חיסון mmr

שלום רב ... ב 20 ליוני קיבלתי מנה ראשונה לחיסון וגליתי אחרי שבוע שאני בהריון בשבוע 6 . האם יש סיכונים לעובר וצריכה הפלה ? תודה

Can Fam Physician. 2011 May;57(5):555-7. Vaccination during pregnancy. Bozzo P, Narducci A, Einarson A. Source Motherisk Program, Hospital for Sick Children, Toronto, Ont. Abstract QUESTION: One of my patients is studying to become a dental hygienist. Owing to the program requirements, she received several vaccinations last week, including measles-mumps-rubella, varicella, and hepatitis B (HB) vaccines, as well as a tetanus booster. However, today a blood test confirmed that she is currently 6 weeks pregnant. What is known about the safety of these vaccines during pregnancy, and are there any general recommendations for vaccines for women who are planning to become pregnant or who are currently pregnant? ANSWER: The combination measles-mumps-rubella vaccine and the varicella vaccine are live attenuated vaccines, and are contraindicated during pregnancy owing to theoretical concerns. However, there is no evidence that there are increased risks of malformations, congenital rubella syndrome, or varicella syndrome attributable to these vaccines. The HB and tetanus vaccines are composed of noninfectious particles or toxoids, and theoretically should cause no increased risk to the developing fetus. In addition, limited observational data also support no increased risk of any adverse pregnancy outcomes; consequently, administration of the HB and tetanus vaccines might be, if indicated, considered during pregnancy. ---------------------------------------------------- Clin Obstet Gynecol. 2012 Jun;55(2):550-9. Measles, mumps, and rubella. White SJ, Boldt KL, Holditch SJ, Poland GA, Jacobson RM. Source Mayo Clinic Vaccine Research Group, Mayo Clinic, Rochester, Minnesota, USA. Abstract Measles, mumps, and rubella are viral diseases that may adversely affect nonimmune pregnant women and their fetuses/neonates. Prevention of these diseases and their complications can be achieved through measles-mumps-rubella (MMR) vaccination before pregnancy. The vaccine is contraindicated during pregnancy, because it contains live, attenuated viruses that pose a theoretical risk to the fetus. However, accidental receipt of MMR vaccination is not known to cause maternal/fetal complications. MMR immunization is recommended to nonimmune obstetric patients upon completion or termination of pregnancy.