Influenza and pertussis vaccination of women during pregnancy in Victoria, 2015–2017

Stacey Rowe, Karin Leder and Allen C Cheng
Med J Aust 2019; 211 (10): . || doi: 10.5694/mja2.50386
Published online: 18 November 2019

In reply: We thank Kong and colleagues for their interest in our study.1 Our article highlighted the potential effect of influenza vaccination during pregnancy in reducing risk of pre‐term birth, as suggested by increased odds of vaccination among women birthing at 37 weeks or later compared with those birthing earlier than 28 weeks' gestation.1 We agree that one explanation of these results may be the potential protective effect that influenza vaccination during pregnancy has on pre‐term birth. This protective effect of influenza vaccines against a range of adverse birth outcomes has been noted in other studies.2 An alternative explanation, however, may be reverse causation, whereby women with longer periods of gestation (≥ 37 weeks) have an increased opportunity to be vaccinated. In this study, data on the timing of vaccination were not available, but we are in the process of making a submission to the data custodians of the Victorian Perinatal Data Collection to enable capture and examination of these data.

  • Stacey Rowe1,2
  • Karin Leder1,3
  • Allen C Cheng1

  • 1 Monash University, Melbourne, VIC
  • 2 Department of Health and Human Services (Victoria), , Melbourne, VIC
  • 3 Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC


Competing interests:

No relevant disclosures.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.