Cited by 178Bacterial Infections and VaccinesDiphtheria, Corynebacterium, and TetanusVaccine Coverage and Hesitancy

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Effectiveness of Prenatal Versus Postpartum Tetanus, Diphtheria, and Acellular Pertussis Vaccination in Preventing Infant Pertussis

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Winter, Kathleen, Nickell, Steve, Powell, Michael, Harriman, Kathleen·2017·Clinical Infectious Diseases

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Abstract

BACKGROUND: Most severe and fatal cases of pertussis occur in infants <8 weeks of age, before initiation of the primary pertussis vaccine series. Women are recommended to receive tetanus, diphtheria, and acellular pertussis (Tdap) vaccine at the start of the third trimester of each pregnancy to optimize transplacental transfer of antibodies to the fetus. This recommendation was made by the Advisory Committee for Immunization Practices based on immunogenicity data, and no studies in the United States have yet evaluated the effectiveness of this strategy in reducing pertussis incidence in infants. METHODS: We evaluated a cohort of mothers with documented Tdap vaccination histories in the California Immunization Registry to determine whether infants whose mothers received Tdap vaccine at 27-36 weeks gestation had a lower risk of pertussis at <8 weeks of age than infants born to women who received Tdap vaccine within 14 days post partum. RESULTS: Tdap vaccination received at 27-36 weeks gestation was found to be 85% (95% confidence interval, 33%-98%) more effective than postpartum Tdap vaccination at preventing pertussis in infants <8 weeks of age . Vaccination at 27-36 weeks gestation was more effective at preventing pertussis in infant than vaccination during the second trimester. CONCLUSIONS: Tdap vaccination at 27-36 weeks gestation was 85% more effective than postpartum vaccination at preventing pertussis in infants <8 weeks of age. Efforts should be made by prenatal care providers to provide Tdap vaccine to pregnant women during routine prenatal visits at the earliest opportunity between 27 and 36 weeks gestation.

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Additional file 1 of Impact of national recommendations for routine pertussis vaccination during pregnancy on infant pertussis in Ontario, Canada: a population-based time-series study
Antoniou, T., McCormack, D., Fell, D. B., Kwong, J. C., & Gomes, T. (2023) · Figshare · doi:10.6084/m9.figshare.24070089
Additional file 2 of A phase IV, multi-centre, randomized clinical trial comparing two pertussis-containing vaccines in pregnant women in England and vaccine responses in their infants
Jones, C. E., Calvert, A., Southern, J., Matheson, M., Andrews, N., Khalil, A. A., Cuthbertson, H., Hallis, B., England, A., Heath, P. T., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14746327
Additional file 2 of Study protocol of the PIMPI-project, a cohort study on acceptance, tolerability and immunogenicity of second trimester maternal pertussis immunization in relation to term and preterm infants
Immink, M. M., Bekker, M. N., de Melker, H. E., Rots, N. Y., Sanders, E. A. M., & van der Maas, N. (2021) · Figshare · doi:10.6084/m9.figshare.16569970
Preclinical study on an adsorbed acellular diphtheria- tetanus-pertussis (reduced-dose) combined vaccine: evaluation of reproductive safety and immunogenicity
Chu, H., Kong, W., Gu, Q., Ma, Y., Cai, L., Li, J., Wang, X., Ji, Q., Wen, J., Gao, N., et al. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1828345
The relevance of modifying the vaccination strategy against Pertussis to protect infants in their first year of life
Prokopenko, A. V., Lomonosova, A. V., & Джепко, А. И. (2026) · Epidemiology and Vaccinal Prevention · doi:10.31631/2073-3046-2026-25-3-90-103
Vaccination Status in Pregnancy: A Cross‐Sectional Study of Two Greek Maternity Hospitals
Psarris, A., Baroutis, D., Mantzioros, R., Pantou, A., Sapantzoglou, I., Sindos, M., Theodora, M. K., Antsaklis, P. J., Παμπάνος, Α., Gentsoglou, A., et al. (2026) · Journal of Pregnancy · doi:10.1155/jp/8993559
Maternal Immunization: Optimizing Passive Immunity in the Newborn
Michie, C. A. (2026) · Newborn · doi:10.5005/jp-journals-11002-0173 · Cited by 1

Authors: Winter, K., Nickell, S., Powell, M., & Harriman, K.
Affiliations: California Department of Public Health (US)
Corresponding author: Winter, Kathleen
ORCID: Winter, Kathleen
Harriman, Kathleen
Venue: Clinical Infectious Diseases
Publisher: Oxford University Press (OUP)
Published: 2016-09-13
Volume: 64
Issue: 1
Pages: 3-8
ISSN: 1058-4838 (ISSN-L)
1537-6591
DOI: 10.1093/cid/ciw634
OpenAlex: W2520614282
Cited by: 178
References: 15
Citations by year: 2026: 4 · 2025: 10 · 2024: 10 · 2023: 13 · 2022: 13 · 2021: 32 · 2020: 18 · 2019: 23 · 2018: 28 · 2017: 27
FWCI: 26.57
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Clinical Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: California Department of Public Health
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
Health Sciences › Medicine › Infectious Diseases › Diphtheria, Corynebacterium, and Tetanus
Social Sciences › Health › Vaccine Coverage and Hesitancy
Keywords: Tdap vaccine, pertussis prevention, infant pertussis, prenatal vaccination, postpartum vaccination, transplacental antibody transfer, maternal immunization, vaccine effectiveness
MeSH terms: Adult, California, Female, Humans, Infant, Infant, Newborn, Male, Postnatal Care, Pregnancy, Prenatal Care, Registries, Risk Factors, Time Factors, Vaccination, Whooping Cough, Outcome Assessment, Health Care, Diphtheria-Tetanus-acellular Pertussis Vaccines, Young Adult

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Effectiveness of Prenatal Versus Postpartum Tetanus, Diphtheria, and Acellular Pertussis Vaccination in Preventing Infant Pertussis

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