PandemieGrippaleV1, Main, Curation, bibRecord, 001797

Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth

Identifieur interne : 001797 ( Main/Curation ); précédent : 001796; suivant : 001798

Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth

Auteurs : Jennifer L. Richards [États-Unis] ; Craig Hansen [États-Unis] ; Christine Bredfeldt [États-Unis] ; Robert A. Bednarczyk [États-Unis] ; Mark C. Steinhoff [États-Unis] ; Dzifa Adjaye-Gbewonyo [États-Unis] ; Kevin Ault [États-Unis] ; Mia Gallagher [États-Unis] ; Walter Orenstein [États-Unis] ; Robert L. Davis [États-Unis] ; Saad B. Omer [États-Unis]

Source :

Clinical infectious diseases [ 1058-4838 ] ; 2013.

RBID : Pascal:13-0157683

Descripteurs français

KwdFr :
- Adulte, Femelle, Grippe humaine (), Grippe humaine (virologie), Grippe humaine (épidémiologie), Grossesse, Humains, Mâle, Naissance prématurée (épidémiologie), Nourrisson, Nourrisson petit pour son âge gestationnel, Nourrisson très faible poids naissance, Nouveau-né, Pandémies, Sous-type H1N1 du virus de la grippe A (immunologie), Sous-type H1N1 du virus de la grippe A (pathogénicité), Vaccins antigrippaux (administration et posologie), États-Unis d'Amérique (épidémiologie), Études de cohortes, Études rétrospectives.
MESH :
- administration et posologie : Vaccins antigrippaux.
- immunologie : Sous-type H1N1 du virus de la grippe A.
- pathogénicité : Sous-type H1N1 du virus de la grippe A.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine, Naissance prématurée, États-Unis d'Amérique.
Pascal (Inist)
- Adulte, Femelle, Grippe humaine, Grossesse, Humains, Hypotrophie foetale, Mâle, Nourrisson, Nourrisson petit pour son âge gestationnel, Nourrisson très faible poids naissance, Nouveau-né, Pandémies, Poids de naissance faible, Nouveau né, Pronostic, Immunisation, Vaccination, Prématurité, Accouchement prématuré, Poids naissance, Naissance, Infection, Pandémie, Grippe H1N1, Études de cohortes, Études rétrospectives.
Wicri :
- geographic : États-Unis.
- topic : Vaccination.

English descriptors

KwdEn :
- Adult, Birth, Birth weight, Cohort Studies, Female, H1N1 influenza, Humans, Immunization, Infant, Infant, Newborn, Infant, Small for Gestational Age, Infant, Very Low Birth Weight, Infection, Influenza A Virus, H1N1 Subtype (immunology), Influenza A Virus, H1N1 Subtype (pathogenicity), Influenza Vaccines (administration & dosage), Influenza, Human (complications), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Influenza, Human (virology), Intrauterine growth retardation, Low birth weight, Male, Newborn, Pandemics, Pregnancy, Premature Birth (epidemiology), Premature delivery, Prematurity, Prognosis, Retrospective Studies, United States (epidemiology), Vaccination.
MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic , epidemiology : United States.
- complications : Influenza, Human.
- epidemiology : Influenza, Human, Premature Birth.
- immunology : Influenza A Virus, H1N1 Subtype.
- pathogenicity : Influenza A Virus, H1N1 Subtype.
- prevention & control : Influenza, Human.
- virology : Influenza, Human.
- Adult, Cohort Studies, Female, Humans, Infant, Infant, Newborn, Infant, Small for Gestational Age, Infant, Very Low Birth Weight, Male, Pandemics, Pregnancy, Retrospective Studies.

