Pregnant women care ( Immunization - Medications- dental care )


Immunization.

 # Live virus vaccines: ( measles , mumps , varicella zoster ) are contraindicated. Taken 3 month before   pregnancy.


# Live bacterial vaccines: ( typhoid , polio , yellow fever ) risks vs benefits.


 # Inactivated virus vaccines (influeneza , rabies , HBV , HAV ) after first 3 month to pregnant women at risk.


 # Inactivated bacterial vaccines: ( pneumococcal , meningiococcal , cholera , hemophillus ) to pregnant women at risk.


 # Toxoids ( tetanus , diphtheria ) to pregnant women at risk for exposure.


 # Hyper-immue globulins: (tetanus , rabies , varicella ) post- exposure prophylaxis.
    (HBV)  post exposure prophylaxis  +HBV vaccine then vaccine alone 1 month and 6 month. 
                                                   

 # Pooled immune serum globulins : (HAV , measles ) post exposure prophylaxis.



Medications:


 #   Advantages gained outweigh any  risk , taking care during the second half of the menstrual cycle when the woman may be in her early pregnancy.


Dental care

Gum hypertrophy (thickend ) with bleeding tendency and papillae formation.

Local anethesia , drilling , filling can be done at any time of pregnancy

Antibiotics for teeth abcess is very important specially in heart diseases