Vaccine prevention in perinatal health care: parents, children and professionals |
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| Authors: | Pinquier D Gagneur A Guen C Gras-Le Blandin S Stephan J-L Régnier F Picherot G Brissaud O Marpeau L Marret S Reinert P |
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| Affiliation: | 1. Service de pédiatrie néonatale et réanimation, pôle Mère–Enfant, hôpital Charles-Nicolle, CHU Rouen, 1, rue de Germont, 76031 Rouen, France;2. Service de réanimation pédiatrique et néonatalogie, département de pédiatrie, hôpital Morvan, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France;3. Service de réanimation pédiatrique et néonatalogie, CIC pédiatrique, hôpital Mère–Enfant, CHU de Nantes, boulevard Jean-Monnet, 44093 Nantes, France;4. École des sages-femmes, ERFPS, CHU de Rouen, 14, rue du Professeur-Stewart, 76031 Rouen cedex 1, France;5. Service de pédiatrie, Hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 02, France;6. Direction prévention santé enfant, Mairie de Lyon, 198, avenue Jean-Jaurès, 69007, Lyon, France;7. Service de néonatologie, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux, France;8. Service des urgences pédiatriques, centre hospitalier interrégional de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France;9. Service de gynécologie–obstétrique, pôle Mère–Enfant, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France;1. Service de pédiatrie, hôpital Jean-Verdier, hôpitaux universitaires Paris-Seine-Saint-Denis, avenue du 14-Juillet, 93143 Bondy cedex, France;2. Service de pédiatrie néonatale et réanimation, université de Rouen, CHU Charles-Nicolle, 76031 Rouen cedex, France;3. Service de réanimation néonatale, hôpital Antoine-Béclère, 157, rue de la Porte-Trivaux, 92140 Clamart, France;4. AFPA, 34090 Montpellier, France;5. AFPA, 67, rue Alexandre-Dumas, 73100 Aix-Les-Bains, France;6. Centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France;7. Centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France;8. AFPA, 02100 Saint-Quentin, France;9. AFPA, 21000 Dijon, France;10. PMI, DFPE, 94-96, Quai de la Rapée, 75570 Paris, France;11. Service de pédiatrie et de néonatalogie, centre hospitalier de l’ouest guyanais, 97320 Saint-Laurent du Maroni, France;12. Groupe de pédiatrie tropicale de la Société française de pédiatrie, Paris, France;13. Pôle de périnatologie, hôpital Robert-Debré, université Paris 7 Denis Diderot, Assistance publique–Hôpitaux de Paris, 75018 Paris, France;14. Université Paris VII, 28, rue Parmentier, 92200 Neuilly-sur-Seine, France;15. Service de néonatologie, unité court séjour, petits nourrissons, centre hospitalier intercommunal de Créteil, 36, avenue de Verdun, 94000 Créteil, France;1. School of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, New South Wales, Australia;2. Pathology and Laboratory Medicine, University of Western Australia, Perth, Western Australia, Australia;3. Centre for Infectious Diseases and Microbiology–Public Health, Institute of Clinical Pathology and Medical Research – Pathology West, Westmead Hospital, New South Wales, Australia;4. Marie Bashir Institute for Infectious Diseases and Biosecurity, Sydney Medical School, University of Sydney, New South Wales, Australia;5. National Centre for Immunisation Research and Surveillance, Children’s Hospital at Westmead, New South Wales, Australia;6. Vaccinology and Immunology Research Trials Unit, Women’s and Children’s Hospital and School of Paediatrics and Reproductive Health and Robinson Research Institute, University of Adelaide, South Australia, Australia;1. Inserm, CIC 1413, centre de prévention des maladies infectieuses et transmissibles, centre hospitalo-universitaire de Nantes, 5, rue du Professeur-Yves-Boquien, 44000 Nantes, France;2. Inserm, CIC 1413, service de maladies infectieuses et tropicales, centre hospitalo-universitaire de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France;3. Service de médecine interne et maladies infectieuses, l’hôpital privé du confluent, 2-4, rue Eric-Tabarly, 44200 Nantes, France;4. Service de gynécologie obstétrique centre hospitalo-universitaire de Nantes, 35, boulevard Jean-Monnet, 44000 Nantes, France |
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| Abstract: | Recent legislative texts have changed vaccinal policy and reinforced the role of midwives in vaccine prevention in perinatal healthcare. Quite as paediatricians and obstetricians-gynecologists, midwives can now prescribe and carry out, for the mothers, vaccines against rubella, tetanus, poliomyelitis, diphtheria, hepatitis B, influenza and whooping-cough and for the newborns vaccines against hepatitis B and tuberculosis. Concerning vaccinations, practitioners have to respect the vaccination calendar and a collaborative action is useful and necessary. These national guidelines are regularly updated when new vaccines and new recommendations come to light, for example for children (papillomavirus, tuberculosis, pneumococcus...), young adults (varicella, whooping-cough) and health professions in contact with very young children (varicella, measles, influenza and whooping-cough). The recent changes in tuberculosis prevention from routine vaccination of all newborn infants to selective vaccination lead to reinforce measures to detect the infants at higher risk, for them to be vaccinated before discharge at home. Midwives and nurses occupy a central place in family policy and become, with obstetricians-gynecologists and pediatricians, key actors for the effectiveness and the success of vaccine strategies in perinatal health. |
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