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Vaccinations in the postpartum period

What are the mandatory and optional vaccinations given to postpartum women and their schedules?

What is the difference between a vaccination and an injection?

Vaccination and injection are two different processes, although both may involve injecting substances into the body with a needle. The main differences between the two are:

Vaccination is the specific process of administering a vaccine to activate the immune system to develop protection against specific infectious diseases.

Vaccination is aimed at preventing infectious diseases and building immunity. It uses antigenic components (weakened or killed microbes, their toxins, etc.) to stimulate an immune response.

Injection is a broader term that refers to the introduction of a fluid (can be a drug, vitamin, etc.) into the body with a needle, without reference to immune defenses.

It can be used to treat disease, anesthesia, or other medical purposes. Injections may contain various substances such as drugs, vitamins, hormones, etc., not usually related to vaccination.

Thus, vaccination is a specific type of injection that has gone deeper into health care and immunity building.

What are postpartum vaccines?

Postpartum vaccines are vaccines that are recommended to be given to women after childbirth to protect both their health and the health of their newborn.

Highlights about postpartum vaccines:

  1. Protection from infections. Women may be more susceptible to infections after childbirth, so vaccinations can help prevent diseases like flu and whooping cough.

  2. Transmission of immunity. Some vaccines, such as the pertussis vaccine, can also protect the newborn if the mother is vaccinated during or after pregnancy.

  3. Routine immunizations. Vaccinations may be part of a postpartum care plan to ensure that the mother's health is fully restored.

  4. Protection against other diseases. Depending on the region and individual factors, other vaccinations, such as against human papillomavirus (HPV) or coronavirus, may be recommended.

It is important to consult with your doctor about necessary vaccines in the postpartum period to maximize safety.

Why do I need injections after childbirth?

Postpartum injections may be necessary for a variety of purposes to support a woman's health and recovery.

The main reasons our doctors may recommend injections after childbirth:

  • Vaccination. The administration of vaccines, such as influenza or pertussis, helps protect both mother and newborn from infections.

  • Hemostasis. Injections can be used to prevent or treat bleeding after childbirth. For example, oxytocin is injected to stimulate uterine contractions and reduce bleeding.

  • Medications. A woman may need injections to treat diseases or conditions that may worsen after childbirth, such as infections or pain relief.

  • Hormone therapy. In some cases, hormones may need to be injected to restore balance in the body after pregnancy and childbirth.

  • Vitamins and minerals. Injections may be used to provide essential vitamins (such as vitamin D or iron) if there is a risk of deficiency.

It is important not to make it up yourself, and not to follow the admonitions of girlfriends, but you should follow your doctor's recommendations regarding the necessary injections after childbirth for a safe and effective recovery.

Mandatory immunizations for a woman who gives birth immediately after childbirth

  1. Tetanus diphtheria vaccine (dT). If a woman did not receive it during pregnancy, vaccination is recommended after delivery.

  2. Influenza vaccine. Recommended for nursing mothers, especially during epidemic seasons.

Other vaccinations may be given depending on a woman's individual health status.

What vaccines are administered to mothers in the postpartum period?

During the postpartum period, women may be given several types of vaccines to protect their health and the health of their newborn.

The main ones usually include:

  1. Influenza vaccine. Annual vaccination is recommended, especially during flu season, to protect mother and baby.

  2. Pertussis vaccine. DTaP (diphtheria, tetanus, pertussis) vaccine can be given to protect a newborn from pertussis, which can be dangerous for infants.

  3. COVID-19 vaccine. Depending on recommendations from local health authorities, mothers may be offered coronavirus vaccination to protect themselves and the baby.

  4. Human papillomavirus (HPV) vaccine. This may be recommended, especially if a woman has not been vaccinated before pregnancy, but after the breastfeeding period.

  5. Hepatitis B vaccine. Women who were not vaccinated before pregnancy may be advised to get vaccinated in the postpartum period.

Every woman should discuss the possibility of administering these vaccines with her doctor to make an informed choice and ensure the safety of herself and her baby.

Why is the MMR vaccine administered after childbirth?

The MMR vaccine (marketing name) is a combination vaccine that protects against three diseases: measles, mumps, and rubella.

