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 : 001824 ( Main/Merge ); précédent : 001823; suivant : 001825Neonatal 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.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Vaccination.
English descriptors
- KwdEn :
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.
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<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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<sZ>11 aut.</sZ>
</inist:fA14>
<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>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Center for Health Research-Southeast, Kaiser Permanente</wicri:noRegion>
</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>
<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>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<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>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<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>
<sZ>4 aut.</sZ>
<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="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>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Géorgie (États-Unis)</li>
<li>Maryland</li>
<li>Ohio</li>
</region>
</list>
<tree><country name="États-Unis"><noRegion><name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
</noRegion>
<name sortKey="Adjaye Gbewonyo, Dzifa" sort="Adjaye Gbewonyo, Dzifa" uniqKey="Adjaye Gbewonyo D" first="Dzifa" last="Adjaye-Gbewonyo">Dzifa Adjaye-Gbewonyo</name>
<name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
<name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
<name sortKey="Ault, Kevin" sort="Ault, Kevin" uniqKey="Ault K" first="Kevin" last="Ault">Kevin Ault</name>
<name sortKey="Bednarczyk, Robert A" sort="Bednarczyk, Robert A" uniqKey="Bednarczyk R" first="Robert A." last="Bednarczyk">Robert A. Bednarczyk</name>
<name sortKey="Bednarczyk, Robert A" sort="Bednarczyk, Robert A" uniqKey="Bednarczyk R" first="Robert A." last="Bednarczyk">Robert A. Bednarczyk</name>
<name sortKey="Bredfeldt, Christine" sort="Bredfeldt, Christine" uniqKey="Bredfeldt C" first="Christine" last="Bredfeldt">Christine Bredfeldt</name>
<name sortKey="Davis, Robert L" sort="Davis, Robert L" uniqKey="Davis R" first="Robert L." last="Davis">Robert L. Davis</name>
<name sortKey="Gallagher, Mia" sort="Gallagher, Mia" uniqKey="Gallagher M" first="Mia" last="Gallagher">Mia Gallagher</name>
<name sortKey="Hansen, Craig" sort="Hansen, Craig" uniqKey="Hansen C" first="Craig" last="Hansen">Craig Hansen</name>
<name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
<name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
<name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
<name sortKey="Omer, Saad B" sort="Omer, Saad B" uniqKey="Omer S" first="Saad B." last="Omer">Saad B. Omer</name>
<name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
<name sortKey="Orenstein, Walter" sort="Orenstein, Walter" uniqKey="Orenstein W" first="Walter" last="Orenstein">Walter Orenstein</name>
<name sortKey="Richards, Jennifer L" sort="Richards, Jennifer L" uniqKey="Richards J" first="Jennifer L." last="Richards">Jennifer L. Richards</name>
<name sortKey="Steinhoff, Mark C" sort="Steinhoff, Mark C" uniqKey="Steinhoff M" first="Mark C." last="Steinhoff">Mark C. Steinhoff</name>
<name sortKey="Steinhoff, Mark C" sort="Steinhoff, Mark C" uniqKey="Steinhoff M" first="Mark C." last="Steinhoff">Mark C. Steinhoff</name>
</country>
</tree>
</affiliations>
</record>
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