Te hapūtanga me te tuku rongoā āraimate Pregnancy and immunisations

When you are pregnant, we recommend you are immunised against whooping cough, flu and COVID-19.

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Immunisations you need if you are planning a pregnancy

We recommend you are up to date with all your immunisations if you are planning a pregnancy.

It is particularly important to know if you are immune to:

measles
rubella
chickenpox.

You cannot have these immunisations when you become pregnant, and they can cause harm to you and your developing baby.

It is very important that you have had 2 doses of the MMR vaccine at least a month before getting pregnant. You cannot have an MMR vaccine while you are pregnant.
Measles during pregnancy can make you very sick, and can cause miscarriage, stillbirth and premature delivery.
Rubella can cause serious birth defects in your baby — such as deafness, heart defects, and brain damage.
To check whether you’ve been vaccinated, contact your doctor, nurse, or healthcare provider and ask if you’ve had 2 doses of the MMR vaccine.
If you cannot to find out if you have been vaccinated, it is recommended you get vaccinated as soon as possible. This will be free. There is no risk in getting extra MMR doses — it is important to know that you have had 2 doses.
Book an MMR vaccine
Chickenpox during pregnancy can harm your unborn child and may cause stillbirth.
If you are not able to find out if you have had chickenpox, or if you have not been vaccinated, it is strongly recommended you get a chickenpox vaccine before becoming pregnant. This will cost around $70.
You are not able to have a chickenpox vaccine while you are pregnant.
About the chickenpox vaccine

Immunisations you need while you are pregnant

Some diseases are riskier while you are pregnant. You can protect yourself and your pēpi (baby) while you are pregnant by getting 3 free vaccines.

While the vaccines do not affect your pēpi, you will naturally pass on some of your immunity. This means when they are born, they will have some protection until they are old enough to be immunised themselves. This is especially important for whooping cough.

Whooping cough is particularly dangerous for babies — especially those who have not been vaccinated. More than half of babies under 12 months old who catch whooping cough need to go to hospital, and up to 1 in 50 of these babies die.
By getting immunised when you’re pregnant you will protect your pēpi until they can have their first immunisations when they are 6 weeks old. This is because your immunity passes to your baby through the placenta.
The whooping cough vaccine is most effective when given from 16 to 26 weeks of pregnancy, but is available and free from 13 weeks of every pregnancy.
Book a free whooping cough vaccine
If you catch the flu when you are pregnant, you are at greater risk of getting pneumonia and are more likely to be hospitalised.
Flu also increases the chance of complications for your baby, such as early birth, miscarriage, stillbirth and lower birth weights.
You can get a free flu vaccination at any stage of your pregnancy.
Book a free flu vaccine
Pregnant people can get really sick from COVID-19.
Being vaccinated against COVID-19 means you are far less likely to get seriously ill. It also protects your pēpi as there is evidence that babies can get antibodies through the placenta that help protect them from COVID-19.
As well as your first 2 COVID-19 doses, pregnant people over 16 years old, can have boosters.
To get a booster it is recommended that you wait at least 6 months since your last COVID-19 vaccine or infection.
Book a free COVID-19 vaccine

https://www.youtube.com/watch?v=8SItd5qY2Rc

Video transcript: Getting vaccines when you're pregnant

My name is Hannah. I'm 25 and I live in Wellington with my partner, Sam, and our daughter, named Marnie, is 22 months old, and I'm currently pregnant with my son.

When I talk to my midwife about vaccinations, she had a pamphlet for me that had all of the information about the various vaccinations, or immunisations, that are available to you throughout pregnancy.

Both of my pregnancies have sort of been the same time of year and I've timed the flu vaccination with the winter months because of flu season.

When I was pregnant with my daughter, I waited to have my whooping cough vaccination just because the protection can go through to baby.

So this baby, I am getting the whooping cough vaccination which is scheduled, I think, for next week. Again, to make sure that he has as much protection as I can give him.

With Marnie, it really was for me just following what the guidelines were. Whereas with this pregnancy, I'm more so inclined because I've witnessed having one daughter that you really just can't control what they're exposed to.

I think that it gives me the confidence that I've done the most that I can do as a parent to limit exposure for my children.

It's not to say that they won't get sick, but I do believe that if they are catching various illnesses, they will hopefully have a less sinister reaction to them.

https://www.youtube.com/watch?v=kN26ZK_2DWU

Video transcript: Dr Lily Fraser on getting the flu vaccine while pregnant

The flu vaccine is free if you're pregnant and the reason that we encourage wāhine who are pregnant to get their flu vaccine is because, when you're pregnant, your body changes.

So our immune system lowers to allow the baby to grow inside us.

Also, as baby grows, our lungs get squashed up and so if you've ever had a cold or a flu when you're pregnant it's harder to breathe.

All these factors mean that when you are pregnant if you get the flu you can become more unwell.

Getting the flu vaccine while you're pregnant will pass some of your immunity onto baby and give them protection from the flu when they're little.

I really like to encourage pregnant women to get the flu vaccine early so that as we go into winter there's less chance of you getting sick from the flu.

Vaccinations for māma and whānau after your pēpi is born

Newborn babies are very vulnerable until they are fully immunised. All members of a whānau being fully vaccinated creates a bubble of protection around pēpi.

If you were not immunised against some diseases before or during pregnancy, you can get them after your pēpi is born. It is important you, and your whānau, do this so your baby is protected until they are old enough to be immunised themselves.

After your baby is born, it may be recommended that you have a free measles, mumps and rubella (MMR) immunisation. You should do this as soon as you can.

Measles, mumps and rubella (MMR) vaccine

If a vaccination has been missed, do not worry, most vaccinations can be caught up. If you are unsure if you or your whānau are up to date with your vaccinations, contact your doctor, nurse, or healthcare provider.

All vaccines on the National Immunisation Schedule are free and safe while breastfeeding.

National Immunisation Schedule

Booking a vaccine

You can book all your pregnancy immunisations online through Book My Vaccine.

Book a vaccine online (external link)

You can also book over the phone by calling 0800 28 29 26 — 8am to 5pm, Monday to Friday.

If you would prefer, you can also contact your usual doctor or healthcare provider to book a vaccination appointment.

If you need extra support

Getting ready for your baby’s first immunisations

Your baby’s first immunisations are due at 6 weeks. Make it easy and enrol them with a doctor early.

If you need help with enrolment, your midwife, the hospital, or your Well Child Tamariki Ora nurse can help you enrol your child with a doctor, or to access immunisations through another healthcare provider.

If you cannot find a doctor to enrol your child, call:

Healthline any time on 0800 611 116 (translators are available), or
PlunketLine any time on 0800 933 922.

They can help connect you with a local immunisation service.