Vaccinations given during pregnancy, 2002-2009: a descriptive study
- PMID: 24439348
- DOI: 10.1016/j.amepre.2013.10.010
Vaccinations given during pregnancy, 2002-2009: a descriptive study
Abstract
Background: A number of studies have described influenza vaccination coverage during pregnancy but few publications have described rates of other vaccinations.
Purpose: To describe vaccination rates during pregnancy in the Vaccine Safety Datalink (VSD), with particular focus on vaccinations contraindicated during pregnancy.
Methods: Pregnancies ending in 2002 through 2009 and vaccinations administered during these pregnancies were identified in the VSD. Vaccination rates per 1000 pregnancies during the study period were calculated by vaccine type, recommendation category, pregnancy year, maternal age, and trimester. Analyses were conducted in 2012-2013.
Results: In the VSD, 669,695 pregnancies and 141,389 vaccinations were identified. Trivalent inactivated influenza (TIV) was the most commonly administered vaccination (174.1 doses per 1000 pregnancies) and was most often administered during the 2nd and 3rd trimesters. The most common vaccines in the "consider if indicated" category were tetanus-diphtheria (6.1 per 1000) and hepatitis B (3.7 per 1000). Contraindicated vaccination was infrequent, and the majority of these were measles-mumps-rubella (MMR) (1.2 per 1000); varicella (1.0 per 1000); and live-attenuated influenza vaccine (LAIV) (0.3 per 1000). Both "consider if indicated" and contraindicated vaccines were more frequently administered during early pregnancy.
Conclusions: TIV was the most commonly administered vaccine. With the exception of TIV, other vaccines were most frequently administered during early pregnancy and among younger women, suggesting that vaccination may occur when the woman and/or provider are unaware of the pregnancy. Contraindicated vaccines were infrequently administered during pregnancy; however, given that some women received contraindicated vaccines later in pregnancy, clearer recommendations and improved provider education may be needed.
© 2013 American Journal of Preventive Medicine Published by American Journal of Preventive Medicine All rights reserved.
Similar articles
-
[Vaccination and pregnancy].Presse Med. 2014 Jun;43(6 Pt 1):715-21. doi: 10.1016/j.lpm.2014.04.003. Epub 2014 May 24. Presse Med. 2014. PMID: 24863661 Review. French.
-
Vaccine exposure during pregnancy among privately and publicly insured women in the United States, 2016-2018.Vaccine. 2021 Oct 1;39(41):6095-6103. doi: 10.1016/j.vaccine.2021.08.091. Epub 2021 Sep 7. Vaccine. 2021. PMID: 34507857
-
Trends in early childhood vaccination coverage: progress towards US Healthy People 2010 goals.Vaccine. 2009 Aug 6;27(36):5008-12. doi: 10.1016/j.vaccine.2009.05.074. Epub 2009 Jun 12. Vaccine. 2009. PMID: 19524616
-
Safety and immunogenicity of concurrent administration of live attenuated influenza vaccine with measles-mumps-rubella and varicella vaccines to infants 12 to 15 months of age.Pediatrics. 2008 Mar;121(3):508-16. doi: 10.1542/peds.2007-1064. Pediatrics. 2008. PMID: 18310199 Clinical Trial.
-
[Vaccination].Klin Padiatr. 2001 Sep;213 Suppl 1:A77-83. doi: 10.1055/s-2001-17503. Klin Padiatr. 2001. PMID: 11577366 Review. German.
Cited by
-
Monitoring the safety of COVID-19 vaccines in pregnancy in the US.Hum Vaccin Immunother. 2021 Dec 2;17(12):4705-4713. doi: 10.1080/21645515.2021.1984132. Epub 2021 Nov 10. Hum Vaccin Immunother. 2021. PMID: 34756131 Free PMC article.
-
Vaccine Safety Datalink infrastructure enhancements for evaluating the safety of maternal vaccination.Ther Adv Drug Saf. 2021 Jun 14;12:20420986211021233. doi: 10.1177/20420986211021233. eCollection 2021. Ther Adv Drug Saf. 2021. PMID: 34178302 Free PMC article.
-
Developing algorithms for identifying major structural birth defects using automated electronic health data.Pharmacoepidemiol Drug Saf. 2021 Feb;30(2):266-274. doi: 10.1002/pds.5177. Epub 2020 Dec 3. Pharmacoepidemiol Drug Saf. 2021. PMID: 33219586 Free PMC article.
-
Infant Hospitalizations and Mortality After Maternal Vaccination.Pediatrics. 2018 Mar;141(3):e20173310. doi: 10.1542/peds.2017-3310. Epub 2018 Feb 20. Pediatrics. 2018. PMID: 29463582 Free PMC article.
-
Assessing the safety of hepatitis B vaccination during pregnancy in the Vaccine Adverse Event Reporting System (VAERS), 1990-2016.Vaccine. 2018 Jan 2;36(1):50-54. doi: 10.1016/j.vaccine.2017.11.039. Epub 2017 Nov 27. Vaccine. 2018. PMID: 29174107 Free PMC article.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical