Maternal screening and postpartum vaccination for measles infection in Japan: a cohort study.

Shoda, A; Hayashi, M; Takayama, N; Oshima, K; Nishikawa, M; Okazaki, T; Negishi, M; Hayashida, S et al. · BJOG · 2011

prospective_cohort · Level II

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Abstract

We investigated the prevalence of measles-sensitive pregnant women and the clinical usefulness of measles vaccination in postpartum women. Measles antibody levels were measured in 751 pregnant women. Forty-four women were vaccinated postpartum, and screened for antibody levels and adverse effects 1 month after vaccination. The prevalence of measles-sensitive pregnant women was 10-20%, with the highest prevalence in those under 24 years of age. Almost all (97.7%) vaccinated women acquired immunity, and did not show any adverse effects. Serum measles antibody levels should be determined in all pregnant women as a screening tool,and sensitive women should be vaccinated immediately after delivery.

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