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Massachusetts

Pregnancy, birth and the first year in Massachusetts, in 14 topics: from who runs maternal and child health to what happens at your newborn's screening.

Vaccinations

Ensuring timely vaccinations is crucial for the health of both mothers and their children. In Massachusetts, several vaccines are recommended for pregnant women, and a comprehensive immunization schedule is in place for children. Below is detailed information on these vaccinations and resources available in Massachusetts.

Vaccinations for Pregnant Women
Vaccinations during pregnancy protect both the mother and the baby by passing immunity to the infant. The recommended vaccines include:

Influenza (Flu) Vaccine: Safe at any stage of pregnancy, the flu vaccine protects against seasonal influenza. Pregnant women are advised to receive the inactivated flu shot rather than the nasal spray vaccine.

Tdap Vaccine: Protects against tetanus, diphtheria, and pertussis (whooping cough). It's recommended during each pregnancy, preferably between 27 and 36 weeks, to maximize antibody transfer to the newborn.

COVID-19 Vaccine: Recommended for pregnant and breastfeeding women to reduce the risk of severe illness.

RSV Vaccine: Administered between 32 and 36 weeks of pregnancy, particularly from September through January, to protect infants from respiratory syncytial virus (RSV) during their first six months. Learn more

Vaccinations for Children
Routine childhood vaccinations protect against various diseases. Key vaccines and their typical schedules include:

  • Hepatitis B: Administered at birth, 1–2 months, and 6–18 months.
  • DTaP (Diphtheria, Tetanus, Pertussis): Given at 2, 4, 6, and 15–18 months, with a booster at 4–6 years.
  • Polio (IPV): Administered at 2, 4, 6–18 months, and 4–6 years.
  • MMR (Measles, Mumps, Rubella): Given at 12–15 months and 4–6 years.
  • Varicella (Chickenpox): Administered at 12–15 months and 4–6 years.
  • Hepatitis A: Two doses between 12–23 months, spaced at least 6 months apart.
  • HPV Vaccine: Recommended starting at ages 11–12, with a two-dose series.

Where to Get Vaccinated or Vaccination Support

Massachusetts Vaccine Program: Provides vaccines at no cost to eligible children under 19 through participating providers. Eligible groups include uninsured or underinsured children, those covered by CHIP, Native American or Native Alaskan heritage, and children enrolled in Medicaid. Learn more

Local Public Health Clinics: Offer vaccines for children, pregnant women, and adults. Contact your local health department for clinic hours and services. Learn more

Massachusetts Department of Public Health (MDPH) Immunization Division: For questions about vaccine schedules or locations, contact the Vaccine Unit at (617) 983-6828 or email dph-vaccine-management@mass.gov. Learn more

Indian Health Service (IHS): Offers vaccines to eligible Native American families through tribal health organizations. In Massachusetts, the Mashpee Wampanoag Health Service Unit provides such services. Learn more

Ensuring timely vaccinations is vital for protecting both maternal and child health. Utilize these resources to stay informed and up-to-date with recommended immunizations.

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