Pregnancy Vaccines

What are the routinely recommended immunizations for pregnant patients?

Inactivated Influenza

Tdap

Covid

What are the guidelines on the inactivated influenza vaccine for pregnant patients?

All pregnant women in any trimester during flu season

What are the guidelines for the Tdap vaccine for pregnant women?

During every pregnancy between 27-36 weeks gestation

What are the guidelines on COVID-19 for pregnant women?

All pregnant women in any trimester during the fall

What are the recommended vaccines for pregnant patients based on risk factors?

HepB

HepA

Pneumococcal

Meningococcal

What are the risk factors for HepB to be recommended in a pregnant patient?

If not previously immunized and at risk (ex: IV, drugs, or partner is +)

What are the risk factors for HepA to be considered for a pregnant patient?

If at risk (chronic liver disease, international travel)

What are the risk factors for Pneumococcal vaccine to be recommended for a pregnant patient?

If complement deficiencies, outbreak exposure, college dorm, or military

What are the contraindicated vaccines for pregnant patients?

MMR (live)

Varicella (live)

Live influenza

HPV

What is the exception for HPV vaccine for pregnant patients?

Contraindicated during pregnancy, but recommended during post partum

What are the vaccines that can be taken for pregnant patients with COPD or Asthma?

Inactive influenza

Tdap

COVID

Pneumococcal

What is the exception for Pneumococcal vaccines in pregnant patients with COPD and/or asthma?

Only with chronic lung disease and asthma IF severe or steroid dependent

Can a pregnant patient with only COPD receive the Pneumococcal vaccine?

Yes

Can a pregnant patient with only asthma receive the Pneumococcal vaccine?

Only if on chronic systemic steroids or another risk factor