Impact of vaccines given during pregnancy on the offspring of women consulting a travel clinic: a longitudinal study

Details

Serval ID
serval:BIB_3ED695D0DF5E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of vaccines given during pregnancy on the offspring of women consulting a travel clinic: a longitudinal study
Journal
Journal of Travel Medicine
Author(s)
D'Acremont V., Tremblay S., Genton B.
ISSN
1708-8305
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
15
Number
2
Pages
77-81
Language
english
Abstract
BACKGROUND: Little is known on the impact of travel vaccinations during pregnancy on child outcomes, in particular on the long-term psychomotor development. The objectives of the study were (1) to estimate the rate of premature births, congenital abnormalities, and mental and physical development problems of children born from mothers who had been vaccinated during pregnancy and (2) to compare these rates with those of children whose mothers had not been vaccinated during pregnancy. METHODS: Longitudinal study including (1) retrospectively pregnant women having attended our travel clinic before (vaccinated) and (2) prospectively mothers attending our clinic (nonvaccinated). We performed phone interviews with mothers vaccinated during pregnancy, up to 10 years before, and face-to-face interviews with nonvaccinated age-matched mothers, ie, women attending the travel clinic who had one child of about the same age as the one of the case to compare child development between both groups. RESULTS: Fifty-three women vaccinated during pregnancy were interviewed as well as 53 nonvaccinated ones. Twenty-eight (53%) women received their vaccination during the first trimester. The most frequent vaccine administered was hepatitis A (55% of the cases), followed by di-Te (34%), IM poliomyelitis (23%), yellow fever (12%), A-C meningitis (8%), IM typhoid (4%), and oral poliomyelitis (4%). Children were followed for a range of 1 to 10 years. Rates of premature births were 5.7% in both groups; congenital abnormalities were 1.9% in the vaccinated cohort versus 5.7% in the nonvaccinated one; children took their first steps at a median age of 12 months in both cohorts; among schoolchildren, 5% of the vaccinated cohort versus 7.7% of the nonvaccinated attended a lower level or a specialized school. CONCLUSION: In this small sample size, there was no indication that usual travel vaccinations, including the yellow fever one, had deleterious effect on child outcome and development
Keywords
abnormalities , Adult , Ambulatory Care , Bacterial Vaccines , Child , Child Development , Communicable Disease Control , Communicable Diseases , congenital , Congenital Abnormalities , epidemiology , Female , Health Knowledge,Attitudes,Practice , Humans , Infant,Newborn , Infection , Infectious Disease Transmission,Vertical , Longitudinal Studies , Maternal Behavior , methods , Pregnancy , Pregnancy Complications,Infectious , Premature Birth , prevention & control , Questionnaires , Retrospective Studies , statistics & numerical data , Switzerland , therapeutic use , transmission , Travel , Viral Vaccines , Virus Diseases
Pubmed
Web of science
Create date
29/01/2009 23:14
Last modification date
20/08/2019 14:35
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