The rubella virus can penetrate the fetus through the placental barrier and attack it, causing various pathologies, deformities and leading to death. Therefore, doctors recommend to protect themselves and the future child from this infection and get vaccinated beforehand, if necessary.
Rubella vaccination before pregnancy
The easiest way to find out if you have immunity to rubella is to pass an assay for antibodies to the virus. Even if it seems to you or you are sure that you did not suffer from rubella in childhood, you may have antibodies developed to it, which means that there is a strong immunity to the disease. Often rubella passes asymptomatically or is simply misdiagnosed (that is, during the rubella period the doctor makes an incorrect diagnosis), which is why many do not even suspect that they have been ill with this infection.
There are also cases when, after vaccination and rubella, transferred to childhood, immunity against the disease is not produced. Moreover, today doctors do not hide the fact that the virus is constantly mutating, and the vaccine, made 20 years ago, is no longer a lifelong protection from it.
So, if you are planning a pregnancy, then a vaccine for rubella should be done several months before conception. Doctors recommend to abstain from pregnancy for at least 2-3 months after the introduction of the vaccine (and it is better to wait half a year). There is no categorical ban on pregnancy before this date, but it is nevertheless stipulated that the risk of negative impact of the introduced vaccine on fetal development is not ruled out. In addition, the effect of rubella vaccination is somewhat detached in time, that is, immunity is not developed immediately.
Doctors say that timely vaccination will not only protect the woman and not only minimize the threat of termination of pregnancy due to infection, but also provide the baby's future with rubella immunity, which he will receive from his mother.
Rubella vaccination during pregnancy
It is clear that during pregnancy, you can not vaccinate against rubella. This will probably be done only after the birth, and in cases when a woman does not have antibodies to the rubella virus, doctors are recommended to do exactly that to give immunity to the baby through breast milk. In the meantime, avoid places of congestion, exclude any contact with likely patients and remember that most often the carriers of rubella are children. Nevertheless, extremely rare situations arise when doctors recommend vaccinating a pregnant woman (if the risk of rubella infection is extremely high).
Moreover, it often happens that, accidentally or accidentally, the rubella vaccine is introduced early in pregnancy. This is an undesirable option, but it is not an indication for abortion. The risk of a fetal infection with a vaccine virus does not exceed 2%, and in practice such cases were not recorded at all. To make sure that everything is fine with the baby, just go through planned prenatal screenings.
If necessary, you will be referred for advice to the infectious disease specialist and genetics, who will weigh the possible risks and offer you a further plan of action.
What you should know about rubella and vaccination during pregnancy
The most risky is the first trimester of pregnancy - up to 16 weeks. The rubella transmitted during this period may be an indication for the termination of pregnancy, since the probability of a fetal infection by the virus is up to 80%, and in about 25% of cases, anomalies develop if the infection occurred at a period of up to 8 weeks. Cases of fetal death of a child due to rubella suffered by his mother, alas, are widely known. From the second trimester, this risk is significantly reduced, and even when infected with a woman should not be recommended to have an abortion. Rough infringements at a fetus the virus of a rubella after 16 weeks of pregnancy does not cause, but the probability of complications all the same exists. Rubella during pregnancy can be the cause of heart defects of the baby, the development of deafness or blindness, hydrocephalus, mental retardation and other disorders.
The decision on the termination of pregnancy should be made by the woman herself together with the geneticist and infectious disease specialist after the tests and examinations. Doctors say that with unexplained rubella during pregnancy, the risk of developing pathologies in the fetus is minimized.
Very often, tests for TORCH infection show the presence of a rubella virus in the blood of a pregnant woman in the absence of any signs of disease. Keep in mind that this is normal in the norm, if you were vaccinated shortly before the pregnancy (this is a common reaction).
And one more thing, no less important, which the doctors keep silent about: a rubella vaccine does not guarantee that during pregnancy (and indeed) you will not catch this virus. And the side effects and consequences of vaccination are an endless list. But this is a separate, almost endless topic & hellip; If you are a fan of vaccination, trust modern doctors, medicine and pharmacology, then just remember that you can only rely on the immunity that is produced after the transfer of the virus (and even then it does not always turn out to be lifelong). That is, ideally just rubella in childhood. And the vaccine does not give it permanent immunity.