[Preventing whooping cough in infants : vaccinated mother, protected newborn]
Marina Lumbreras Areta1, Begoña Martinez De Tejada2
1Programme Contrepoids-maternité, Département de gynécologie et obstétrique, HUG, 1211 Genève 14.
Insights
Antenatal pertussis immunization is a safe and effective strategy to protect newborns from severe illness. This approach provides passive immunity to infants too young for vaccination, addressing parental concerns.
Area of Science:
- Immunology
- Pediatrics
- Public Health
Background:
- Infants under 3 months are highly vulnerable to severe pertussis complications due to their inability to be vaccinated.
- Two strategies exist: cocooning (vaccinating contacts) and antenatal immunization.
- Antenatal immunization offers passive protection to newborns via transplacental antibody transfer.
Purpose of the Study:
- To review the effectiveness, safety, timing, and implementation of antenatal pertussis immunization.
- To provide practitioners with current recommendations and supporting data.
- To reassure expectant parents and facilitate informed decisions regarding vaccination during pregnancy.
Main Methods:
- Systematic review of existing literature on antenatal pertussis vaccination.
- Analysis of data on vaccine effectiveness and safety profiles.
- Evaluation of implementation strategies and timing of immunization.
Main Results:
- Antenatal immunization is highly effective in preventing infant pertussis.
- The strategy demonstrates a favorable safety profile for both mother and infant.
- Passive antibody transfer provides crucial protection during the first months of life.
Conclusions:
- Antenatal pertussis immunization is the preferred strategy for protecting vulnerable newborns.
- Addressing parental concerns with data on safety and effectiveness is crucial for uptake.
- Continued emphasis on current recommendations supports informed decision-making and public health goals.
Abstract:
Pertussis is a serious health issue in infants < 3 months. Too young to be vaccinated, they are at higher risk of developing pertussis and vulnerable to severe complications. Two vaccine strategies exist to prevent infant pertussis. The older « cocooning » strategy involves vaccinating parents and close contacts, indirectly protecting newborns. The more effective strategy is to immunize women during pregnancy, providing infants passive protection by transplacental transfer of pertussis antibodies. However, some women and their caregivers are worried about receiving the vaccine during pregnancy. We review the effectiveness, safety, timing and implementation of pertussis antenatal immunization. The aim is to remind practitioners of current recommendations with supporting data. This can be used to reassure future parents and enable informed decisions.
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