Evidence map›Paper›PMID 40570349›Full record

ArticleObstetrics and gynecology2025

Influenza Vaccination During Pregnancy and Infant Influenza in the First 6 Months of Life.

Ousseny Zerbo, Sharareh Modaressi, Kristin Goddard, Bruce Fireman, Nicola P Klein

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Global vaccine development.Nature medicine · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ousseny ZerboVaccine Study Center, Kaiser Permanente Northern California, Oakland, and the Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.
Sharareh Modaressi
Kristin Goddard
Bruce Fireman
Nicola P Klein

Funding

COVID-19 Vaccine Effectiveness in Pregnant Women and their InfantsR01AI168373 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ousseny Zerbo · 2022 to 2026
$2.7M
Effect of Maternal Influenza Vaccination during Pregnancy on Risk of Infant InfluenzaK01AI139275 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI ZERBO, OUSSENY · 2018 to 2022
$648k
National Institute of Allergy and Infectious Diseases R01AI168373 and K01AI139275NIAID NIH HHS K01 AI139275NIAID NIH HHS R01 AI168373
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of influenza vaccination during pregnancy against influenza in infants during their first 6 months of life.

methodsWe conducted a cohort study among pregnant individuals enrolled in Kaiser Permanente Northern California (KPNC) and their infants. We followed all infants from birth until the first occurrence of a polymerase chain reaction test result positive for influenza, the infant reached age 6 months, death, disenrollment from KPNC, or the end of the study on December 31, 2022. We used Cox regression to compare the hazard of influenza in infants whose mothers were vaccinated against influenza during pregnancy with those whose mothers were unvaccinated. Hazard ratios (HRs) were adjusted for calendar time, maternal sociodemographic and comorbidities. Vaccine effectiveness was calculated as 100% (1-adjusted HR). We evaluated the association between vaccination and infant influenza outcomes any time during pregnancy and by trimester of vaccination.

resultsOf the 245,498 infants included in the study, 46.0% were born to vaccinated mothers. The incidence of influenza was lower among infants of vaccinated mothers than unvaccinated mothers (0.12% vs 0.30%). After adjusting for covariates, vaccination during pregnancy was associated with a reduction in infant influenza in any clinical setting by 44.4% (95% CI, 31.4-54.9%). Vaccination during the first trimester was associated with a reduction in infant influenza by 11.3%, a reduction of 51.5% during the second trimester, and a reduction of 59.3% during the third trimester. The differences in vaccine effectiveness estimates that compared the first and second trimesters ( P =.02) and compared the first and third trimesters ( P <.001 were statistically significant.

conclusionInfluenza vaccination during pregnancy was associated with a reduction in infant influenza infection by 44.4%. The reduction in infant influenza infection was greater when vaccination occurred in the second or third trimester, compared with the first trimester.

Indexed as

Influenza, HumanInfluenza VaccinesPregnancy Complications, InfectiousVaccinationAdultCaliforniaCohort StudiesFemaleHumansInfantInfant, NewbornMalePregnancyVaccine EfficacyYoung AdultInfluenza Vaccines

Identifiers

PMID40570349
PMCPMC12270756

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.