<prompt> A 22 weeks pregnant lady having exposure to rubella; what will be the management:MMR vaccine should be given instantlyMMR vaccine should be given in 3rd trimesterContinue the pregnancyMMR vaccine should be given during labor  <response>: Rubella is one of the most complete teratogens and sequelae of fetal infection are worst during organogenesis 1st Trimester, Pregnant women with rubella infection and a rash in first 1 weeks leads to fetal congenital infection in up to 90 cases Defects are rare after 20 weeks Rubella vaccination should be avoided 1 month before or during pregnancy bcoz the vaccine contains attenuated live virus. 