Anselem Olivia, Parat Sophie, Théau Anne, Floret Daniel, Tsatsaris Vassilis, Goffinet François, Launay Odile
Université Paris-Descartes, Sorbonne Paris Cité, 75006 Paris, France; AP-HP, groupe hospitalier Cochin-Broca-Hôtel-Dieu, maternité Port-Royal, DHU risques et grossesse, 75014 Paris, France; Fondation PremUp, 75014 Paris, France.
Université Paris-Descartes, Sorbonne Paris Cité, 75006 Paris, France; AP-HP, groupe hospitalier Cochin-Broca-Hôtel-Dieu, maternité Port-Royal, DHU risques et grossesse, 75014 Paris, France; Fondation PremUp, 75014 Paris, France.
Presse Med. 2014 Jun;43(6 Pt 1):715-21. doi: 10.1016/j.lpm.2014.04.003. Epub 2014 May 24.
Vaccination against influenza is recommended during the vaccination period in pregnant women regardless of trimester. In contrast, administration of live vaccines, such as the vaccine against varicella, MMR (measles-mumps-rubella) is contraindicated in pregnant women. Vaccinations against hepatitis B, diphtheria, tetanus, poliomyelitis, hepatitis A can be made as indicated. Vaccination against yellow fever may be considered in pregnant women travelling to endemic countries. In post-partum period, live vaccines may be administered if necessary, especially vaccination against whooping cough for women not to date with their vaccinations. Vaccination against yellow fever is contraindicated in case of breast feeding. Prevention of pertussis in newborns is based in France on vaccination of the mothers in the post-partum period, and the close contacts of the newborn during the pregnancy ("cocooning").
建议孕妇在流感疫苗接种期间接种流感疫苗,无论处于孕期哪个阶段。相比之下,孕妇禁忌接种活疫苗,如水痘疫苗、MMR(麻疹-腮腺炎-风疹)疫苗。可根据指征接种乙肝、白喉、破伤风、脊髓灰质炎、甲肝疫苗。前往黄热病流行国家的孕妇可考虑接种黄热病疫苗。产后如有必要可接种活疫苗,尤其是那些未按时接种疫苗的女性可接种百日咳疫苗。母乳喂养时禁忌接种黄热病疫苗。在法国,新生儿百日咳的预防基于产后母亲接种疫苗以及孕期新生儿密切接触者接种疫苗(“围裹式”接种)。