Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Lindley, Megan C. ; Kahn, Katherine E. ; Bardenheier, Barbara H. ; D’Angelo, Denise V. ; Dawood, Fatimah S. ; ... More +
Lindley, Megan C. ; Kahn, Katherine E. ; Bardenheier, Barbara H. ; D’Angelo, Denise V. ; Dawood, Fatimah S. ; Fink, Rebecca V. ; Havers, Fiona ; Skoff, Tami H. Less -
Corporate Authors:
National Center for Immunization and Respiratory Diseases (U.S.)Immunization Services Division. ; National Center for Chronic Disease Prevention and Health Promotion (U.S.)Division of Reproductive Health. ; National Center for Immunization and Respiratory Diseases (U.S.)Influenza Division. ; National Center for Immunization and Respiratory Diseases (U.S.)Division of Bacterial Diseases.
National Center for Immunization and Respiratory Diseases (U.S.)Immunization Services Division. ; National Center for Chronic Disease Prevention and Health Promotion (U.S.)Division of Reproductive Health. ; National Center for Immunization and Respiratory Diseases (U.S.)Influenza Division. ; National Center for Immunization and Respiratory Diseases (U.S.)Division of Bacterial Diseases. Less -
Description:
Introduction

Vaccinating pregnant women with influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and Acellular pertussis vaccine (Tdap) can reduce influenza and pertussis risk for themselves and their infants.

Methods

Surveillance data were analyzed to ascertain influenza-associated hospitalization among pregnant women and infant hospitalization and death associated with influenza and pertussis. An Internet panel survey was conducted during March 27–April 8, 2019, among women aged 18–49 years who reported being pregnant any time since August 1, 2018. Influenza vaccination before or during pregnancy was assessed among respondents with known influenza vaccination status who were pregnant any time during October 2018–January 2019 (2,097). Tdap receipt during pregnancy was assessed among respondents with known Tdap status who reported a live birth by their survey date (817).

Results

From 2010–11 to 2017–18, pregnant women accounted for 24%–34% of influenza-associated hospitalizations per season among females aged 15–44 years. From 2010 to 2017, a total of 3,928 pertussis-related hospitalizations were reported among infants aged <2 months (annual range = 262–743). Maternal influenza and Tdap vaccination coverage rates reported as of April 2019 were 53.7% and 54.9%, respectively. Among women whose health care providers offered vaccination or provided referrals, 65.7% received influenza vaccine and 70.5% received Tdap. The most commonly reported reasons for nonvaccination were believing the vaccine is not effective (influenza; 17.6%) and not knowing that vaccination is needed during each pregnancy (Tdap; 37.9%), followed by safety concerns for the infant (influenza =15.9%; Tdap = 17.1%).

Conclusions and Implications for Public Health Practice

Many pregnant women do not receive the vaccines recommended to protect themselves and their infants, even when vaccination is offered. CDC and provider organizations’ resources are available to help providers convey strong, specific recommendations for influenza and Tdap vaccination that are responsive to pregnant women’s concerns.


Subject:
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Adolescent Adult Diphtheria-Tetanus-Acellular Pertussis Vaccines Female Humans Infant Infant, Newborn Influenza, Human Influenza Vaccines Middle Aged Pregnancy Pregnancy Complications, Infectious Vaccination Vital Signs Whooping Cough Young Adult
Source:
MMWR Morb Mortal Wkly Rep. 68(40):885-892
Pubmed ID:
31600186
Pubmed Central ID:
PMC6788399
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:c352b211918dbe20626dfca9f4271461862767a4666ec82e11755f9862e317f1
Download URL:
https://stacks.cdc.gov/view/cdc/83530/cdc_83530_DS1.pdf
File Type:

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