MCQ MAHE 2000 Medicine Answer 15

The Correct Answer is C

Pregnancy has been considered a contraindication to vaccination with the rubella vaccine because of potential adverse effects on the fetus. Following introduction of the RA 27/3 rubella vaccine, the CDC established a registry for women who received rubella vaccine within three months of conception. Pregnancy outcomes in 683 vaccine recipients showed no evidence that the rubella vaccine caused any fetal abnormalities or congenital rubella syndrome. Because of the theoretic risk, guidelines state that precautions should be used to prevent rubella vaccine administration during pregnancy, However, rubella-specific IgM has been detected in cord blood, suggesting possible subclinical infection. but pregnancy testing before vaccination is not considered to be necessary.

TABLE 1 Immunizations During Pregnancy Considered safe if otherwise indicated Tetanus and diphtheria toxoids (Td) Hepatitis B Influenza Meningococcal Rabies Contraindicated during pregnancy or safety not established BCG* Measles* Mumps* Rubella* Varicella* Special recommendations pertain Anthrax Hepatitis A Japanese encephalitis Pneumococcal Polio (IPV) Typhoid (parenteral and Ty21a*) Vaccinia* Yellow fever* *--Live, attenuated vaccine. BCG = bacille Calmette-Guérin; IPV = inactivated polio virus. Adapted from Guidelines for vaccinating pregnant women. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Atlanta, Ga.: Centers for Disease Control and Prevention, 2002.

Category: MAHE 2000 MCQs