Vaccinations in pregnancy: An update for a changing time

Abstract Maternal immunization is one of the most effective public health interventions to reduce infectious morbidity and mortality in pregnant women, fetuses, and newborns. Despite robust evidence supporting vaccine safety and effectiveness in pregnancy, global uptake has declined following the COVID‐19 pandemic, contributing to resurgent outbreaks of vaccine‐preventable diseases. While national immunization schedules vary, there is broad international consensus recommending influenza and tetanus‐diphtheria‐acellular pertussis (Tdap) vaccination during pregnancy, with increasing adoption of maternal respiratory syncytial virus (RSV) immunization. This review provides an updated, globally relevant summary of recommended vaccines before, during, and after pregnancy, highlights vaccines under development, and discusses implementation challenges. Strengthening maternal immunization requires coordinated action across governments, healthcare systems, industry, and media to improve access, trust, and equity in vaccine delivery.

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Publication Details

Journal
International Journal of Gynecology & Obstetrics
Published
2026-10-07
DOI
https://doi.org/10.1002/ijgo.71273
Primary Topic
Vaccine Coverage and Hesitancy
Type
article
Field-Weighted Citation Impact
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article

Vaccinations in pregnancy: An update for a changing time

Hema Divakar, Dharmintra Pasupathy, Fionnuala Mary McAuliffe, David Lissauer et al.
International Journal of Gynecology & Obstetrics
Vaccine Coverage and Hesitancy
article

Vaccinations in pregnancy: An update for a changing time

Hema Divakar, Dharmintra Pasupathy, Fionnuala Mary McAuliffe, David Lissauer, Deborah Money, Gelila Goba, Asma Khalil, Wendy Hodge, Marisa Lbovsky, Eliana Amaral, Méabh Bhuinneáin
article en

Abstract

Abstract Maternal immunization is one of the most effective public health interventions to reduce infectious morbidity and mortality in pregnant women, fetuses, and newborns. Despite robust evidence supporting vaccine safety and effectiveness in pregnancy, global uptake has declined following the COVID‐19 pandemic, contributing to resurgent outbreaks of vaccine‐preventable diseases. While national immunization schedules vary, there is broad international consensus recommending influenza and tetanus‐diphtheria‐acellular pertussis (Tdap) vaccination during pregnancy, with increasing adoption of maternal respiratory syncytial virus (RSV) immunization. This review provides an updated, globally relevant summary of recommended vaccines before, during, and after pregnancy, highlights vaccines under development, and discusses implementation challenges. Strengthening maternal immunization requires coordinated action across governments, healthcare systems, industry, and media to improve access, trust, and equity in vaccine delivery.

International Journal of Gynecology & Obstetrics
University College Dublin (IE), University of London (GB), The University of Sydney (AU), St George's Hospital (GB), University of British Columbia (CA), University of Miami (US), University of Liverpool (GB), Universidade Estadual de Campinas (UNICAMP) (BR), University of Canberra (AU), Royal College of Physicians of Ireland (IE), Universidad de Buenos Aires (AR), Malawi-Liverpool-Wellcome Trust Clinical Research Programme (MW), St George’s University Hospitals NHS Foundation Trust (GB), Department of Health and Aged Care (AU), Infant Foundation (AR), International Federation of Gynaecology and Obstetrics (GB), National Maternity Hospital (IE)
Openalex Percentile: Top 8%
Vaccine Coverage and Hesitancy
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