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15 March 2008 Supplement

Volume 46, Number S3
Clinical Infectious Diseases 2008;46:S221–S226
This article is in the public domain, and no copyright is claimed.
1058-4838/2008/4606S3-0009
DOI: 10.1086/524744
SUPPLEMENT ARTICLE

Pregnancy, Birth, and Infant Health Outcomes from the National Smallpox Vaccine in Pregnancy Registry, 2003–2006

Margaret A. K. Ryan1 and

Jane F. Seward,2 for the

Smallpox Vaccine in Pregnancy Registry Teama

1Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, California; and 2National Center for Immunization and Respiratory Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

When the United States implemented civilian and military smallpox vaccination programs in 2003, the National Smallpox Vaccine in Pregnancy Registry was established to better evaluate outcomes after the inadvertent vaccination of pregnant women. Women were referred to the registry by vaccine administrators, health care providers, or state health departments or through self‐referral. Registry professionals actively follow up with all enrolled women and collect data on pregnancy, birth, and infant health outcomes. As of September 2006, pregnancy outcome data were available from 376 women. Most (77%) were vaccinated near the time of conception, before results of a standard pregnancy test would have been positive. To date, outcome evaluations have not revealed higher‐than‐expected rates of pregnancy loss (11.9%), preterm birth (10.7%), or birth defects (2.8%), compared with those in healthy referent populations. No cases of fetal vaccinia have been identified. The Smallpox Vaccine in Pregnancy Registry continues to actively enroll women and follow infant and early‐childhood health outcomes.

Reprints or correspondence: Dr. Margaret A. K. Ryan, Department of Defense Center for Deployment Health Research, Naval Health Research Center, Box 85122, San Diego, CA 92186‐5122 ().

Cited by

Diego F. Wyszynski. (2009) Pregnancy exposure registries: Academic opportunities and industry responsibility. Birth Defects Research Part A: Clinical and Molecular Teratology 85:1, 93-101
Online publication date: 1-Feb-2009.
CrossRef
Margaret A. K. Ryan, Gia R. Gumbs, Ava Marie S. Conlin, Carter J. Sevick, Isabel G. Jacobson, Katherine J. Snell, Christina N. Spooner, Tyler C. Smith, . (2008) Evaluation of preterm births and birth defects in liveborn infants of US military women who received smallpox vaccine. Birth Defects Research Part A: Clinical and Molecular Teratology 82:7, 533-539
Online publication date: 1-Aug-2008.
CrossRef
M. A. K. Ryan, T. C. Smith, C. J. Sevick, W. K. Honner, R. A. Loach, C. A. Moore, J. D. Erickson. (2008) Birth Defects among Infants Born to Women Who Received Anthrax Vaccine in Pregnancy. American Journal of Epidemiology 168:4, 434-442
Online publication date: 30-Jul-2008.
CrossRef
Louisa E. Chapman, Gina T. Mootrey, and Linda J. Neff. (2008) Introduction: Vaccination against Smallpox in the Posteradication Era. Clinical Infectious Diseases 46:s3, S153-S156
Online publication date: 15-Mar-2008.
Abstract-Full Text-PDF Version (149 kB)
Raymond A. Strikas, Linda J. Neff, Lisa Rotz, Joanne Cono, Donna Knutson, Joseph Henderson, and Walter A. Orenstein. (2008) US Civilian Smallpox Preparedness and Response Program, 2003. Clinical Infectious Diseases 46:s3, S157-S167
Online publication date: 15-Mar-2008.
Abstract-Full Text-PDF Version (250 kB)
John Neff, John Modlin, Guthrie S. Birkhead, Gregory Poland, Rose Marie Robertson, Kent Sepkowitz, Clyde Yancy, Pierce Gardner, Gregory C. Gray, Toby Maurer, Jane Siegel, Fernando A. Guerra, Tim Berger, W. Dana Flanders, and Robert Shope. (2008) Monitoring the Safety of a Smallpox Vaccination Program in the United States: Report of the Joint Smallpox Vaccine Safety Working Group of the Advisory Committee on Immunization Practices and the Armed Forces Epidemiological Board. Clinical Infectious Diseases 46:s3, S258-S270
Online publication date: 15-Mar-2008.
Abstract-Full Text-PDF Version (359 kB)

  • The views expressed in this work are those of the authors and do not reflect the official policy or position of the US Department of Defense, US Centers for Disease Control and Prevention, or the US government.

  • Members are listed at the end of the text.

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