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Updated: Apr 20, 2026

Intranasal Immunization and Milk Collection in Studies of Maternal Immunization in New Zealand White Rabbits Oryctolagus cuniculus
Published on: July 31, 2021
Antenatal immunization
1a Paediatric Infectious Diseases Research Group (PIDRG); St George's, University of London; London, UK.
Insights
Maternal vaccination boosts antibodies, protecting infants from serious infections until they can be immunized. Despite safety concerns, the benefits of vaccinating during pregnancy outweigh the minimal risks, safeguarding both mother and child.
Area of Science:
- Immunology and Public Health
- Maternal and Infant Health
Background:
- Pregnancy and infancy involve immune suppression, increasing vulnerability to infections with high morbidity and mortality.
- Infants face elevated risks of invasive diseases, with incidence rates of 100 per 100,000 population.
Purpose of the Study:
- To review the rationale, concepts, and mechanisms behind maternal vaccination strategies.
- To assess the safety of vaccination during pregnancy and address associated challenges.
- To evaluate the protective benefits of maternal immunization for infants.
Main Methods:
- Review of existing literature on maternal vaccination.
- Analysis of safety data and challenges in assessing vaccine safety in pregnant women.
- Discussion of immunological principles of passive antibody transfer.
Main Results:
- Maternal vaccination aims to transfer pathogen-specific antibodies to the infant, providing passive immunity.
- Safety assessments indicate that risks from disease significantly outweigh the minimal risks of vaccination during pregnancy.
- Vaccination during pregnancy is a viable strategy for preventing serious infections in mothers and infants.
Conclusions:
- Maternal vaccination offers a crucial method for protecting vulnerable infants before they can be immunized.
- The safety profile supports vaccination, with disease risks being a greater concern than vaccine risks.
- This approach presents a novel platform for enhancing protection against severe infections in early life.
Abstract:
Pregnancy and early infancy are periods of relative immune suppression and increased vulnerability to infection. In these circumstances infections are associated with high morbidity and mortality. In particular, infants have high rates of invasive disease, higher than at any other stage of life with rates of 100 per 100 000 population. The concept of maternal vaccination is that maternal levels of pathogen-specific antibody are boosted and provide protection to the infant until the infant is able to mount an effective immune response to immunization. However, an important concern for women and healthcare providers is the safety of receiving vaccines during pregnancy. There are challenges associated with assessing safety in pregnant women. This review discusses the rationale for maternal vaccination, the concepts and mechanisms used. An assessment is made of the safety of vaccination during pregnancy, and the challenges associated with this are considered. In general terms, it is considered that the risk from disease far outweighs the small risk associated with vaccination during pregnancy and that they offer a new platform for preventing significant and serious infections in mothers and young infants.
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