Should You Get the Chickenpox Vaccine Before Pregnancy?

Preparation Before Pregnancy

Hello, I would like to ask if it is necessary to get the varicella vaccine if I have never had chickenpox.
If I have not been vaccinated, what impact could it have during pregnancy? Thank you.

Xiao Lusi, 20~29 year old female. Ask Date: 2012/12/10

Dr. Lin Wenbin reply Obstetrics and Gynecology

If you have had chickenpox, you need to check for IgG antibodies to confirm.
Relying on memory is often inaccurate.
In case you do not have antibodies, it is advisable to get vaccinated at least six months before pregnancy for safety.
Vaccination against chickenpox is not recommended during pregnancy.

Reply Date: 2012/12/10

More Info

Before considering whether to get the chickenpox vaccine (varicella vaccine) before pregnancy, it's essential to understand the implications of chickenpox during pregnancy and the benefits of vaccination.

1. Importance of Vaccination: If you have never had chickenpox or have not been vaccinated, it is highly recommended to receive the varicella vaccine before becoming pregnant. Chickenpox is caused by the varicella-zoster virus, and contracting it during pregnancy can lead to serious complications for both the mother and the fetus. The varicella vaccine is a live attenuated vaccine, meaning it contains a weakened form of the virus, which helps the body build immunity without causing the disease.

2. Risks of Chickenpox During Pregnancy: If a woman contracts chickenpox during the first or second trimester, there is a risk of congenital varicella syndrome in the baby, which can lead to severe birth defects, including limb abnormalities, skin scarring, and eye problems. Additionally, if a woman develops chickenpox shortly before or after delivery, the newborn may be at risk of severe varicella infection, which can be life-threatening.

3. Timing of Vaccination: The varicella vaccine is typically given in two doses, with the second dose administered at least 28 days after the first. It is crucial to avoid becoming pregnant for at least one month after receiving the vaccine, as it is a live vaccine. Therefore, if you are planning to conceive soon, it may be wise to get vaccinated and then wait for the appropriate time before trying to conceive.

4. Consulting with Healthcare Providers: If you are unsure about your immunity status, it is advisable to consult with a healthcare provider. They can perform a blood test to check for varicella antibodies. If you have immunity (either from past infection or vaccination), you do not need to get vaccinated again. However, if you lack immunity, vaccination is the best preventive measure.

5. Conclusion: In summary, if you have never had chickenpox or have not been vaccinated, getting the varicella vaccine before pregnancy is highly recommended to protect both your health and that of your future child. The risks associated with chickenpox during pregnancy can be significant, and vaccination is a safe and effective way to prevent these risks. Always discuss your vaccination history and plans for pregnancy with your healthcare provider to make informed decisions tailored to your health needs.

In conclusion, if you have not had chickenpox, it is advisable to get vaccinated before pregnancy to ensure both your safety and that of your future child. The potential complications of chickenpox during pregnancy underscore the importance of vaccination.

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