Vaccination milestones for women before and during pregnancy

VnExpressVnExpress14/09/2023


3 months, 1 month before pregnancy and 3 months in the middle or last trimester of pregnancy are milestones to note when getting vaccinated.

Vaccines are given at different times and not at the same time. According to the VNVC representative, women who are preparing for and are pregnant need to complete the vaccination regimen according to the correct time frames. In addition, the measles-mumps-rubella vaccine is also necessary for women preparing for pregnancy, giving the body enough time to produce antibodies to prevent the disease, ensuring the safety of the pregnant woman and the fetus. This vaccine is contraindicated for pregnant women.

Women before and during pregnancy need to be vaccinated with enough doses of vaccines to create immunity for mother and baby. Photo: Rutgers University

Women before and during pregnancy need to be vaccinated with enough doses of vaccines to create immunity for mother and baby. Photo: Rutgers University

3 months before pregnancy

Women planning to become pregnant should complete the chickenpox vaccination schedule 3 months in advance. Vaccination helps create passive immunity for the baby from birth, thereby preventing the risk of infection and serious complications.

In addition, the measles-mumps-rubella vaccine is also necessary for women preparing for pregnancy, giving the body enough time to produce antibodies to prevent the disease, ensuring safety for pregnant women and fetuses. This vaccine is contraindicated for pregnant women.

Japanese encephalitis is a serious disease that threatens the lives of both mother and baby, so women should get enough doses of the vaccine before becoming pregnant. There are two types of Japanese encephalitis vaccine: live attenuated and inactivated. If you choose to get the live attenuated vaccine, you need to complete it 3 months before pregnancy, while the inactivated vaccine needs to be given 1 month before.

1 month before pregnancy

Women under 27 years old should get the HPV vaccine to prevent cervical cancer and other dangerous diseases caused by the HPV virus. This vaccine consists of 3 injections, injected over 6 months. If pregnant, pregnant women cannot get the vaccine because it can affect the fetus. Women should calculate the appropriate time to complete this vaccination before conceiving.

In addition, mothers also need to complete the 3-dose hepatitis B vaccine schedule (within 6 months) at least 1 month before pregnancy, and can continue vaccination during pregnancy (if high risk).

In addition, it is necessary to get vaccinated against pneumococcal bacteria 1 month before pregnancy to help prevent dangerous complications caused by this bacteria, especially pneumonia during pregnancy, which increases the risk of premature birth, slow fetal growth, stillbirth, etc.

Women before and during pregnancy need to be vaccinated with enough doses of vaccines to create immunity for mother and baby. Photo: VNVC

Pregnant and expectant women attend a pregnancy and obstetrics consultation class organized by VNVC. Photo: Moc Thao

3 months middle or last pregnancy

During this time, pregnant women can get the flu vaccine, which has been shown to reduce the risk of acute respiratory infections by 50% and the risk of hospitalization in pregnant women by about 72%, and the rate of premature birth by 27%. Pregnant women getting the flu vaccine also helps transfer antibodies to the fetus, protecting the baby in the first 6 months of life.

Getting vaccinated against diphtheria, whooping cough, and tetanus at this time also helps the mother's body create the necessary antibodies and pass them on to the baby before birth. These antibodies help protect the baby against the three diseases in the first months of life.

Pregnant mothers who receive the full tetanus vaccine regimen during this period are effective in reducing the rate of neonatal tetanus deaths by 94%. The vaccine has a schedule of 2 injections at least 1 month apart, in which the 2nd injection is given at least 1 month before birth, and a booster injection is maintained in subsequent pregnancies.

According to the VNVC Vaccination Center System, the rate of couples registering for pre-marital vaccination packages to prevent dangerous infectious diseases before and during pregnancy has increased by about 200% in the past 3 months.

Dr. Le Thi Truc Phuong, vaccination doctor, VNVC Vaccination System said that during pregnancy, pregnant women are susceptible to infectious diseases, affecting the health and life of mother and baby. "Pregnant women with flu during pregnancy increase the rate of premature birth by 4 times, the rate of cesarean section by 4 times, and the mortality rate by 4.5 times. Neonatal tetanus has a high incidence rate during the process of cutting the umbilical cord for babies if the instruments are not properly sterilized," the doctor explained.

Most of the whooping cough deaths are in children under 3 months old. Every year, it is estimated that there are about 50 million cases of whooping cough worldwide, of which 95% are in developing countries, with approximately 300,000 deaths. Pregnant women with chickenpox, measles, rubella... can cause fetal malformations such as cleft lip, neural tube defects...

Meanwhile, the United Nations Children's Fund (UNICEF), the World Health Organization (WHO), the United Nations Population Fund and the World Bank estimate that 5.4 million children under the age of five die each year. Most of these deaths are due to preventable causes, with newborns accounting for about half of these deaths.

"Women preparing for and currently pregnant need to maintain a healthy lifestyle, including a suitable diet and physical exercise. In particular, it is important to pay attention to building a healthy immune system by getting fully vaccinated before and during pregnancy," Dr. Truc Phuong recommended.

At 2:00 p.m. on September 16, VNVC Vaccination System and Sanofi Pasteur pharmaceutical company organized "Pregnancy and Obstetrics Health Consultation Class No. 10" in two forms, in person and online, with the following contents:

Things to know about whooping cough - diphtheria - tetanus vaccine for pregnant mothers shared by Dr. Le Thi Truc Phuong.

Breastfeeding and common benign breast diseases after giving birth shared by Master, Doctor Nguyen Thi Quy Khoa, Obstetrics and Gynecology Center, Tam Anh General Hospital System.

Readers interested in participating can register here.

Thanh Thu



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