Impact of influenza vaccination on the course of pregnancy and on fetal and neonatal development


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To carry out a systematic analysis of the data available in the current literature on the impact of influenza vaccination on the course of pregnancy and on fetal and neonatal development. To comparatively analyze the effects of subunit non-adjuvanted and subunit immunoadjuvant influenza vaccines on increases in the titer of antibodies against influenza virus strains in mother-neonate pairs with regard to the trimester of pregnancy. Material and methods. The review includes the current and topical materials of foreign and Russian investigators from the MEDLINE database in the past 10years. Results. Inactivated subunit influenza vaccines administered in the second and third trimesters of pregnancy have been found to have no impact on the course of pregnancy, the development of a fetus and a baby within first 6 months of life and to result in the synthesis of antibodies that can protect not only the vaccinated women, but also their infants during the first 3 to 5 months of life. Conclusion. Influenza vaccination with inactivated subunit vaccines in the second and third trimesters of pregnancy is a safe and effective method to protect both pregnant women and their babies against influenza.

Full Text

Restricted Access

About the authors

Ekaterina Aleksandrovna Khromova

I.I. Mechnikov Research Institute of Vaccines and Sera

Email: kate.khromova@mail.ru
junior researcher, post-graduate student

Elina Altafovna Akhmatova

I.M. Sechenov First Moscow State Medical University

Email: ela.150@yandex.ru
a student of the medical faculty of the Higher School of Economics

Aristika Mikhailovna Kostinova

Federal Biomedical Agency of Russia

Email: aristica_kostino@mail.ru
resident, Institute of Immunology

Alexander Petrovich Cherdantsev

Ulyanovsk State University

Email: a_cherdantsev@rambler.ru
MD, Professor of the Department of Pediatrics

Anna Alekseevna Savisko

Rostov State Medical University

Email: Annsav@mail.ru
Candidate of Medical Science, Associate Professor of the Department of Outpatient and Emergency Pediatrics

