- Recommended if the underlying disease is serious
- Recommended after exposure or before travel to endemic areas
- Not routinely recommended, but mandatory during an epidemic
- Contraindicated unless exposure to the disease is unavoidable
The recommendations concerning immunizations during pregnancy offered by the American College of Obstetricians and Gynecologists are as follows:
• Administration of influenza vaccine is recommended if the underlying disease is serious.
• Typhoid immunization is recommended on travel to an endemic region.
• Hepatitis A immunization is recommended after exposure or before travel to developing countries.
• Cholera immunization should be given only to meet travel requirements. Preconception Counseling,Genetics,and Prenatal Diagnosis
• Tetanus-diphtheria immunization should be given if a primary series has never been administered or if 10 years have elapsed without the patient receiving a booster.
• Immunization for poliomyelitis is mandatory during an epidemic but otherwise not recommended.
• Smallpox immunization is unnecessary since the disease has been eradicated.
• Immunization for yellow fever is recommended before travel to a highrisk area.
• Mumps and rubella immunizations are contraindicated.
• Administration of rabies vaccine is unaffected by pregnancy.