[Vaccine prevention in perinatal health care: parents, children and professionals].
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.
Pinquier
D
D
Service de pédiatrie néonatale et réanimation, pôle Mère-Enfant, hôpital Charles-Nicolle, CHU Rouen, 1, rue de Germont, 76031 Rouen, France. didier.pinquier@chu-rouen.fr
Gagneur
A
A
Guen
C Gras-Le
CG
Blandin
S
S
Stephan
J-L
JL
Régnier
F
F
Picherot
G
G
Brissaud
O
O
Marpeau
L
L
Marret
S
S
Reinert
P
P
D000328:Adult; D002662:Child Health Services / Q000592:standards; D003140:Communicable Disease Control / Q000379:methods; D005260:Female; D005602:France; D006287:Health Planning Guidelines; D006801:Humans; D007115:Immunization Schedule; D007231:Infant, Newborn; D008297:Male; D008430:Maternal-Child Health Centers / Q000592:standards; D008880:Midwifery; D016272:Occupational Health; D018743:Perinatal Care / Q000379:methods*; D011247:Pregnancy; D011315:Preventive Medicine; D014611:Vaccination / Q000331:legislation & jurisprudence* / Q000379:methods*; D014612:Vaccines / Q000008:administration & dosage*
D014612:Vaccines