Pertussis immunization in a high-risk postpartum population

Vaccine. 2009 Sep 18;27(41):5599-602. doi: 10.1016/j.vaccine.2009.07.030. Epub 2009 Jul 30.

Abstract

We provided CDC recommended postpartum tetanus, diphtheria, acellular pertussis (Tdap) immunization to medically underserved, uninsured women in Houston through a standing order protocol. From January 7-April 30, 2008, 1129 of 1570 (72%) postpartum women (93% Hispanic; 11% < or = 19 years) received Tdap before hospital discharge. Tdap uptake was 96.2% in women without self-reported contraindications. Recall of immunization history was inaccurate in 32% of unimmunized women who reported receiving antepartum immunization. Black women refused Tdap more often than other ethnicities (24% versus 8%; P=0.003). Postpartum Tdap immunization was successfully implemented in a high-risk population through a standing order protocol. Barriers to postpartum immunization include inaccurate immunization history and the need for ongoing targeted education.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / administration & dosage*
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / immunology*
  • Female
  • Humans
  • Infant, Newborn
  • Middle Aged
  • Postpartum Period
  • Pregnancy
  • Vaccination / statistics & numerical data*
  • Whooping Cough / prevention & control*
  • Young Adult

Substances

  • Diphtheria-Tetanus-acellular Pertussis Vaccines