This vaccination gives:

  • Protection from infections. The MMR vaccine helps prevent infections that can be dangerous to both the mother and the newborn. For example, rubella in early pregnancy can cause serious birth defects.

  • Immune defense. After childbirth, a woman may lose some of her immunity to these diseases, especially if she was not immunized as a child or has not had them. Giving the vaccine after childbirth helps restore protection.

  • Antibody transmission. If a woman was not immunized before pregnancy, she is advised to get the vaccine after delivery to protect both herself and her baby during the first few months of life. This is important because babies can be vulnerable to infections.

  • Planning and health. MMR vaccination is also important for women planning future pregnancies to prevent the risk of infection during the next pregnancy.

Thus, the MMR vaccine is an important component of vaccination in the postpartum period to ensure the health of both mother and child.

Should nursing mothers be vaccinated?

Yes, immunization of nursing mothers can be an important and recommended measure. Here are a few reasons why it may be necessary for several reasons:

  • Protecting maternal health. Vaccination helps protect women from infectious diseases that may pose a risk to their health. For example, vaccination against coronavirus or influenza can prevent serious complications.

  • Immune protection for the infant. Vaccines can help produce antibodies that are passed on through breast milk. This may provide some protection for the newborn from infections.

  • Vaccine safety. Most vaccines, such as influenza and pertussis, are safe for women who are breastfeeding and do not adversely affect the quality and composition of breast milk.

  • Recommendations from medical professionals. Many medical organizations, including the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), recommend vaccination for nursing mothers if it is necessary to protect their health.

It is important that nursing mothers do not make decisions on their own, but consult with their doctor about the vaccines needed to make an informed choice for themselves and their baby.

If a woman was not immunized during pregnancy, the following vaccines may be recommended after delivery:

  1. Pertussis vaccine (Tdap). It is recommended to be given during the first month after birth to protect both the mother and the newborn. This vaccine is important to prevent pertussis, which can be dangerous for infants.

  2. Flu vaccine. If flu season continues, getting vaccinated can help protect a woman and her baby from serious complications.

  3. Measles, mumps and rubella vaccine (MMR). If a woman has not been vaccinated before, it is recommended that she get this vaccine a few weeks after giving birth. This is especially important if there is a risk of infection, as these diseases can be dangerous to health.

  4. Vaccine against human papillomavirus (HPV). Recommended for women who were not vaccinated at a young age. This vaccine helps prevent cervical cancer and other HPV-related cancers.

  5. Hepatitis B. If a woman has not been vaccinated, vaccination against hepatitis B should be considered, especially if there is a risk of transmission.

It is important to discuss all questions about vaccinations with your doctor to develop an individualized plan that will keep the woman and baby safe.

Why is the Tdap vaccine administered after childbirth?

The Tdap vaccine (against diphtheria, tetanus and pertussis) is given after delivery for several important reasons:

  1. Protecting your newborn/ Whooping cough can be especially dangerous for babies. If the mother is vaccinated, she can pass protective antibodies to the baby through breast milk, which can help protect the baby from pertussis in the first few months of life.

  2. Immunization during childbirth/ After childbirth, the level of natural immunity may be altered and vaccination during this period helps to strengthen a woman's defense mechanisms.

  3. Convenience/ Postpartum is a good time to get vaccinated, as many women visit their doctor for postpartum testing and counseling. This simplifies the process of getting vaccinated.

  4. General Vaccination Schedule/ The Tdap vaccine is usually administered every 10 years, and the postpartum period is a time for women to update their immunizations.

Thus, administering the Tdap vaccine after delivery not only protects the health of the mother, but also increases the safety of the newborn.

When should I not be immunized against measles, mumps, and rubella?

Measles, mumps, and rubella (MMR) vaccination is usually not recommended immediately after delivery in the following cases:

  • Transmission of antibodies through breast milk. If a woman has just given birth and is breastfeeding, it is possible that antibodies are transmitted through the milk, which may temporarily reduce the need for vaccination.

  • Health status. If a woman has an acute or chronic medical condition, or has recently had major surgery or infections, this may be a reason to delay vaccination until she has fully recovered.