Abstract

Background. Influenza infection during pregnancy is associated with adverse fetal outcomes such as preterm birth and small for gestational age (SGA). Maternal influenza immunization may prevent these adverse infant outcomes during periods of influenza circulation. Methods. We conducted a retrospective cohort study of live births within Kaiser Permanente (KP) Georgia and Mid-Atlantic States (n = 3327) during the period of 2009 influenza A (H1N1) virus circulation. Primary outcomes were third-trimester preterm birth (27-36 weeks), birth weight, low birth weight (LBW, <2500 g), and SGA. Results. There were 327 (9.8%) preterm, 236 (7.4%) LBW, and 267 (8.4%) SGA births. Among H1N1-vaccinated mothers (n = 1125), there were 86 (7.6%) preterm, 68 (6.4%) LBW, and 99 (9.3%) SGA births, and the mean birth weight was 3308.5 g (95% confidence interval [CI], 3276.6-3340.4). Among unvaccinated mothers (n = 1581), there were 191 (12.1%) preterm, 132 (8.8%) LBW, and 123 (8.2%) SGA births, and the mean birth weight was 3245.3 g (95% CI, 3216.5-3274.2). Infants of H1N1-vaccinated mothers had 37% lower odds of being born preterm than infants of unvaccinated mothers (adjusted odds ratio, 0.63 [95% CI, .47-.84]). The mean birth weight difference between infants of H1N1-vaccinated mothers and infants of unvaccinated mothers was 45.1 g (95% CI, 1.8-88.3). There was no significant association between maternal H1N1 influenza immunization and LBW or SGA. Conclusions. Pregnant women who received H1N1 influenza vaccine were less likely to give birth preterm, and gave birth to heavier infants. The findings support US vaccine policy choices to prioritize pregnant women during the 2009 influenza A (H1N1) pandemic.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4357807

