Hepatitis A Vaccine in Pregnancy and Breastfeeding
      
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Vaccine, Hepatitis A (Havrix )
CATEGORY: C
Inactivated noninfectious vaccine.

The effects of hepatitis vaccine on the developing fetus are unknown. However the theoretical risk to the fetus is low [1], and the vaccine is considered safe for use during pregnancy [2, 3].

BREAST FEEDING: Compatible [4].

SEARCH LITERATURE

1. Centers for Disease Control & Prevention. Prevention of Hepatitis A Through Active or Passive Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 45 (No. RR-15): 20, 1996.
2. Duff B, Duff P.Hepatitis A vaccine: ready for prime time.Obstet Gynecol. 1998;91(3):468-71.  MEDLINE
3. ACOG Committee Opinion. Immunization during pregnancy.Obstet Gynecol. 2003 ;101:207-12.MEDLINE
4. Centers for Disease Control & Prevention. General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 43 (No. RR-1): 20-21, 1994. Glaxo SmithKline Hepatitis A vaccination pregnancy registry 888-825-5249

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