The clinical content of preconception care: immunizations as part of preconception care
Received 12 June 2008; accepted 29 August 2008.
Many vaccine-preventable diseases have serious consequences for the pregnant mother, the fetus, and the neonate. This article reviews the rationale and impact of including vaccinations as part of preconception care and provides recommendations for clinical care. Vaccinations that are recommended highly in preconception care include the hepatitis B and the measles, mumps, and rubella vaccines. The role of human papillomavirus, varicella, diphtheria, tetanus, and pertussis vaccinations as part of preconception care is also discussed.
hDepartment of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA
Reprints: Dean V Coonrod, MD, MPH, Chair, Department of Obstetrics and Gynecology, Maricopa Medical Center, OBGYN Dept, 2nd Floor Admin, 2601 E Roosevelt St, Phoenix, AZ 85008
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Conflict of Interest: Dean V. Coonrod, MD, MPH, is a Grant Recipient from the March of Dimes Arizona Chapter to develop an internatal Care Clinic and has funding from CMS (#1HOCMS030207 101) working on compliance with the 6 week postpartum visit as a strategy to improve preconception care. Brian W. Jack, MD; Kim A. Boggess, MD; Richard Long, MD; Jeanne A. Conry, MD, PhD, Shanna N. Cox, MSPH; Robert Cefalo, MD, PhD; Kam D. Hunter, MD, PhD; Albert Pizzica, DO; and Anne L. Dunlop, MD, MPH have no conflict of interest including grants, honoraria, advisory board membership, or share holdings.
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