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Le document en format XML

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<author><name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
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<author><name sortKey="Gallagher, Mia" sort="Gallagher, Mia" uniqKey="Gallagher M" first="Mia" last="Gallagher">Mia Gallagher</name>
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<author><name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
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<author><name sortKey="Davis, Robert L" sort="Davis, Robert L" uniqKey="Davis R" first="Robert L." last="Davis">Robert L. Davis</name>
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<author><name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
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<series><title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
</seriesStmt>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Birth</term>
<term>Birth weight</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>H1N1 influenza</term>
<term>Humans</term>
<term>Immunization</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Small for Gestational Age</term>
<term>Infant, Very Low Birth Weight</term>
<term>Infection</term>
<term>Influenza A Virus, H1N1 Subtype (immunology)</term>
<term>Influenza A Virus, H1N1 Subtype (pathogenicity)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Influenza, Human (virology)</term>
<term>Intrauterine growth retardation</term>
<term>Low birth weight</term>
<term>Male</term>
<term>Newborn</term>
<term>Pandemics</term>
<term>Pregnancy</term>
<term>Premature Birth (epidemiology)</term>
<term>Premature delivery</term>
<term>Prematurity</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>United States (epidemiology)</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Mâle</term>
<term>Naissance prématurée (épidémiologie)</term>
<term>Nourrisson</term>
<term>Nourrisson petit pour son âge gestationnel</term>
<term>Nourrisson très faible poids naissance</term>
<term>Nouveau-né</term>
<term>Pandémies</term>
<term>Sous-type H1N1 du virus de la grippe A (immunologie)</term>
<term>Sous-type H1N1 du virus de la grippe A (pathogénicité)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
<term>Premature Birth</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Naissance prématurée</term>
<term>États-Unis d'Amérique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Small for Gestational Age</term>
<term>Infant, Very Low Birth Weight</term>
<term>Male</term>
<term>Pandemics</term>
<term>Pregnancy</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Hypotrophie foetale</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nourrisson petit pour son âge gestationnel</term>
<term>Nourrisson très faible poids naissance</term>
<term>Nouveau-né</term>
<term>Pandémies</term>
<term>Poids de naissance faible</term>
<term>Nouveau né</term>
<term>Pronostic</term>
<term>Immunisation</term>
<term>Vaccination</term>
<term>Prématurité</term>
<term>Accouchement prématuré</term>
<term>Poids naissance</term>
<term>Naissance</term>
<term>Infection</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term>
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<front><div type="abstract" xml:lang="en">Background. Influenza infection during pregnancy is associated with adverse fetal outcomes such as preterm birth and small for gestational age (SGA). Maternal influenza immunization may prevent these adverse infant outcomes during periods of influenza circulation. Methods. We conducted a retrospective cohort study of live births within Kaiser Permanente (KP) Georgia and Mid-Atlantic States (n = 3327) during the period of 2009 influenza A (H1N1) virus circulation. Primary outcomes were third-trimester preterm birth (27-36 weeks), birth weight, low birth weight (LBW, <2500 g), and SGA. Results. There were 327 (9.8%) preterm, 236 (7.4%) LBW, and 267 (8.4%) SGA births. Among H1N1-vaccinated mothers (n = 1125), there were 86 (7.6%) preterm, 68 (6.4%) LBW, and 99 (9.3%) SGA births, and the mean birth weight was 3308.5 g (95% confidence interval [CI], 3276.6-3340.4). Among unvaccinated mothers (n = 1581), there were 191 (12.1%) preterm, 132 (8.8%) LBW, and 123 (8.2%) SGA births, and the mean birth weight was 3245.3 g (95% CI, 3216.5-3274.2). Infants of H1N1-vaccinated mothers had 37% lower odds of being born preterm than infants of unvaccinated mothers (adjusted odds ratio, 0.63 [95% CI, .47-.84]). The mean birth weight difference between infants of H1N1-vaccinated mothers and infants of unvaccinated mothers was 45.1 g (95% CI, 1.8-88.3). There was no significant association between maternal H1N1 influenza immunization and LBW or SGA. Conclusions. Pregnant women who received H1N1 influenza vaccine were less likely to give birth preterm, and gave birth to heavier infants. The findings support US vaccine policy choices to prioritize pregnant women during the 2009 influenza A (H1N1) pandemic.</div>
</front>
</TEI>
<double idat="1058-4838:2013:Richards J:neonatal:outcomes:after"><INIST><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth</title>
<author><name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
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<country>États-Unis</country>
<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1>
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</author>
<author><name sortKey="Hansen, Craig" sort="Hansen, Craig" uniqKey="Hansen C" first="Craig" last="Hansen">Craig Hansen</name>
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</affiliation>
</author>
<author><name sortKey="Bredfeldt, Christine" sort="Bredfeldt, Christine" uniqKey="Bredfeldt C" first="Christine" last="Bredfeldt">Christine Bredfeldt</name>
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<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
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</author>
<author><name sortKey="Bednarczyk, Robert A" sort="Bednarczyk, Robert A" uniqKey="Bednarczyk R" first="Robert A." last="Bednarczyk">Robert A. Bednarczyk</name>
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<author><name sortKey="Steinhoff, Mark C" sort="Steinhoff, Mark C" uniqKey="Steinhoff M" first="Mark C." last="Steinhoff">Mark C. Steinhoff</name>
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<author><name sortKey="Adjaye Gbewonyo, Dzifa" sort="Adjaye Gbewonyo, Dzifa" uniqKey="Adjaye Gbewonyo D" first="Dzifa" last="Adjaye-Gbewonyo">Dzifa Adjaye-Gbewonyo</name>
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<author><name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
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<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Emory Vaccine Center, Emory University</s1>
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<author><name sortKey="Gallagher, Mia" sort="Gallagher, Mia" uniqKey="Gallagher M" first="Mia" last="Gallagher">Mia Gallagher</name>
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<author><name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
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<author><name sortKey="Davis, Robert L" sort="Davis, Robert L" uniqKey="Davis R" first="Robert L." last="Davis">Robert L. Davis</name>
