaccination is crucial if certain vaccines were missed before or during pregnancy
  • It takes about 2 weeks after vaccination for the body to develop antibodies
  • Babies begin receiving their own vaccines to protect against serious childhood diseases

Prophylactic anti-D immune globulin

  • Prophylactic anti-D immune globulin is offered to unsensitized Rh D-negative women at 28 weeks gestation following repeat antibody screening
  • Following delivery, if the infant is Rh D positive, all Rh D negative women who are not known to be sensitized should receive anti-D immune globulin within 72 hours of delivery
  • Anti-D immune globulin will also be offered in the following situations:
  • invasive diagnostic procedures (amniocentesis, chorionic villus sampling, etc.)
    • External cephalic version
    • molar pregnancy
    • first trimester miscarriage
    • pregnancy termination
    • ectopic pregnancy
    • antenatal hemorrhage after 20 weeks gestation
    • abdominal trauma during pregnancy
    • fetal death in second or third trimester

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