Karol Králinský, Ivana Gondová, Oliver Petrík, Peter Bielik
In the article the authors are dealing with vaccination of pregnant women and they focused on the incidence of adverse
effects and their management. The most formidable reaction to the allergen is also in this case anaphylactic or anaphylactoid
reaction, which at present occurs rarely in the relation to vaccine application. Despite this the quick and correct
management of anaphylaxis is decisive for further fate of the afflicted woman and her foetus. Basic principles of
initial management of anaphylaxis in pregnancy include: adrenalin and oxygen application, resuscitation of circulation
with balanced crystalloids, positioning of a pregnant woman on the left side, monitoring of the afflicted patient.
The aim is to prevent hypotension (systolic pressure under 90 mmHg) and maintenance of sufficient placental perfusion.
In indicated cases cardiopulmonary resuscitation and surgical pregnancy termination is inevitable. All undesirable
effects, especially in pregnant women, should be reposted. Each afflicted woman should be informed on the seriousness
of her condition and risk of its recurrence at discharge from hospital, should be sent to an immunoalergologist
and medicaments for the first aid (adrenaline pen, antihistamines and corticoid).