Tetanus, diphtheria, pertussis vaccination coverage before, during, and after pregnancy - 16 States and New York City, 2011.

摘要: In June 2011, the Advisory Committee on Immunizations Practices (ACIP) recommended 1 dose of a tetanus, diphtheria, and acellular pertussis (Tdap) vaccine during pregnancy for women who had not received Tdap previously. Before was unvaccinated either before or postpartum. October 2012, ACIP expanded 2011 recommendation, advising pregnant to be vaccinated with each provide maternal antibodies infant. The optimal time vaccination is at 27-36 weeks' gestation as by ACIP. response ACIP's recommendation in CDC added supplemental question Pregnancy Risk Assessment Monitoring System (PRAMS) survey determine women's status before, during, after their most recent delivery. This report describes overall state-specific coverage around using data from 6,852 sampled delivered live-born infant September-December one 16 states New York City (NYC). Among 17 jurisdictions, median percentage live births reported any 55.7%, ranging 38.2% NYC 76.6% Nebraska. 13.9% (range = 7.7%-20.1%), 9.8% (range = 3.8%-14.2%), delivery 30.9% (range = 13.6%-46.5%). PRAMS indicate wide variation among demographic groups, generally higher postpartum non-Hispanic white women, those started prenatal care first trimester, private health insurance coverage. information can used promoting evidence-based strategies communicate importance guidelines related providers.