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ACOG Recommendations for Maternal Immunization

Obstet Gynecol; ePub 2018 Jun; Ault, Riley, et al

Immunization is an essential part of care for adults, including pregnant women, with influenza vaccination especially important because pregnant women who contract influenza are at greater risk of maternal morbidity and mortality. This according to a new committee opinion from the American College of Obstetricians and Gynecologists (ACOG) that includes the following recommendations:

  • Obstetrician–gynecologists and other obstetric care providers should routinely assess their pregnant patients’ vaccination status.
  • Obstetrician–gynecologists and other obstetric care providers should recommend and, when possible, administer needed vaccines to their pregnant patients.
  • Women who are or will be pregnant during influenza season should receive an annual influenza vaccine.
  • All pregnant women should receive a tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine during each pregnancy, as early in the 27–36-weeks-of-gestation window as possible.
  • Other vaccines may be recommended during pregnancy depending on the patient’s age, prior immunizations, comorbidities, or disease risk factors.

Citation:

Maternal immunization. ACOG Committee Opinion No. 741. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2018;131:e214–7.