Department of Social Medicine and Public Health, Medical University of Warsaw, Poland.
1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.
Ginekol Pol. 2020;91(10):629-633. doi: 10.5603/GP.a2020.0105.
Pregnant women are at risk of severe and complicated influenza, and so are children aged 2-5 years. Despite numerous recommendations, influenza vaccination coverage in pregnant women is still low. The trigger for this article was the development of new quadrivalent influenza vaccines along with the publication of new studies on the safety and effectiveness of inactivated influenza vaccines in pregnant women, administered also in the first trimester of pregnancy. The inactivated quadrivalent influenza vaccine is a safe and effective measure for preventing influenza in both mother and child. Live attenuated influenza vaccines are contraindicated in pregnant women, whereas inactivated influenza vaccines should be recommended to all pregnant women, either healthy or with comorbidities. Influenza vaccines can be administered during any pregnancy trimester, at least two weeks before delivery. The time of vaccination depends on vaccine availability; however, it should not be postponed unless there are significant medical contraindications.
孕妇和 2-5 岁儿童患严重和复杂流感的风险较高。尽管有许多建议，但孕妇的流感疫苗接种率仍然很低。本文的起因是新的四价流感疫苗的开发以及新的研究发表，这些研究涉及在妊娠早期为孕妇接种灭活流感疫苗的安全性和有效性。灭活四价流感疫苗是预防母婴流感的安全有效措施。减毒活流感疫苗在孕妇中禁用，而灭活流感疫苗应推荐给所有孕妇，无论其是否健康或合并有疾病。流感疫苗可在妊娠任何阶段接种，至少在分娩前 2 周。接种时间取决于疫苗的供应情况；然而，如果没有重大医学禁忌，不应推迟接种。
