Vaccines

Pregnancy and related contact with a health care provider creates an opportunity to review a healthy individual’s immunization status. The perinatal period is therefore an opportune time to assess for, offer and administer any indicated vaccines.

Registrants should refer to the BC Centre for Disease Control (BCCDC) Immunization Manual for the most up to date information, guidelines and protocols.

Special considerations:

• Live attenuated virus and live bacterial vaccines are generally contraindicated during pregnancy due to potential risks to the fetus.

• Serious adverse events following immunization must be reported to the local Public Health Unit. Refer to the BCCDC for a detailed overview of the definition/criteria and forms for reporting. Adverse events following immunizations are generally mild; serious events including those resulting in permanent sequelae are extremely rare.

• Whenever vaccines are administered to an adult, the midwife must send a record of immunization to the primary care provider to whom care is transferred at six weeks postpartum. Whenever vaccines are administered to an infant, the midwife must send a record of immunization to the primary care provider to whom care transferred and to the local public health unit in a timely fashion.

Flu and Seasonal Influenza Vaccine

Hepatitis B Vaccine

Measles / Mumps / Rubella (MMR) Vaccine

Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis (Tdap) Vaccine

Varicella Vaccine