First AD

Second AD

The American Academy of Pediatrics (AAP) recently released its recommended 

. No major changes were made, but it was modified a little. One modification was made to bring the AAP's recommendations in line with those from the Centers for Disease Control (CDC) on the use of 

A. All who have not had one within 2 years 

B. All who have not had one within 5 years 

C.  All who have never received a Tdap vaccination before 

D. Ignore previous doses. Pregnant females should get a dose with each pregnancy regardless of time of previous vaccination.

Answer: D. Ignore previous doses. Pregnant females should get a dose with each pregnancy regardless of time of previous vaccination.

The goal is to provide some protection against pertussis for the baby at birth. In its 2013 schedule the AAP did recommend that Tdap should be given to pregnant adolescents but withheld the recommendation that it be given with every pregnancy. After evaluating new data over the past year that showed safety and efficacy in repeat doses in pregnant women, the AAP now agrees with the CDC's recommendation of vaccinating with every pregnancy. These recommendation are “off label” per the FDA, but any medical/legal risk is minimal if following AAP or CDC guidelines.

For the next question on the AAP 2014 immunization update 

Small modifications were made to the American Academy of Pediatrics 2014 recommended vaccine schedule for adolescents regarding Tdap and HPV vaccines. Can you answer these questions on timing? 

Vaccine Quiz: AAP 2014 Adolescent Schedule Update