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.