MMWR Morb Mortal Wkly Rep. 2009 Sep 11;58(35):972-5.
Pregnant women are at increased risk for complications from influenza. Since 2004, the Advisory Committee on Immunization Practices (ACIP) and American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice have recommended that all pregnant women be vaccinated with the trivalent inactivated vaccine during any trimester of pregnancy. To assess the percentage of women who were vaccinated during pregnancy among women with recent live births, CDC analyzed data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) from Georgia and Rhode Island, the two states that collected this information on the PRAMS survey. This report summarizes the results, which showed that in Georgia, the prevalence of influenza vaccination during the woman's most recent pregnancy increased from 10.4% in 2004 to 15.5% in 2006. In Rhode Island, vaccination prevalence increased from 21.9% in 2004 to 33.4% in 2007. During 2006 in Georgia, the most common reasons for not receiving vaccination were, "I don't normally get the flu vaccination" (69.4%), and "my physician did not mention anything about a flu vaccine during my pregnancy" (44.5%). Increased efforts are needed to assess vaccine coverage during pregnancy and to educate providers and pregnant women about ACIP and ACOG recommendations on providing intramuscular, inactivated influenza vaccine during any trimester of pregnancy.
孕妇患流感并发症的风险会增加。自2004年以来，免疫实践咨询委员会（ACIP）和美国妇产科医师学会（ACOG）产科实践委员会建议，所有孕妇在孕期的任何阶段都接种三价灭活疫苗。为评估近期有活产记录的女性中孕期接种疫苗的比例，美国疾病控制与预防中心（CDC）分析了来自佐治亚州和罗德岛州妊娠风险评估与监测系统（PRAMS）的数据，这两个州在PRAMS调查中收集了此类信息。本报告总结了结果，结果显示在佐治亚州，女性最近一次孕期的流感疫苗接种率从2004年的10.4%升至2006年的15.5%。在罗德岛州，疫苗接种率从2004年的21.9%升至2007年的33.4%。2006年在佐治亚州，未接种疫苗的最常见原因是“我通常不接种流感疫苗”（69.4%），以及“我的医生在我孕期未提及任何关于流感疫苗的事情”（44.5%）。需要加大力度评估孕期疫苗接种覆盖率，并就ACIP和ACOG关于在孕期任何阶段提供肌肉注射灭活流感疫苗的建议对医疗服务提供者和孕妇进行教育。
