The Medical Letter on Drugs and Therapeutics
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ISSUE
1378
Vaccines and Pregnancy
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Live-attenuated vaccines are generally contraindicated during pregnancy; inactivated vaccines can be given if indicated. A more detailed review of routine immunizations for adults will be available in the December issue of Treatment Guidelines from The Medical Letter.1

BEFORE PREGNANCY — Inactivated vaccines can be given at any time before conception, but a specific time frame is recommended for live-attenuated vaccines. The CDC recommends waiting at least 4 weeks after receiving the measles-mumps-rubella (MMR), varicella or live-attenuated influenza vaccine before becoming pregnant.2

DURING PREGNANCY — Administration of inactivated influenza vaccine is recommended for all pregnant women.3,4 The US Advisory Committee on Immunization Practices (ACIP) recently updated ... more      

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