Immunizations in Pregnancy: Updated Recommendations

Vaccinations are a critical topic for family physicians to address with pregnant women because of the significant benefits to the mother and infant and the current low vaccination rates during pregnancy.1 In a Centers for Disease Control and Prevention (CDC) survey during the 2017–2018 influenza sea...

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Veröffentlicht in:American family physician 2020-08, Vol.102 (4), p.205-206
Hauptverfasser: Sur, Denise K C, Chande, Neha D
Format: Artikel
Sprache:eng
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Zusammenfassung:Vaccinations are a critical topic for family physicians to address with pregnant women because of the significant benefits to the mother and infant and the current low vaccination rates during pregnancy.1 In a Centers for Disease Control and Prevention (CDC) survey during the 2017–2018 influenza season, only 49.1% of pregnant women reported receiving an influenza vaccination, whereas 54.4% reported receiving a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination.1 Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations. [...]the CDC recommends Tdap vaccination in the third trimester of pregnancy, ideally between 27 and 36 weeks' gestation.4 However, passive immunity from maternal vaccination often wanes before a newborn receives recommended immunizations. The CDC recommends yellow fever vaccine during pregnancy if the woman must travel and is at high risk of infection based on location, season, and planned activities.12 Immunizations for the Future Immunizations against group B streptococcus and respiratory syncytial virus are in development for pregnant women, with the goal of protecting against these leading causes of severe infections in infants.13
ISSN:0002-838X
1532-0650