Obstet Gynecol 2018;131:e214–7. American College of Obstetricians and Gynecologists The American College of Obstetricians and Gynecologists has identified additional resources on topics related to this document that may be helpful for obstetrician–gynecologists, other health care providers, and patients. Other vaccines provide maternal protection from severe morbidity related to specific pathogens such as pneumococcus, meningococcus, and hepatitis for at-risk pregnant women. Swamy GK, Heine RP. All rights reserved. Maternal immunization. Varicella vaccination should not be administered in pregnancy. Obstetrician–gynecologists and other obstetric care providers should routinely assess their pregnant patients' vaccination status. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists' Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group, in collaboration with member Kevin A. Ault, MD and Laura E. Riley, MD. †† Live attenuated vaccines including, measles–mumps–rubella, varicella, and live-attenuated influenza vaccine are contraindicated for pregnant women. ACOG Members Log in here > Lippincott Journals ... We identified 935 patients admitted for varicella zoster virus infection among 7.7 million pregnancy admissions, representing an incidence of 1.21 cases per 10,000 pregnancies (95% confidence interval [CI] 1.13–1.29). For information on travel vaccines during pregnancy, see https://wwwnc.cdc.gov/travel/. ACOG practice bulletin. Obstet Gynecol 2007;110:941–56. The purpose of this document is to update the current understanding of these infections, including their clinical presentations; their modes and risks of perinatal transmission; and their … This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. The ACOG policies can be found on acog.org. The manufacturer is currently preparing to license the vaccine in Europe. Read terms, Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. Obstet Gynecol 2010;116:949–55. American College of Obstetricians and Gynecologists. Influenza vaccination for pregnant women is especially important because pregnant women who contract influenza are at greater risk of maternal morbidity and mortality in addition to fetal morbidity, including congenital anomalies, spontaneous abortion, preterm birth, and low birth weight. Varicella during pregnancy can have adverse consequences for the fetus and infant, including congenital varicella syndrome (see Prenatal and Perinatal Exposure). Any updates to this document can be found on www.acog.org or by calling the ACOG Resource Center. Varicella immunization is recommended for all non-immune women as part of pre-pregnancy and postpartum care. Detailed ultrasound and appropriate follow-up is recommended for all women who develop varicella in pregnancy to screen for fetal consequences of infection . American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920. Any potential conflicts have been considered and managed in accordance with ACOG's Conflict of Interest Disclosure Policy. 148: Thyroid Disease in Pregnancy; Persistent Occiput Posterior; Management of Persistent Vaginitis; Second-Trimester Cervical Length Screening Among Asymptomatic Women: An Evaluation of Risk-Based Strategies; Evaluation of Third-Degree and Fourth-Degree Laceration Rates as Quality Indicators Although rare, the development of HZ does occur during pregnancy. Please try reloading page. Please try reloading page. Vaccines such as Tdap provide fetal and neonatal benefit through passive transfer of protective antibodies across the placenta. Obstet Gynecol 2018;131:e214–7.This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. All ACOG Committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Studies consistently demonstrate that when the recommendation and availability of vaccination during pregnancy comes directly from a woman's obstetrician or other obstetric care provider, the odds of vaccine acceptance and receipt are 5-fold to 50-fold higher 4 5 6 7 8. If you are pregnant and have chickenpox (varicella) a highly contagious viral infection that causes an itchy, blister-like rash you and your baby might face serious health risks.
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