In today's society to the vaccination of children and pregnant women's attitude is ambiguous, however, should not be forgotten that, in some clinical situations, the risk associated with the development of a disease during pregnancy may be much higher than the probability of complications of vaccination.Of course, the ideal solution - making all the necessary vaccinations in preparation for a planned pregnancy.In this case, the female body has time to work out all the necessary protective mechanisms to the most dangerous infections.What is a medical vaccination of pregnant women?
In practice, this scenario is quite rare, so many women have to make a decision on holding a medical vaccination at a particular stage of pregnancy.The need for vaccination should be addressed collectively, involving immunologist, internist and gynecologist, as well as taking into account the gestational age and immune status of women.It is important to realize that a pregnant woman's immune system is overloaded, in a state of
Today in the medical community have formed three basic principles that take into account when deciding on the need for a medical vaccination during pregnancy.First of all, the vaccination of pregnant women is shown in those cases where there is a fairly high risk of infection (pregnant was in close contact with the sick person within a reasonable time for infection).In addition, administration of the vaccine during pregnancy is recommended only when the infectious process has proven pathological effect on the health of the mother and fetus (the causative agent of the disease leads to the formation of malformation of organs and systems of the fetus, causing serious violations of the physical condition of the woman, and may even threatenher life).The third principle of rational immunization states that vaccination of pregnant women is shown, if the damage from the vaccine is much smaller (usually complications after administration of the vaccine - a short fever, infiltration at the injection site) than by the pathological process, emerging as a result of infection of the mother and fetus.
Immediately it should be noted that any and all pregnant women is contraindicated administration of vaccines consisting of live attenuated microorganisms.Since the blood-placenta barrier is not able to prevent viruses and other microorganisms to the fetus, there is a theoretical threat of infection by vaccinating the mother such strains.For emergency prevention of infectious diseases like chicken pox, rubella, mumps, polio, measles, against which specific vaccine contains attenuated live strains of pregnant women in the presence of close contact with a sick person in history introduced ready-made antibodies in the form of a human immunoglobulin, whichsafe for the developing fetus.
for each specific clinical case solved individually the issue of vaccination.However, there are general guidelines for the introduction of vaccines during pregnancy.A special place in the list of specific preventive measures take vaccination against tetanus, diphtheria, and rabies.These three diseases are so dangerous to life and health of women, their administration is shown for the purpose of emergency prevention, that is, when there was a significant injury to the violation of the integrity of the skin and the possibility of infection, animal bites, close contact with sick diphtheria.Vaccination against diphtheria and tetanus vaccines included in the list, are authorized for routine vaccination of pregnant women (it is recommended to vaccinate in the second trimester).
Separately be said about the vaccination of pregnant women against influenza virus.It is this kind of vaccine often generates serious discussion.Because the flu virus undergoes constant mutation, lifelong immunity against the disease is not produced every year the immune system faced with new strains of the influenza virus.The high risk of serious complications for the health of the fetus and the mother with the disease influenza, as well as minimal side effects of vaccination define urgent medical advice to pregnant women be vaccinated against the flu.The best thing to do to choose the second and third trimesters.It is important to remember that the vaccine for pregnant women should be selected from the sub-unit or-split (split) options.