[Rubella vaccination in the post-partum: which is the best approach?].

BACKGROUND

Two different post partum Rubella vaccination's programs for seronegative women in puerperium are compared.

METHODS

In the Borgosesia hospital (Piedmont Region) the vaccination has been proposed by gynecologists already during pregnancy to all the pregnants proved to be negative at the Rubella's test in the initial pregnancy. The little number of enlisted patients is the consequence of the availability of only one doctor to take part in the vaccination's program. In this hospital the cost of vaccination was paid by the patient that had to buy the vaccine before hospitalization. In the Vigevano's hospital (Lombardia Region) the rubella's vaccination has been instead proposed by the nursery pediatrist to all the women who has just given birth in the period between 1995-1997, seronegative for rubella's test in pregnancy or in puerperium.

RESULTS

The results (88% of the seronegative women vaccinated in Borgosesia versus 72.6% in Vigevano) show that the best way is to make the pregnant women aware by the gynecologist during pregnancy, even though the vaccine wasn't free for the patients.

CONCLUSIONS

The action of pediatrists combined with the availability from hospital administration to offer a free vaccine will make possible to reach an almost total success of the Rubella vaccination's program.