Vaccine, Hepatitis B (Recombivax HB ® and Engerix-B ®)
CATEGORY: C.
Inactivated (recombinant) noninfectious vaccine.

Pregnancy and lactation are not contraindications to vaccine [1].The American College of Obstetricians and Gynecologists recommends the use of hepatitis B vaccine for pregnant women at risk of acquiring the disease [2].
 
BREAST FEEDING: Compatible [3,4].

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REFERENCES
1. Centers for Disease Control & Prevention. Hepatitis B Virus: A Comprehensive Strategy for Eliminating Transmission in the United States Through Universal Childhood Vaccination: Recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 40 (No. RR-13): 4, 1991.
2. ACOG Committee Opinion. Immunization during pregnancy.Obstet Gynecol. 2003;101:207-12.MEDLINE
3. 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.
4.Breastfeeding and Maternal Medication. Recommendations for Drugs in the Eleventh WHO Model list of Essential Drugs. pp 23-24 World Health Organization, 2002. 20 Avenue Appia ,1211 Geneva ,Switzerland
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