As part of preconception care, what should be done regarding vaccinations?

• A. Vaccination status should be reviewed and updated as part of preconception counseling.
• B. Vaccination status is not necessary for those planning pregnancy.
• C. Only influenza vaccination is required.
• D. Vaccination should be avoided in the preconception period.

Answer: (C)

In preconception care, reviewing and updating vaccination status is essential because it protects both the mother and the future baby from infections that could affect pregnancy outcomes. The goal is to ensure immunity before conception so vaccines that are safe and beneficial can be given beforehand, especially those that are live vaccines and should not be administered during pregnancy. This means checking whether the woman is immune to diseases like rubella and varicella, and providing vaccines such as hepatitis B or the MMR/varicella series if immunity is lacking, ideally before conception. The influenza vaccine is recommended for those planning pregnancy during flu season and for pregnant women, but it is not the only vaccine to consider. Overall, incorporating a review and update of vaccination status into preconception counseling ensures comprehensive protection and avoids gaps in immunization that could put mother or baby at risk.