  • Allergic reactions. If a woman has had a significant allergic reaction to previous vaccine doses or to vaccine components, this may be a reason to delay vaccination.

  • Pregnancy. If a woman becomes pregnant immediately after giving birth, vaccination may be delayed because the vaccine is not recommended for pregnant women.

  • Lack of time. Some guidelines suggest waiting at least 4-6 weeks after delivery to give the body time to recover before administering vaccines.

In any case, before vaccination, it is better to consult a doctor to discuss individual characteristics and the optimal time for vaccination.

Can I get a hepatitis B vaccination while breastfeeding?

Yes, the hepatitis B vaccine can be given while breastfeeding!

The main thing to keep in mind is to keep a few important points in mind:

  1. Vaccine safety. Hepatitis B vaccine is considered safe for breastfeeding mothers and does not affect the quality or quantity of breast milk.

  2. Immune response. Vaccination will protect the mother from infection and therefore reduce the risk of transmission to the child, which is especially important if the mother has a high risk of infection.

  3. Specialist recommendations. Most medical organizations recommend vaccinating all women, regardless of breastfeeding status, if there is an indication for vaccination.

  4. Consultation with your doctor. It is always a good idea to consult your doctor before vaccination to get individualized recommendations and ensure the health of mom and baby.

Thus, hepatitis B vaccination during breastfeeding is safe and can be beneficial to the health of mother and child!

What is a Depo injection after childbirth?

Depo injection (or Depo-Pera) is a form of contraceptive that is a progestin injection used to prevent pregnancy. After childbirth, Depo injection may be recommended for women for the following purposes:

  1. Contraception. Depo provides effective protection against pregnancy for up to three months after a single injection. This is convenient for women who prefer not to use daily contraception.

  2. Hormonal support. After childbirth, hormone levels can change and Depo injection can help restore balance, especially if a woman has problems with her menstrual cycle.

  3. Convenience. The injection is given just once every three months, making it convenient for women who may not have the time or ability to take the pill daily.

  4. No estrogen. Depo is estrogen-free, making it a suitable choice for women who cannot take estrogen for medical reasons (e.g. breastfeeding).

Depo injection is usually given 6 weeks after delivery, but the exact size and approach may depend on a woman's health and doctor's recommendations.

Which vaccines should not be administered at the same time?

Some vaccines are not recommended to be administered at the same time or in short intervals because of the risks of adverse reactions or decreased efficacy.

Here are a few examples:

  1. MMR vaccine (measles, mumps, rubella). It is not recommended to administer concurrently with rubella vaccine, as this may affect the immune response.

  2. BCG (tuberculosis) vaccine. Not recommended at the same time as other vaccines because it may suppress the response to some of them.

  3. Live virus vaccines. It is generally not recommended to administer more than one live attenuated virus vaccine (e.g. rotavirus and MMR vaccines separately), but this may depend on specific recommendations.

  4. Some influenza and COVID-19 vaccines. A minimum interval between vaccine administration is recommended to avoid adverse reactions, although this may change with awareness of the latest recommendations.

  5. Combination vaccines. If a combination vaccine already contains several components, additional vaccines are not usually given at the same time.

It is always a good idea to consult your doctor or health care provider about the vaccination schedule and any contraindications.

When should chickenpox vaccination be given after childbirth?

Vaccination against varicella (chickenpox) is usually recommended after childbirth, but the exact timing depends on several factors.

  • Pay attention to the basic guidelines:

  • After completion of lactation. If a woman is breastfeeding, it is best to be vaccinated after breastfeeding is complete, although there is evidence that the vaccine is safe for breastfeeding mothers as well. If you plan to continue breastfeeding, discuss this with your doctor.

  • At least 4-6 weeks after delivery. It is usually recommended to get vaccinated 4-6 weeks after delivery to give your body time to recover.

  • If the woman has not been vaccinated before. It is important to vaccinate if the mother is not immune to chickenpox (that is, she has not had chickenpox and has not been vaccinated before).

  • Consultation with your doctor. You should always consult your doctor or vaccination specialist to determine the most appropriate time and circumstances for vaccination.

Thus, varicella vaccination is an important step to protect both mother and child and should be planned for individual circumstances.