You see a pregnant woman at initial OB visit and rubella titer is negative. What should you do? Give her the rubella vaccine immediately postpartum.

Rubella is one of the TORCH infections.

Rubella has been directly responsible for inestimable pregnancy wastage, as well as for severe congenital malformations.  Identification and  vaccination of  unimmunized women  immediately after  childbirth or abortion is recommended. The use of gamma-globulin to prevent viremia in nonimmune subjects exposed to rubella is not recommended. The vaccine should be avoided shortly before or during pregnancy since it is an attenuated live virus.” ABFM

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