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Published on: October 24, 2017
Immunization during pregnancy
Paul Loubet1,2, Olivia Anselem3,4, Odile Launay5,6,7
1a IAME, UMR 1137 , INSERM, Université Paris Diderot , Paris , France.
Insights
Maternal immunization effectively prevents infant influenza and pertussis. Further research is needed for group B Streptococcus and RSV vaccines during pregnancy.
Area of Science:
- Immunology
- Vaccinology
- Pediatric Infectious Diseases
Background:
- Maternal immunization is a proven strategy for infant protection against infectious diseases.
- Influenza and pertussis vaccines during pregnancy offer significant benefits to newborns.
- Group B Streptococcus and Respiratory Syncytial Virus pose substantial burdens on the pediatric population.
Purpose of the Study:
- To review the principles, efficacy, and safety of maternal immunization for pertussis and influenza.
- To present current data on vaccines for group B Streptococcus and Respiratory Syncytial Virus for use in pregnancy.
- To identify knowledge gaps in maternal vaccine research.
Main Methods:
- Literature review of existing studies on maternal immunization.
- Analysis of vaccine efficacy and safety data for pertussis and influenza.
- Compilation of available data on developmental vaccines for group B Streptococcus and Respiratory Syncytial Virus.
Main Results:
- Maternal vaccination is effective against infant influenza and pertussis.
- Data on group B Streptococcus and Respiratory Syncytial Virus vaccines for pregnancy is emerging.
- Understanding of pertussis vaccine mechanisms and influenza vaccine efficacy requires further investigation.
Conclusions:
- Maternal immunization is a critical public health strategy.
- Continued research is essential to optimize existing vaccines and develop new ones for pregnancy.
- Addressing maternal antibody interference is key to improving infant vaccine responses.
Introduction:
Vaccination in pregnancy has been shown to be effective for the prevention of influenza and pertussis in infants, providing support for similar strategies to prevent group B streptococcus and respiratory syncytial virus infections that represent a large burden in pediatric population.
Areas Covered:
This review addresses the principle of maternal immunization, efficacy and safety of both pertussis and seasonal influenza vaccines and presents available data on group B streptococcus and respiratory syncytial virus that are in development for administration during pregnancy.
Expert Commentary:
Complementary data is needed to help in understanding pertussis vaccine mechanisms, improving influenza vaccine efficacy and addressing the interference phenomenon which is when maternal antibodies interfere with the infant vaccine response. Several knowledge gaps need to be filled in group B streptococcus and respiratory syncytial virus vaccines research.
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