Rubella

Postpubertal females should be assessed for rubella susceptibility at annual health examinations, family planning visits, and visits to sexually transmitted infection clinics.[43]American College of Obstetricians and Gynecologists. Prepregnancy counseling. Jan 2019 [internet publication]. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/01/prepregnancy-counseling ​ If these patients are found to be susceptible by serologic screening or their immunization status is undocumented, they should be immunized with measles-mumps-rubella (MMR) vaccine unless they are known to be pregnant.[43]American College of Obstetricians and Gynecologists. Prepregnancy counseling. Jan 2019 [internet publication]. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/01/prepregnancy-counseling ​

People at increased risk of rubella infection (travelers to rubella endemic countries) should be assessed for susceptibility to rubella and, if susceptible, should be immunized with MMR vaccine unless they are known to be pregnant or attempting to become pregnant.