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</author>
<author><name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
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<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Emory Vaccine Center, Emory University</s1>
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<placeName><region type="state">Géorgie (États-Unis)</region>
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</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">13-0157683</idno>
<date when="2013">2013</date>
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<idno type="wicri:Area/PascalFrancis/Corpus">000308</idno>
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<idno type="wicri:doubleKey">1058-4838:2013:Richards J:neonatal:outcomes:after</idno>
<idno type="wicri:Area/Main/Merge">001824</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth</title>
<author><name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
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<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
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<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hansen, Craig" sort="Hansen, Craig" uniqKey="Hansen C" first="Craig" last="Hansen">Craig Hansen</name>
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</affiliation>
</author>
<author><name sortKey="Bredfeldt, Christine" sort="Bredfeldt, Christine" uniqKey="Bredfeldt C" first="Christine" last="Bredfeldt">Christine Bredfeldt</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Mid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic States</s1>
<s2>Rockville, Maryland</s2>
<s3>USA</s3>
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<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bednarczyk, Robert A" sort="Bednarczyk, Robert A" uniqKey="Bednarczyk R" first="Robert A." last="Bednarczyk">Robert A. Bednarczyk</name>
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<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
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<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Steinhoff, Mark C" sort="Steinhoff, Mark C" uniqKey="Steinhoff M" first="Mark C." last="Steinhoff">Mark C. Steinhoff</name>
<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Cincinnati Children's Hospital Medical Center</s1>
<s2>Cincinnati, Ohio</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Bloomberg School of Public Health, Johns Hopkins University</s1>
<s2>Baltimore, Maryland</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Adjaye Gbewonyo, Dzifa" sort="Adjaye Gbewonyo, Dzifa" uniqKey="Adjaye Gbewonyo D" first="Dzifa" last="Adjaye-Gbewonyo">Dzifa Adjaye-Gbewonyo</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Health Research-Southeast, Kaiser Permanente</s1>
<s3>USA</s3>
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</affiliation>
</author>
<author><name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
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<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="06"><s1>School of Medicine, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Emory Vaccine Center, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>11 aut.</sZ>
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<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gallagher, Mia" sort="Gallagher, Mia" uniqKey="Gallagher M" first="Mia" last="Gallagher">Mia Gallagher</name>
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<country>États-Unis</country>
<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Health Research-Southeast, Kaiser Permanente</s1>
<s3>USA</s3>
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<country>États-Unis</country>
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<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Emory Vaccine Center, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>11 aut.</sZ>
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<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Davis, Robert L" sort="Davis, Robert L" uniqKey="Davis R" first="Robert L." last="Davis">Robert L. Davis</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Health Research-Southeast, Kaiser Permanente</s1>
<s3>USA</s3>
<sZ>1 aut.</sZ>
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<country>États-Unis</country>
<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Health Research-Southeast, Kaiser Permanente</s1>
<s3>USA</s3>
<sZ>1 aut.</sZ>
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<country>États-Unis</country>
<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
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<sZ>7 aut.</sZ>
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<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="06"><s1>School of Medicine, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Emory Vaccine Center, Emory University</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Birth</term>
<term>Birth weight</term>
<term>H1N1 influenza</term>
<term>Immunization</term>
<term>Infection</term>
<term>Intrauterine growth retardation</term>
<term>Low birth weight</term>
<term>Newborn</term>
<term>Premature delivery</term>
<term>Prematurity</term>
<term>Prognosis</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Hypotrophie foetale</term>
<term>Poids de naissance faible</term>
<term>Nouveau né</term>
<term>Pronostic</term>
<term>Immunisation</term>
<term>Vaccination</term>
<term>Prématurité</term>
<term>Accouchement prématuré</term>
<term>Poids naissance</term>
<term>Naissance</term>
<term>Infection</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Vaccination</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background. Influenza infection during pregnancy is associated with adverse fetal outcomes such as preterm birth and small for gestational age (SGA). Maternal influenza immunization may prevent these adverse infant outcomes during periods of influenza circulation. Methods. We conducted a retrospective cohort study of live births within Kaiser Permanente (KP) Georgia and Mid-Atlantic States (n = 3327) during the period of 2009 influenza A (H1N1) virus circulation. Primary outcomes were third-trimester preterm birth (27-36 weeks), birth weight, low birth weight (LBW, <2500 g), and SGA. Results. There were 327 (9.8%) preterm, 236 (7.4%) LBW, and 267 (8.4%) SGA births. Among H1N1-vaccinated mothers (n = 1125), there were 86 (7.6%) preterm, 68 (6.4%) LBW, and 99 (9.3%) SGA births, and the mean birth weight was 3308.5 g (95% confidence interval [CI], 3276.6-3340.4). Among unvaccinated mothers (n = 1581), there were 191 (12.1%) preterm, 132 (8.8%) LBW, and 123 (8.2%) SGA births, and the mean birth weight was 3245.3 g (95% CI, 3216.5-3274.2). Infants of H1N1-vaccinated mothers had 37% lower odds of being born preterm than infants of unvaccinated mothers (adjusted odds ratio, 0.63 [95% CI, .47-.84]). The mean birth weight difference between infants of H1N1-vaccinated mothers and infants of unvaccinated mothers was 45.1 g (95% CI, 1.8-88.3). There was no significant association between maternal H1N1 influenza immunization and LBW or SGA. Conclusions. Pregnant women who received H1N1 influenza vaccine were less likely to give birth preterm, and gave birth to heavier infants. The findings support US vaccine policy choices to prioritize pregnant women during the 2009 influenza A (H1N1) pandemic.</div>
