Epidemiologic Reviews Advance Access published online on May 26, 2006
Epidemiologic Reviews, doi:10.1093/epirev/mxj002
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR
* To whom correspondence should be addressed. Pregnant women have an increased risk of influenza infection and complications. The Advisory Committee on Immunization Practices currently recommends vaccination for women who are pregnant during influenza season. The authors review the literature concerning influenza vaccine safety, effectiveness, and coverage rates during pregnancy, as well as opportunities to improve vaccination rates during pregnancy. No study has demonstrated an increased risk of maternal complications or adverse fetal outcomes associated with inactivated influenza vaccine. Few studies have examined the effectiveness of vaccination during pregnancy, and the results from these studies are inconsistent, with some showing a protective effect and others showing no effect. Despite the proven safety of vaccination and the possible benefits to women and their infants, reported vaccination rates during pregnancy are generally less than 10%. Mothers frequently cite concerns about vaccine safety as a barrier to vaccination. Lack of adequate information about the risks and benefits of vaccination is reported by both patients and obstetric care providers. Organizational factors such as lack of vaccine storage facilities may also limit vaccination during pregnancy. Effective interventions should target factors pertaining to patients or providers, or they should address organizational or logistic barriers. The Advisory Committee on Immunization Practices currently recommends standing orders programs or reminders for patients and providers as strategies to improve vaccination rates.
Accepted March 27, 2006
Article
Delivering Influenza Vaccine to Pregnant Women
Allison L. Naleway 1 *,
Wendy J. Smith 2,
and
John P. Mullooly 1
2 Department of Obstetrics and Gynecology, Kaiser Permanente Northwest, Portland, OR
Allison L. Naleway, E-mail: allison.naleway{at}kpchr.org
Abstract 
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  Receipt of Influenza Vaccine During Pregnancy Among Women With Live Births--Georgia and Rhode Island, 2004-2007 JAMA, November 11, 2009; 302(18): 1964 - 1966. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Shah Strategies for Vaccination of Close Contacts and Expectant Parents of Infants: The Next Immunization Frontier for Pediatricians Arch Pediatr Adolesc Med, May 1, 2009; 163(5): 410 - 412. [Full Text] [PDF]
|
|
|
|
 |
|
 K. Zaman, E. Roy, S. E. Arifeen, M. Rahman, R. Raqib, E. Wilson, S. B. Omer, N. S. Shahid, R. F. Breiman, and M. C. Steinhoff Effectiveness of Maternal Influenza Immunization in Mothers and Infants N. Engl. J. Med., October 9, 2008; 359(15): 1555 - 1564. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. L. Naleway and J. P. Mullooly TWO OF THE AUTHORS REPLY Am. J. Epidemiol., February 1, 2007; 165(3): 352 - 353. [Full Text] [PDF]
|
|
|
|
|
|
D. M. Ayoub and F. E. Yazbak RE: "DELIVERING INFLUENZA VACCINE TO PREGNANT WOMEN" Am. J. Epidemiol., February 1, 2007; 165(3): 351 - 352. [Full Text] [PDF]
|
|
|
|
 |
|
 M. A. Ibrahim Editorial: Vaccines and Public Health Epidemiol. Rev., August 1, 2006; 28(1): 1 - 2. [Full Text] [PDF]
|
|
|
|
|
|
A. R. Hinman, W. A. Orenstein, and L. E. Rodewald Vaccines--Victories and Challenges Am. J. Epidemiol., August 1, 2006; 164(3): 197 - 199. [Full Text] [PDF]
|
|