The primary aim of rubella vaccination is the prevention
of prenatal rubeolic infection. The 2003 National Plan
to eliminate measles and congenital rubella aims at reducing
the incidence of congenital rubella to rates lower than 1 case/
100,000 children born alive and the strategies to obtain
this result need, besides the keeping of high vaccination rates
during childhood, also the vaccination of women who are serum-
negative immediately after the birth of their children. In
Italy the risk of congenital rubella is still existing and present;
the latest rubella epidemy occurred in 2002 with thousands of
cases and about 10% of women in the reproductive age resulted
rubeonegative and thus potentially at risk. In Piemonte
region about 8% of women in reproductive age are rubeonegative
and in our experience the rubella vaccination in the postpartum
may reach the 100% of compliance.
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