</front>
</TEI>
</INIST>
<PMC><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth</title>
<author><name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
<affiliation><nlm:aff id="af1"><institution>Center for Health Research–Southeast, Kaiser Permanente</institution>
</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2"><institution>Rollins School of Public Health, Emory University</institution>
,<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Hansen, Craig" sort="Hansen, Craig" uniqKey="Hansen C" first="Craig" last="Hansen">Craig Hansen</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth</title>
<author><name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
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</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2"><institution>Rollins School of Public Health, Emory University</institution>
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<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
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<author><name sortKey="Hansen, Craig" sort="Hansen, Craig" uniqKey="Hansen C" first="Craig" last="Hansen">Craig Hansen</name>
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</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bredfeldt, Christine" sort="Bredfeldt, Christine" uniqKey="Bredfeldt C" first="Christine" last="Bredfeldt">Christine Bredfeldt</name>
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,<addr-line>Rockville, Maryland</addr-line>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Bednarczyk, Robert A" sort="Bednarczyk, Robert A" uniqKey="Bednarczyk R" first="Robert A." last="Bednarczyk">Robert A. Bednarczyk</name>
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</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2"><institution>Rollins School of Public Health, Emory University</institution>
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</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Steinhoff, Mark C" sort="Steinhoff, Mark C" uniqKey="Steinhoff M" first="Mark C." last="Steinhoff">Mark C. Steinhoff</name>
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,<addr-line>Cincinnati, Ohio</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Cincinnati</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="af5"><institution>Bloomberg School of Public Health, Johns Hopkins University</institution>
,<addr-line>Baltimore, Maryland</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Baltimore</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Adjaye Gbewonyo, Dzifa" sort="Adjaye Gbewonyo, Dzifa" uniqKey="Adjaye Gbewonyo D" first="Dzifa" last="Adjaye-Gbewonyo">Dzifa Adjaye-Gbewonyo</name>
<affiliation><nlm:aff id="af1"><institution>Center for Health Research–Southeast, Kaiser Permanente</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
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,<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
<affiliation><nlm:aff id="af6"><institution>School of Medicine</institution>
</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af7"><institution>Emory Vaccine Center, Emory University</institution>
,<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Gallagher, Mia" sort="Gallagher, Mia" uniqKey="Gallagher M" first="Mia" last="Gallagher">Mia Gallagher</name>
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</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
<affiliation><nlm:aff id="af1"><institution>Center for Health Research–Southeast, Kaiser Permanente</institution>
</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af7"><institution>Emory Vaccine Center, Emory University</institution>
,<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Davis, Robert L" sort="Davis, Robert L" uniqKey="Davis R" first="Robert L." last="Davis">Robert L. Davis</name>
<affiliation><nlm:aff id="af1"><institution>Center for Health Research–Southeast, Kaiser Permanente</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
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</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2"><institution>Rollins School of Public Health, Emory University</institution>
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</nlm:aff>
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<wicri:regionArea>Atlanta</wicri:regionArea>
</affiliation>
<affiliation><nlm:aff id="af6"><institution>School of Medicine</institution>
</nlm:aff>
</affiliation>
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,<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
<country xml:lang="fr">Géorgie (pays)</country>
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</author>
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<series><title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title>
<idno type="ISSN">1058-4838</idno>
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<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Small for Gestational Age</term>
<term>Infant, Very Low Birth Weight</term>
<term>Influenza A Virus, H1N1 Subtype (immunology)</term>
<term>Influenza A Virus, H1N1 Subtype (pathogenicity)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Influenza, Human (virology)</term>
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<term>United States (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Mâle</term>
<term>Naissance prématurée (épidémiologie)</term>
<term>Nourrisson</term>
<term>Nourrisson petit pour son âge gestationnel</term>
<term>Nourrisson très faible poids naissance</term>
<term>Nouveau-né</term>
<term>Pandémies</term>
<term>Sous-type H1N1 du virus de la grippe A (immunologie)</term>
<term>Sous-type H1N1 du virus de la grippe A (pathogénicité)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
<term>Premature Birth</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Naissance prématurée</term>
<term>États-Unis d'Amérique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Small for Gestational Age</term>
<term>Infant, Very Low Birth Weight</term>
<term>Male</term>
<term>Pandemics</term>
<term>Pregnancy</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nourrisson petit pour son âge gestationnel</term>
<term>Nourrisson très faible poids naissance</term>
<term>Nouveau-né</term>
<term>Pandémies</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term>
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<front><div type="abstract" xml:lang="en"><p>During the 2009 influenza A (H1N1) pandemic, infants of H1N1-vaccinated mothers had 38% lower odds of being born preterm, and were 45.0 g heavier, on average, than infants of unvaccinated mothers.</p>
</div>
</front>
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Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth

Neonatal Outcomes After Antenatal Influenza Immunization During the 2009 H1N1 Influenza Pandemic: Impact on Preterm Birth, Birth Weight, and Small for Gestational Age Birth

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