University of Florida College of Medicine & College of Public Health and Health Professions, Departments of Pediatrics and Epidemiology, Gainesville, Florida; and Emory University, Department of Gynecology and Obstetrics, Atlanta, Georgia.
Obstet Gynecol. 2019 Jan;133(1):23-26. doi: 10.1097/AOG.0000000000003040.
The 2009 H1N1 pandemic demonstrated the severe effects of influenza illness on pregnant women. This experience stimulated efforts to improve influenza vaccination coverage among pregnant women and resulted in a substantial increase in coverage from less than 30% before 2009 to more than 50% a few years later. As memories fade of the pandemic year, influenza vaccination coverage has stagnated at around 50%, despite considerable information becoming available on strategies to improve vaccination coverage during pregnancy. The American College of Obstetricians and Gynecologists, through its expert work groups, Committee Opinions, and other outreach efforts, has provided strong support for clinicians to implement these strategies into their practices. Influenza vaccination is the best way to safeguard pregnant women and their infants up to 6 months of age from the adverse outcomes associated with influenza. It is imperative for the obstetric community to redouble its efforts to implement strategies proven to work to improve vaccination coverage and to identify and test new strategies to increase the number of pregnant women and their infants protected from influenza.
2009 年的 H1N1 大流行表明流感疾病会对孕妇造成严重影响。这一经历促使人们努力提高孕妇的流感疫苗接种率,使接种率从 2009 年之前的不足 30%大幅提高到几年后的 50%以上。随着对大流行年份的记忆逐渐淡忘,尽管有大量关于提高孕期疫苗接种率的策略信息,但流感疫苗接种率却停滞在 50%左右。美国妇产科医师学会通过其专家工作组、委员会意见和其他外联工作,为临床医生将这些策略付诸实践提供了有力支持。流感疫苗接种是保护孕妇及其 6 个月龄以下婴儿免受流感相关不良后果的最佳方法。妇产科医生社区必须加倍努力,实施已被证明有效的策略来提高疫苗接种率,并确定和测试新策略,以增加受流感保护的孕妇及其婴儿的数量。