[Vaccination before and during pregnancy]

Vaccination of pregnant women is designed to protect the mother and the fetus from preventable diseases through vaccination. Authorized vaccines contain inactivated viruses, otherwise (l ive virus), they cannot be made during pregnancy. Vaccines offered in all circumstances are those against influenza, at any point in pregnancy, and diphtheria-tetanus-pertussis, in the 3rd trimester. Hepatitis A and/or B, meningitis, pneumococcal, rabies, anthrax vaccines must be considered in post exposure. There is not enough data on vaccines against typhoid fever, Japanese encephalitis, cholera during the pregnancy. Vaccines to be done at distance of pregnancy are those against chickenpox, rubella, measles and mumps for unprotected women, as well as the vaccine against HPV, BCG, yellow fever and smallpox. In conclusion, only influenza vaccines and diphtheria-tetanus-pertussis showed a safe profile during pregnancy. Other vaccines should be considered in the event of exposure to risk of illness with the help of an infectious disease specialist.