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What Vaccines Do You Need Before and During Pregnancy?: Why Should You Get Vaccinated?
What Vaccines Do You Need Before and During Pregnancy?: Why Should You Get Vaccinated?
What Vaccines Do You Need Before and During Pregnancy?: Why Should You Get Vaccinated?
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Consider this: The vaccines you get before and during pregnancy not only play an important role
in protecting your health but safeguard your baby's health too. Your immunity is your baby's first
line of defense against certain serious illnesses. So if you're pregnant or planning a pregnancy,
now is the time to make sure your vaccinations are up to date.
But not all vaccines are safe to get during pregnancy. Vaccines come in three forms: live virus,
dead virus, and toxoids (harmless, chemically altered proteins drawn from bacteria). Pregnant
women shouldn't get live virus vaccines, such as the combined measles, mumps, and rubella
vaccine (MMR), because there's a slight chance these will harm the unborn baby. Vaccines made
from dead viruses, such as the flu shot, and toxoid vaccines, such as the
tetanus/diphtheria/pertussis (Tdap) shot, are safe. Here's a rundown of what you need to know
about vaccinations before, during, and after pregnancy.
The best time to get a flu shot is in October or November, before the flu season is in full swing.
And because flu strains change every year, the vaccine does too -- so don't rely on last year's shot
to get you through this year's season.
Moms-to-be who come down with the flu, especially during the second half of pregnancy, are
more likely than other women to suffer severe symptoms or complications such as pneumonia.
Even a moderate case of the flu can make you feel miserable, resulting in fever, headaches,
muscle pain, sore throat, and coughing. Most of these symptoms last about four days, although
coughing and fatigue can drag on for two weeks or longer.
If you do get the flu, contact your doctor, get plenty of rest, and drink lots of fluids. Tell your
doctor if you're not feeling better after several days or if you have trouble breathing, as this can
be a sign of more serious complications such as pneumonia. Fortunately, although the flu can be
a real drag for you, it's unlikely to harm your baby.
Tetanus/diphtheria/pertussis shot (Tdap) Because of the increase in pertussis (whooping cough)
in the U.S., the recommendation regarding the Tdap vaccine was updated in June 2013. If a
tetanus/diphtheria booster (Td) is needed (it has been more than 10 years since the last one),
women should receive Tdap, which includes pertussis. Tdap can be given at any point during
pregnancy, though the preferred timeframe is between 27 and 36 weeks of gestation. The vaccine
is made with toxoids, so it's safe to get during pregnancy.
Tetanus, also called lockjaw, is a disease of the central nervous system that causes painful muscle
spasms and convulsions. The bacterium that causes tetanus can be found in soil and in animal
waste. It can enter the bloodstream through a cut in the skin, so follow up with your doctor if you
get a deep or dirty wound. If contracted during pregnancy, tetanus can cause fetal death.
Diphtheria is a respiratory infection that can cause breathing problems, paralysis, coma, and even
death. It's now rare in this country, but you need a booster shot every 10 years; otherwise your
immunity is likely to wane. Pertussis, an extremely contagious bacterial disease, can be fatal in
infants and is characterized by a deep, hacking cough and a high-pitched "whoop" sound.
and without prompt treatment, the baby has a high risk of contracting serious liver diseases as an
adult.
The CDC recommends that all pregnant women be screened for hepatitis B because it's possible
to have it without knowing.
Hepatitis A vaccine This vaccine protects against a liver disease that spreads through
contaminated food or water. Symptoms include fever, fatigue, and nausea. It isn't usually as
serious as the B version of the disease, and the illness won't affect an unborn baby most of the
time. In rare cases, hepatitis A may contribute to premature labor and infection in the newborn.
The safety of this vaccine has yet to be determined, but because it's produced from dead viruses,
the risks are likely low. If you're traveling to a developing country or if you work with the virus
in a laboratory setting, you should discuss vaccination with your doctor.
Pneumococcal vaccine If you have a specific chronic condition, such as diabetes or kidney
disease, your doctor may recommend the pneumococcal vaccine, which protects against some
forms of pneumonia. Although potential harm to an unborn baby is unknown, researchers believe
that the risk is low.
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