Pneumococcal Vaccine in Pregnancy and Breastfeeding
      
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Vaccine, Pneumococcal (Pneumovax)
CATEGORY: C
Killed bacteria vaccine.

No adverse outcomes have been reported among newborns whose mothers were vaccinated during pregnancy [1,2] The American College of Obstetricians and Gynecologists does not consider the indications for the vaccine to be altered by pregnancy. The vaccine is recommended for women with asplenia, metabolic, renal, cardiopulmonoary diseases, smokers and immunosuppressed patients[3].


BREAST FEEDING: Compatible [4].

SEARCH LITERATURE

1. Centers for Disease Control & Prevention. Prevention of Pneumococcal Disease: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 46 (No. RR-8): 6, 1997.
2. Shahid NS, Steinhoff MC, et. al., Serum, breast milk, and infant antibody after maternal immunisation with pneumococcal vaccine.Lancet. 1995 Nov 11;346(8985):1252-7.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.

Created: 11/27/2002
Last Update: 11/30/2003

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