Can You Delay Hepatitis B Vaccination Before Pregnancy?

Q: Can You Delay Hepatitis B Vaccination Before Pregnancy?

Hello： If pregnancy is discovered, the remaining doses of the hepatitis B vaccine can still be administered as scheduled. <br>As long as the child is managed according to the standard hepatitis B protocols at birth, a mother with hepatitis B can breastfeed, especially since it is

Is it possible to get pregnant before receiving the hepatitis B vaccine?

Hello: My husband and I plan to have a Libra baby next year, so we completed a premarital health check in June to understand both of our health conditions.
Regarding hepatitis testing: my husband's Hepatitis B surface antigen (HBsAg) is negative, and his Hepatitis B surface antibody (Anti-HBs) is positive.
The report indicates that neither of us has been infected with Hepatitis B, but my husband has antibodies while I do not.
Therefore, the health check center recommended that I receive the Hepatitis B vaccine! Initially, I thought that Hepatitis B was transmitted through eating out without using public chopsticks or spoons, and I was concerned about being easily infected, so I went ahead and received the first dose of the vaccine.
Later, I found out that Hepatitis B is transmitted through bodily fluids and blood.
Since the Hepatitis B vaccination requires three doses before pregnancy, it takes about 10 months (7 months for the vaccination period + 3 months for the waiting period).
If that's the case, I really want to get pregnant in January next year to have a Libra baby! I would like to ask the doctor: 1.
Is it possible for me to skip the Hepatitis B vaccination and wait until after giving birth to get vaccinated again? 2.
If I have already received the first dose, will I start over from the first dose when I get vaccinated again? 3.
If I receive the Hepatitis B vaccine during breastfeeding, will it affect the baby? Thank you for taking the time to answer! ^0^....

Yú bǎo mèi, 30~39 year old female. Ask Date: 2005/07/20

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: If pregnancy is discovered, the remaining doses of the hepatitis B vaccine can still be administered as scheduled.
As long as the child is managed according to the standard hepatitis B protocols at birth, a mother with hepatitis B can breastfeed, especially since it is just a vaccination! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/07/20

More Info

When considering whether to delay the Hepatitis B vaccination before pregnancy, it’s essential to understand both the implications of vaccination and the risks associated with Hepatitis B itself. Hepatitis B is a viral infection that can lead to serious liver problems, and it is primarily transmitted through blood and bodily fluids. Given your situation, let’s address your questions and provide some additional context.

1. Can you delay the Hepatitis B vaccination until after giving birth?
While it is technically possible to delay the vaccination until after you give birth, it is not advisable. Hepatitis B vaccination is crucial for your protection, especially since your husband has antibodies and you do not. If you were to contract Hepatitis B during your pregnancy, it could pose risks to both you and your baby. The vaccination series typically consists of three doses, and while it may take several months to complete, it is essential for your health and the health of your future child. If you are concerned about timing, consult with your healthcare provider to discuss the best approach that balances your desire to conceive and your health needs.

2. If you have already received the first dose, will you need to start over?
If you have already received the first dose of the Hepatitis B vaccine, you do not need to start over. You can continue with the vaccination schedule as planned. The vaccine is designed to build immunity over the course of the three doses, and missing the second dose does not negate the first. However, it is important to follow up with your healthcare provider to ensure you receive the subsequent doses in a timely manner.

3. Will breastfeeding affect the baby if you receive the Hepatitis B vaccine while nursing?
Breastfeeding is generally considered safe after receiving the Hepatitis B vaccine. The vaccine does not contain live virus, and therefore, it does not pose a risk to your baby through breast milk. In fact, if you are a Hepatitis B carrier, it is crucial to ensure that your baby receives the Hepatitis B vaccine and immunoglobulin shortly after birth to prevent transmission. The benefits of breastfeeding, including the transfer of antibodies and nutrients, far outweigh any potential risks associated with the vaccine.

In summary, while you may feel a strong desire to conceive soon, prioritizing your health through vaccination is critical. Hepatitis B can have serious implications, and being vaccinated before pregnancy can help protect both you and your future child. Discuss your concerns with your healthcare provider, who can help you navigate the vaccination schedule while considering your plans for pregnancy. It’s essential to have a clear understanding of your health status and to take proactive steps to ensure a healthy pregnancy and delivery.

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