• B Källén and P O Olausson.
• Tornblad Institute, University of Lund, Lund, Sweden. bengt.kallen@med.lu.se
• BJOG. 2012 Dec 1;119(13):1583-90.

ObjectiveTo describe a large study on pregnancy outcome after vaccination against H1N1 during the 2009/10 pandemic.DesignA cohort study of women vaccinated with Pandemrix(®) during pregnancy.SettingThe Swedish Medical Birth Register was used for the analysis. Information on vaccination and pregnancy week when vaccination was made was obtained from antenatal care documents.PopulationAll women who gave birth during 2009 and 2010 in Sweden.MethodsCharacteristics of the vaccinated women and their delivery outcome were compared with two groups of women: women without a known vaccination who gave birth in 2009/10 after 1 October 2009, and women who gave birth during 2009 before 1 October. Adjustment was made for year of delivery, maternal age, parity, smoking habits and body mass index.Outcome MeasuresStillbirth, congenital malformations, preterm birth, low birthweight, small for gestational age.ResultsA total of 18 612 vaccinated women having 18 844 infants were studied. The risk for stillbirth, preterm birth and low birthweight was lower than in the comparison groups whereas the risk for small for gestational age and a congenital malformation (after vaccination during the first trimester) did not differ from the comparison groups. No clear-cut explanation to the 'protective' effect of vaccination was found.ConclusionsVaccination during pregnancy with Pandemrix(®) appeared to have no ill effects on the pregnancy. On the contrary, the rate of preterm birth and low birthweight was lower than expected, which agrees with some previous results.© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

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