The safety of influenza and pertussis vaccination in pregnancy in a cohort of Australian mother-infant pairs, 2012-2015: the FluMum study

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dc.contributor.authorMcHugh, L.
dc.contributor.authorMarshall, H.S.
dc.contributor.authorPerrett, K.P.
dc.contributor.authorNolan, T.
dc.contributor.authorWood, N.
dc.contributor.authorLambert, S.B.
dc.contributor.authorRichmond, P.
dc.contributor.authorWare, R.S.
dc.contributor.authorBinks, P.
dc.contributor.authorBinks, M.J.
dc.contributor.authorAndrews, R.M.
dc.date.issued2019
dc.description.abstractBackground: Inactivated influenza vaccine (IIV) and pertussis vaccination are recommended in pregnancy. Limited safety data exist for women who received IIV vaccine during the first trimester of pregnancy or received both vaccines in pregnancy. We assessed adverse birth outcomes between vaccinated and unvaccinated pregnancies. Methods: Among prospectively enrolled Australian “FluMum” participants (2012–2015), primary exposure was receipt and timing of IIV during pregnancy. Primary outcomes included preterm birth, low birthweight at term (LBWT), and small for gestational age (SGA). We compared birth outcomes for IIV in pregnancy with women unvaccinated in pregnancy using Cox proportional hazard ratios (HRs) with 95% confidence intervals (CIs). Adjusted HRs (aHRs) controlled for potential confounding variables. Sensitivity analyses were conducted in a subgroup of women who received pertussis vaccination during pregnancy to assess whether associations between IIV and adverse outcomes were maintained after adjusting for pertussis vaccination. Results: Among 8827 participants in our study, women who received IIV in pregnancy did not have an elevated risk of an adverse birth outcome compared with unvaccinated pregnant women: preterm births (HR, 1.10 [95% CI, .92–1.31]; P = .28); LBWT (HR, 1.05 [95% CI, .76–1.44]; P = .77); or SGA (HR, 0.99 [95% CI, .86–1.15]; P = .94). Adjustment for pertussis vaccination during pregnancy yielded similar results: preterm births (aHR, 1.05 [95% CI, .82–1.34]; P = .69); LBWT (aHR, 0.81 [95% CI, .50–1.29]; P = .37); SGA (aHR, 0.92 [95% CI, .74–1.14]; P = .43). There was no evidence of elevated risk by trimester of IIV. Conclusions: No significant associations were found between maternal IIV or pertussis vaccination in pregnancy and adverse birth outcomes, regardless of the trimester of pregnancy a vaccination was given compared to unvaccinated pregnancies.
dc.description.statementofresponsibilityLisa McHugh, Helen S Marshall, Kirsten P Perrett, Terry Nolan, Nicholas Wood, Stephen B Lambert, Peter Richmond, Robert S Ware, Paula Binks, Michael J Binks, Ross M Andrews
dc.identifier.citationClinical Infectious Diseases, 2019; 68(3):402-408
dc.identifier.doi10.1093/cid/ciy517
dc.identifier.issn1058-4838
dc.identifier.issn1537-6591
dc.identifier.orcidMarshall, H.S. [0000-0003-2521-5166]
dc.identifier.urihttp://hdl.handle.net/2440/118229
dc.language.isoen
dc.publisherOxford University Press
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1020035
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1054394
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1084951
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1063629
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1088733
dc.rights© The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com /journals/pages/open_access/funder_policies/chorus/standard_publication_model)
dc.source.urihttps://doi.org/10.1093/cid/ciy517
dc.subjectSafety; maternal vaccination; influenza; pertussis; pregnancy; trimester
dc.titleThe safety of influenza and pertussis vaccination in pregnancy in a cohort of Australian mother-infant pairs, 2012-2015: the FluMum study
dc.typeJournal article
pubs.publication-statusPublished

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