American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S290-S295, December 2008

The clinical content of preconception care: immunizations as part of preconception care

  • Dean V. Coonrod, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, AZ
    • Corresponding Author InformationReprints: 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
    • ,
  • Brian W. Jack, MD

      Affiliations

    • Department of Family Medicine, Boston University Medical Center, Boston, MA
    • ,
  • Kim A. Boggess, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC
    • ,
  • Richard Long, MD

      Affiliations

    • Department of Family Medicine, Boston University Medical Center, Boston, MA
    • ,
  • Jeanne A. Conry, MD, PhD

      Affiliations

    • Department of Women's Health, Kaiser Permanente, Roseville, CA
    • ,
  • Shanna N. Cox, MSPH

      Affiliations

    • Centers for Disease Control, Division of Reproductive Health/NCCDPHP, Atlanta, GA
    • ,
  • Robert Cefalo, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC
    • ,
  • Kam D. Hunter, MD, PhD

      Affiliations

    • Department of Family and Community Medicine, Maricopa Medical Center, Phoenix, AZ
    • ,
  • Albert Pizzica, DO

      Affiliations

    • National Perinatal Association, Harrisburg, PA
    • ,
  • Anne L. Dunlop, MD, MPH

      Affiliations

    • Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA

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.

Key words: immunization, preconception care, vaccine

 

 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.

PII: S0002-9378(08)01030-2

doi:10.1016/j.ajog.2008.08.061

American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S290-S295, December 2008