Table 2.
Situation | Action |
---|---|
Background |
• Vaccine coverage rates continue to be less than optimal for pregnant women. • Provider recommendation is one of the strongest predictors of vaccine uptake in pregnant women. |
Assessment |
• Evaluate the vaccination status of pregnant patients, including missing or incomplete childhood vaccinations and other special conditions that may warrant additional vaccinations. • Only written records should be accepted as evidence of previous vaccination. |
Counsel and administer |
• Provide information on why the vaccine is needed, highlighting safety, efficacy, and benefits to mom and infant. • Acknowledge and address questions and concerns. • Remind patient of the risks of nonvaccination. • Make a strong recommendation for vaccination. • Administer required vaccines. |
Adverse event reporting |
• Vaccine Adverse Event Reporting System and Vaccine Safety Datalink: for broad populations. • Vaccines and Medications in Pregnancy Surveillance System: for pregnant populations. • Vaccine-specific registries (e.g., for varicella, human papillomavirus, and herpes zoster vaccines) focused on inadvertent immunization with live vaccines during pregnancy. |