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Infections & vaccinations in pregnancy

Related service at the practice: Pregnancy care

Last updated: January 2026 (This information does not replace medical advice).

Key basics

Live vaccines

Live vaccines (e.g., MMR/varicella) are generally not recommended during pregnancy. Ideally, vaccination status is checked before pregnancy.

Hygiene helps (CMV & toxoplasmosis)
  • Wash hands regularly (especially after contact with diapers/body fluids of young children).
  • Do not share cutlery/cups with young children.
  • Cook meat thoroughly; wash vegetables/salad carefully; use caution with raw-milk products.
RSV – protection options (mother or baby)

In Switzerland there are protection options for newborns against RSV: either via maternal vaccination (typically 32+0 to 36+0 weeks if the due date falls within the RSV season) or via passive immunisation of the infant (e.g., nirsevimab – depending on birth month/RSV season). Usually one method is chosen; combining both methods is generally not necessary. We will advise what makes sense for you.

Costs Vaccinations count as prevention – your deductible may apply.

Vaccine time windows (simplified overview)

Please discuss individually
Pertussis
2nd trimester (every pregnancy) Close contacts: booster if >10 years
Influenza
from 2nd trimester (season, usually Oct–Jan)
COVID-19
Recommendation per BAG/EKIF (consider season/indication)
RSV
Mother: 32+0–36+0 weeks (if due Oct–Mar) OR infant: nirsevimab (seasonal)

We follow the Swiss vaccination schedule (BAG/EKIF) and current recommendations.

When should you contact us immediately?

  • Fever > 38.0 °C in pregnancy (especially with chills)
  • Severe lower abdominal pain, bleeding or leakage of fluid
  • Reduced fetal movements (once movements are noticeable)
  • Shortness of breath, chest pain, severe headaches/visual disturbances
  • Signs of dehydration (very little urine, dizziness, circulation problems)
  • After contact with certain infections (e.g., parvovirus B19), please contact us promptly