Nelli Kimovna Akhmatova

I.I. Mechnikov Research Institute of Vaccines and Sera

Email: anelly@mail.ru
MD, Head of the Laboratory of Immune Regulation Mechanisms

References

  1. Бектимиров Т.А. Вакцинопрофилактика гриппа. Лечащий врач. 2005; 9: 44-6. [Bektimirov T.A. Vaccine prophylaxis of influenza. Lechaschiy vrach. 2005; 9: 44-6. (in Russian)]
  2. Тарбаева Д.А., Костиков М.П., Загородняя Э.Д., Иозефсон С.А., Черданцев А.П. Акушерские и перинатальные исходы беременности, осложненной острой респираторной инфекцией во втором триместре гестации. Акушерство и гинекология. 2012; 2: 67-71. [Tarbayeva D.A., Kostinov M. P., Zagorodnyaya E.D., Iozefson S.A., Cherdantsev A.P. The obstetric and perinatal outcomes of acute respiratory infection-complicated pregnancy in the second trimester of pregnancy. Akusherstvo i Ginekologiya/ Obstetrics and Gynecology. 2012; (2): 67-71. (in Russian)]
  3. Тарбаева Д.А., Костиков М.П., Иозефсон С.А., Загородняя Э.Д. Клиническое течение и исходы гриппа A(H1N1) 2009 у беременных. Журнал микробиологии, эпидемиологии и иммунобиологии. 2011; 4: 71-6. [Tarbaeva D.A., Kostinov M.P., Iozefson S.A., Zagorodnyaya E.D. Clinical course and outcomes of influenza A (H1N1) 2009 in pregnant women. Zhurnal mikrobiologii, epide-miologii i immunobiologii. 2011; 4: 71-6. (in Russian)]
  4. Кузьмин В.Н. Проблема вируса гриппа H1N1 и особенности заболевания у женщин во время беременности. Лечащий врач. 2010; 1: 66-8. [Kuzmin V.N. The problem of the H1N1 flu virus and the features of the disease in women during pregnancy. Lechaschiy vrach. 2010; 1: 66-8. (in Russian)]
  5. Костинов М.П., Черданцев А.П., Семенова С.С., Тарбаева Д.А., Сависько А.А., Серова О.Ф., Иозефсон С.А., Ахматова Н.К., Костинова Т.А., Праулова Д.А. Акушерские и перинатальные исходы после вакцинации против гриппа или перенесенной респираторной инфекции. Гинекология. 2015; 17(4): 43-6. [Kostinov M.P., Cherdantsev A.P., Semenova S.S., Tarbaeva D.A., Savisko A.A., Serova O.F., Iozefson S.A., Ahmatova N.K., Kostinova T.A., Praulova D.A. Obstetric and perinatal outcomes after vaccination against influenza or respiratory infection. Ginekologiya. 2015; 17(4): 43-6. (in Russian)]
  6. Белокриницкая Т.Е., Тарбаева Д.А., Трубицына А.Ю., Чарторижская Н.Н., Шаповалов К.Г. Особенности течения свиного гриппа у погибших беременных и в случаях, едва не завершившихся летальным исходом. Лечащий врач. 2013; 3: 31-7. [Belokrinitskaya T.E., Tarbaeva D.A., Trubitsyina A.Yu., Chartorizhskaya N.N., Shapovalov K.G. Features of the swine flu in dead pregnant women and in cases that almost ended in a fatal outcome. Lechaschiy vrach. 2013; 3: 31-7. (in Russian)]
  7. Siston A.M., Rasmussen S.A., Honein M.A., Fry A.M., Seib K., Callaghan W.M. et al. Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA. 2010; 303(15): 1517-25.
  8. Ortiz J.R., Englund J.A., Neuzil K.M. Influenza vaccine for pregnant women in resource-constrained countries: A review of the evidence to inform policy decisions. Vaccine. 2011; 29(27): 4439-52.
  9. Anzic Influenza Investigators. Australian Maternity Outcomes Surveillance System. Critical illness due to 2009 A/H1N1 influenza in pregnant and posrpartum women: population based cohort study. BMJ. 2010; 340: 1279-84. doi: https://doi.org/10.1136/bmj.c1279 (Published 19 March 2010)
  10. Pebody R.G., McLean E., Zhao H., Cleary P., Bracebridge S., Foster K. et al. Pandemic influenza A (H1N1) 2009 and mortally in the United Kindom: risk factors for dears, April 2009 to March 2010. Euro Surveillance. 2010; 15(20): 1333-40.
  11. Glezen W.P., Taber H.L., Frank L.A. Gruber W.C., Piedra P.A. Influenza virus infection in infants. Pediatr. Infect. Dis. J. 1997; 16(11): 1065-8.
  12. Naleway A.L., Smith W.J., Mullooly J.P. Delivering influenza vaccine to pregnant women. Epidemiol. Rev. 2006; 28(1): 47-54.
  13. Об утверждении национального календаря профилактических прививок и календаря профилактических прививок по эпидемическим показаниям. Приказ Министерства здравоохранения Российской Федерации № 125 н от 21.03.2014. [On the approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemiological indications. Order of the Ministry of Health of the Russian Federation No. 125 n of 21.03.2014. (in Russian)]
  14. Черданцев А.П., Костинов М.П., Кусельман А.И. Вакцинопрофилактика гриппа у беременных. Руководство для врачей. М.; 2013. 35с. [Cherdantsev A.P., Kostinov M.P., Kuselman A.I. Vaccine prophylaxis of influenza in pregnant women. A guide for doctors. Moscow; 2013. 35p. (in Russian)]
