[Pertussis vaccination in pregnancy: Security and effectiveness in the protection of the infant]

Rodolfo Villena1, Pamela Vidal2, Felipe Carrillo1

  • 1Facultad de Medicina, Universidad de Chile, Chile.

Insights

Antenatal vaccination with the Tdap vaccine safely protects infants from whooping cough (pertussis) by transferring antibodies. This maternal immunization strategy significantly reduces infant pertussis incidence and mortality.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Whooping cough (pertussis) remains a significant threat, especially to infants under six months.
  • Current infant immunization schedules do not fully prevent early-life pertussis, leading to high mortality rates.
  • Outbreaks occur globally despite existing vaccination programs.

Purpose of the Study:

  • To review and discuss the benefits of antenatal vaccination using the acellular pertussis component (Tdap) vaccine.
  • To evaluate the safety and efficacy of maternal Tdap immunization.
  • To assess its impact on reducing infant pertussis incidence and mortality.

Main Methods:

  • Literature review and discussion of existing studies on antenatal Tdap vaccination.
  • Analysis of data regarding antibody transfer from mother to infant.
  • Examination of adverse effect profiles in pregnant women receiving Tdap.

Main Results:

  • Antenatal Tdap vaccination effectively transfers high antibody levels to infants.
  • This strategy reduces the incidence of pertussis in infants by 85%.
  • No increased incidence of adverse effects was observed in vaccinated pregnant women.

Conclusions:

  • Maternal immunization with Tdap is a safe and effective strategy.
  • Promoting antenatal Tdap vaccination is crucial for preventing pertussis infection and mortality in infants under six months.
  • This approach offers significant public health benefits by protecting vulnerable newborns.

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