Vaccine | Before pregnancy | During pregnancy | After pregnancy | Type of vaccine |
Hepatitis A | Yes, if indicated | Yes, if indicated | Yes, if indicated | Inactivated |
Hepatitis B | Yes, if indicated | Yes, if indicated* | Yes, if indicated | Inactivated |
Human papillomavirus (HPV) | Yes, if indicated | No, delay until after pregnancy, if indicated | Yes, if indicated | Inactivated |
Influenza IIV | Yes | Yes | Yes | Inactivated |
Influenza LAIV¶ | Yes, if less than 50 years of age and healthy; avoid conception for 4 weeks | No | Yes, if less than 50 years of age and healthy; avoid conception for 4 weeks | Live |
MMR | Yes, if indicated, avoid conception for 4 weeks | No | Yes, if indicated, give immediately postpartum if susceptible to rubella | Live |
Meningococcal: | ||||
| Yes, if indicated | Yes, if indicated | Yes, if indicated | Inactivated |
| Yes, if indicated | No, delay until after pregnancy, if indicatedΔ | Yes, if indicated | Inactivated |
Pneumococcal: | ||||
| Yes, if indicated | Yes, if indicated | Yes, if indicated | Inactivated |
| Yes, if indicated | Yes, if indicated | Yes, if indicated | Inactivated |
RSV◊ | No | Yes, vaccinate in each pregnancy between 32 and 36 weeks of gestation during RSV season | No | Inactivated |
Tdap | Yes, if indicated | Yes, vaccinate in each pregnancy ideally between 27 and 36 weeks of gestation | Yes, immediately postpartum, if not received previously | Toxoid/inactivated |
Tetanus/diphtheria Td | Yes, if indicated | Yes, if indicated, Tdap preferred | Yes, if indicated | Toxoid |
Varicella | Yes, if indicated, avoid conception for 4 weeks | No | Yes, if indicated, give immediately postpartum if susceptible | Live |
IIV: inactivated influenza vaccine; LAIV: live attenuated influenza vaccine; MMR: measles, mumps, and rubella vaccine; RSV: respiratory syncytial virus; Tdap: tetanus toxoid, diphtheria toxoid, and acellular pertussis vaccine; Td: tetanus and diphtheria toxoid vaccine.
* Conventional recombinant hepatitis B vaccines should be used during pregnancy. Administration of the adjuvanted recombinant hepatitis B vaccine is not recommended during pregnancy because of lack of safety data.
¶ Confirm that LAIV is a recommended option for influenza vaccination each season.
Δ Delay MenB until after pregnancy unless at increased risk and vaccination benefit outweighs uncertain risks.
◊ Pregnant individuals are vaccinated with the inactivated nonadjuvanted recombinant RSV vaccine (RSVPreF; Abrysvo).آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