  15. Костинов М.П., Черданцев А.П. Состояние здоровья грудных детей, рожденных от вакцинированных против гриппа беременных. Педиатрия. Журнал им. Г.Н. Сперанского. 2016; 95(1): 67-71. [Kostinov M.P., Cherdantsev A.P. Health status of infants born to vaccinated against influenza pregnant women. Pediatriya. Zhurnal im. G.N. Speranskogo. 2016; 95(1): 67-71. (in Russian)]
  16. Steinhoff M.C., Omer S.B., Roy E., Arifeen S.E., Raqib R., Altaye M. et al. Influenza immunization in pregnancy - antibody responses in mothers and infants. N. Engl. J. Med. 2010; 362(17): 1644-6.
  17. Костинов М.П., Черданцев А.П., Праулова Д.А., Костинова А.М. Вакцинация против гриппа - безопасный способ защиты беременных и новорожденных от последствий инфекции. Российский вестник акушера-гинеколога. 2015; 15(5): 69-74. [Kostinov M.P., Cherdantsev A.P., Praulova D.A., Kostinova A.M. Vaccination against influenza is a safe way to protect pregnant women and newborns from the consequences of infection. Rossiyskiy vestnik akushera-ginekologa. 2015; 15(5): 69-74. (in Russian)]
  18. Note for guidance on harmonization of requirements for influenza vaccines (CPMP/BWP/214/96). Available at: http://www.ema.europa.eu/docs/en_GB/ document_library/Scientific_ guideline/2009/09/WC500003945.pdf
  19. Kostinov M.P., Cherdantsev A.P., Shmitko A.D., Pakhomov D.V., Demina E.O. Duration of preservation of antibodies to the flu virus in the mother-child pairs during the vaccination of women depending on the trimester of pregnancy. Int. J. Biomed. 2015; 5(4): 179-83. doi: 10.21103/Article5(4).
  20. Kostinov M.P., Cherdantsev A.P., Pakhomov D.V. Anti-influenza antibody level in Mother-infant pairs depending on trimester of vaccination of pregnant women using immunoadjuvant vaccine. J. Vaccines Vaccin. 2015; 6: 297. doi: http:// dx.doi.org/10.4172/2157-7560.1000297.
  21. Костинов М.П., Черданцев А.П., Сависько А.А. и др. Безопасность и иммуногенность вакцин против гриппа у беременных. М.: ГУ «НИИВС им. И.И. Мечникова» РАМН; 2011. [Kostinov M.P., Cherdantsev A.P., Savisko A.A. et al. Safety and immunogenicity of influenza vaccines in pregnant women. Moscow: GU «NIIVS im. I.I. Mechnikova» RAMN; 2011.
  22. Черданцев А.П. Изучение клинической безопасности вакцинации против гриппа у беременных. Медицинский альманах. 2011; 4: 120-2. [Cherdantsev A.P. Study of the clinical safety of vaccination against influenza in pregnant women. Meditsinskiy almanah. 2011; 4: 120-2. (in Russian)]
  23. Костинов М.П., Черданцев А.П., Сависько А.А., Тарбаева Д.А., Соловьева И.Л. Истинные и ложные реакции на введение вакцины против гриппа у беременных. Вопросы гинекологии, акушерства и перинатологии. 2011; 10(6): 44-9. [Kostinov M.P., Cherdantsev A.P., Savisko A.A., Tarbaeva D.A., Soloveva I.L. True and false reactions to the introduction of a vaccine against influenza in pregnant women. Voprosyi ginekologii, akusherstva i perinatologii. 2011; 10(6): 44-9. (in Russian)]
  24. Steinhoff M.C., Omer S.B., Roy E., El Arifeen S., Raqib R., Dodd C. et al. Neonatal outcomes after influenza immunization during pregnancy: a randomized controlled trial. Can. Med. Assoc. J. 2012; 184(6): 645-53.
  25. Костинов М.П., Черданцев А.П. Клиническая и иммунологическая безопасность инактивированной иммуноадъювантной субъединичной вакцины против гриппа для беременных. Акушерство и гинекология. 2016; 2: 64-9. http://dx.doi.org/10.18565/aig.2016.2.64-69 [Kostinov M.P., Cherdantsev A.P. The clinical and immunological safety of inactivated immunologic adjuvant influenza subunit vaccine for pregnant women. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2016; (2): 64-69. (in Russian) http:// dx.doi.org/10.18565/aig.2016.2.64-69]
  26. Jamieson D.J., Honein M.A., Rasmussen S.A., Williams J.L., Swerdlow D.L., Biggerstaff M.S. et al. H1N1influenza virus infection during pregnancy in the USA. Lancet. 2009; 374(9688): 451-8.
  27. Макарова О.В., Алешкина В.А., Савченко Т.Н. Инфекции в акушерстве и гинекологии. М.: МЕДпресс-информ; 2007. [Makarova O.V., Aleshkina V.A., Savchenko T.N. Infections in obstetrics and gynecology. Moscow: MEDpress-inform; 2007. (in Russian)]

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2017 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies