Increasing numbers of women are choosing to travel during pregnancy. In the presence of an altered immune state, exposure to certain microbes can be particularly harmful. We have undertaken a review of the literature in order to provide strategies to minimize the infectious disease risks of pregnant travel. Included is a discussion of common immunizing agents and their safety in pregnancy.
MorG, CardenasI. Review Article: The immune system in pregnancy: a unique complexity. Am J Reprod Immunol2010;63:425–33
2.
JosephJ, SinhaA, PaechM, WaltersBNJ. Review Article: Sepsis in pregnancy and early goal-directed therapy. Obst Med2009;2:93–9. Last checked 1 April 2011
3.
4.
5.
The Royal College of Obstetricians and Gynaecologists. The diagnosis and treatment of malaria in pregnancy. RCOG Green-top Guideline No. 54B. April 2010
6.
The Royal College of Obstetricians and Gynaecologists. The prevention of malaria in pregnancy. RCOG Green-top Guideline No. 54A. April 2010
7.
MandellGL, BennettJE, DolinR, eds. Principles and Practice of Infectious Diseases. 7th edn.Philadelphia: Churchill, Livingstone, Elsevier Jamison, 2010
8.
JamisonDT, FeachemRG, MakgobaMW, BosER, BainganaFK, HofmanKJ, RogoKO, eds. Malaria. In: Disease and Mortality in Sub-saharan Africa. 2nd edn.Chapter 14. Washington, DC: World Bank, 2006. See http://www.ncbi.nlm.nih.gov/books/NBK2286/. Last checked 1 April 2011
9.
10.
See http://wwwnc.cdc.gov/travel/yellowbook/2010/chapter-2/malaria.aspx. Last checked 1 April 2011
11.
JacqueriozFA, CroftAM. Drugs for preventing malaria in travellers. Cochrane Database Systematic Revi2009Issue 4. See http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006491/frame.html. Last accessed 1 April 2011
AhluwaliaIB, JamiesonDJ, RasmussenSA, D'AngeloD, GoodmanD, KimH. Correlates of seasonal influenza vaccine coverage among Pregnant women in Georgia and Rhode Island. Obstet Gynecol2010;116:949–55
14.
BrownCM. Severe influenza A virus (H1N1) infection in pregnancy. Obstet Gynecol2010;115:412–4
15.
AngLT, GandhiK, QinY-HV. Respiratory failure in pregnant women infected by swine-origin Influenza A H1N1. Austra. N Z J Obstet Gynaecol2010;50:294–6
16.
HewagamaS, WalkerSP, StuartRL, 2009 H1N1 influenza A and pregnancy outcomes in Victoria, Australia. Clin Infect Dis2010;50:686–90
17.
TammaPD, SteinhoffMC, OrnerSB. Influenza infection and vaccination in pregnant women. Expert rev Respir Med2010;4:321–8
18.
HarrisKM, MaurerJ, KellermanAL. Influenza vaccine- safe, effective and mistrusted. N Engl J Med2010Published online Nov 24, 2010. See http://www.nejm.org/doi/full/10.1056/NEJMp1012333, also see http://www.nejm.org/doi/pdf/10.1056/NEJMp1012333
19.
WhiteSW, PetersenRW, QuinlivanJA. Pandemic (H1N1) 2009 influenza vaccine uptake in pregnant women entering the 2010 influenza season in Western Australia. MJA2010;193:405–7
20.
YudinMH, SalaripourM, SgroM. Pregnant women's knowledge of influenza and the use and safety of the influenza vaccine during pregnancy. J Obstet Gynaecol Canada2009;31:120–5
21.
WhiteSW, PetersenRW, QuinlivanJA. Pandemic H1N1 Influenza 2009 vaccine uptake in pregnant women entering the 2010 influenza season in western Australia. Med J Australia2010;193:405–7
22.
ACOG Committee opinion no 468. American College of Obstetricians and Gynecologists. Influenza Vaccination during pregnancy. Obstet Gynecol2010;116:1006–7
23.
CowlingBJ, ChanKH, FangVJ, Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Ann Intern Med2009;151:437–46
24.
NavaneethanU, MojaherMA, ShataMT. Hepatitis E and pregnancy: understanding the pathogenesis. Liver Int2008;28:1190–9
25.
The Lancet. Editorial: Hepatitis E vaccine: why wait?Lancet2010;376:845
26.
KhurooMS. Hepatitis E virus. Curr opin Infect Dis2008;21:539–43
27.
BasnyatB. Neglected Hepatitis E and typhoid vaccines. Lancet2010;376:869
28.
29.
Center for Diseases Control. Guidelines for Vaccinating pregnant women. See http://www.cdc.gov/vaccines/pubs/preg-guide.htm (last checked 28 November 2010)
30.
MclureEM. Infectious causes of stillbirth: a clinical perspective. Clin Obstet Gynecol2010;53:635–45
31.
MylonakisE, HohmannEL, CalderwoodSB, WingEJ. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine2002;81:260–9
OmerS, SalmonD, OrensteinW, DehartM, HalseyN. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. N Engl J Med2009;360:1981–8
KrogerAT, AtkinsonWL, PickeringLK. CDC general recommendations on immunizations: recommendations of the Advisory Committee on Immunisation Practices (ACIP). Morbid Mortal Weekly Rep2006;55:32–3
