A maternal immunization program (MIP): Developing a schedule and platform for routine immunization during pregnancy

• Published in: Vaccine Vol. 29; no. 51; pp. 9411 - 9413
• Main Authors: Gall, Stanley A, Poland, Gregory A
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 28.11.2011; Elsevier Limited
• Subjects: Allergy and Immunology; Female; Hepatitis; Human papillomavirus; Humans; Immunization; Immunization Programs; Influenza; Maternal-Fetal Exchange - immunology; Practice Patterns, Physicians; Pregnancy; Pregnancy Complications, Infectious - prevention & control; Risk factors; Vaccination - methods; Vaccines; Vaccines - administration & dosage; Womens health
• ISSN: 0264-410X; 1873-2518
• DOI: 10.1016/j.vaccine.2011.11.009

[...]success has been dramatic, with high rates of immunization (at least when such vaccines are accepted by parents). Vaccine Timing of administration Comment Universal administration during pregnancy Influenza vaccine Insure receipt before influenza season begins, regardless of stage of pregnancy TIV recommended, LAIV is Category C and not indicated during pregnancy Tdap Ideally administered before pregnancy, if not, preferable to administer during the 2nd or 3rd trimester of pregnancy Can give at any interval since last Td Administer if risk factors present during pregnancy Hepatitis A Two doses as per ACIP schedule Ideally given prior to pregnancy or before delivery Hepatitis B Three doses as per ACIP schedule Ideally given prior to pregnancy or before delivery Meningococcal One or two doses per ACIP schedule Use if risk factors present Pneumococcal Single dose of PPV-23 as per ACIP recommendations Use if risk factors present Administer pre-pregnancy or post-partum if not already immune or risk factors present HPV Three doses as per ACIP recommendations For patients age 26 or younger - use if not previously administered MMR One or two doses as per ACIP recommendations Live viral vaccines contraindicated during pregnancy - use if not immune Varicella Two doses as per ACIP recommendations Live viral vaccines contraindicated during pregnancy - use if not immune to varicella Zoster One dose per ACIP recommendations Live viral vaccines contraindicated during pregnancy - use for women age 50 and older Table 1 Maternal immunization schedule.