Vaccination against rubella
If the future mother did not get rubella, there is no information confirming the fact of rubella vaccination, then at least two months before the planned conception. Studies prove that vaccination to a person who has antibodies to rubella is safe and enhances immunity to infection. Today, anti-redness vaccines have a 95-100-percent efficacy, and the immunity they create persists for about 20 years. The vaccine is a living virus, so the course of vaccination against rubella is only one vaccination. Immunity to the disease is formed immediately, without revaccination, that is, without a second vaccination. A positive fact of vaccination is the transmission with mother's milk to a future baby of antibodies against rubella.
Future moms should know that you can not vaccinate against this disease directly during pregnancy. This contributes to the risk of damage to the fetus in the womb of the vaccine virus.
Vaccination against hepatitis B
The hepatitis B virus does not damage the fetus, as is characteristic of the rubella virus. But, nevertheless, it is transmitted with other biological fluids. Since pregnant women constantly take tests and are injected, then there is a risk of infection of the future mother and her baby with the hepatitis B virus.
The vaccination scheme against hepatitis B is a vaccination and two revaccinations. Therefore, ideally, vaccinations against hepatitis B in the future mother follows 6 months before the planned conception of the child. This guarantees protection against this type of hepatitis 85-90% of vaccinated women.
An alternative hepatitis B vaccination scheme is used for emergency indications. It is characterized by intensive formation of immunity, when two months later the woman is considered to be protected from this type of hepatitis. But it should be noted that in practice, women rarely resort to an alternative vaccination scheme for hepatitis because of the high cost of the vaccine.
As for adverse reactions to the standard vaccine against hepatitis B, they are insignificant. There may be a slight increase in temperature, hyperemia and tenderness of the injection site.
Additional vaccinations during pregnancy planning
In addition to the two above vaccinations, doctors will definitely advise and vaccinate against diphtheria and tetanus. According to the calendar, this vaccination is done every 10 years after vaccination at the age of 16 years. Simply put, it's 26, 36, 46, 56 years old and so on. But, as practice shows, 90% of adults, and future moms among them, simply do not remember about it or do not know. The newborn baby has no antibodies to the tetanus stick. Therefore, the maternal antibodies that mom will give immediately with her milk will provide the baby with good protection.
It should be noted, that in some countries of Europe the vaccination against poliomyelitis for expectant mothers is practiced. Its obligation is explained by the fact that there is a risk of a viral infection when, together with the pregnant woman, there is a child who has recently been vaccinated against poliomyelitis. And in Russia, this vaccination takes place in the calendar of mandatory vaccinations.
Even doctors before the flu epidemics advise pregnant women to get vaccinated against this disease. After all, the killed influenza virus, which makes the vaccine, is safe for the unborn child. However, this vaccination does not need to be done for a woman whose gestation period is less than 14 weeks. And it must be taken into account that no vaccination against influenza guarantees 100% protection against the disease.