The status of rubella immunity among pregnant women in Kuwait: screening in childbearing age should be reintroduced

The objective of this study was to investigate the immunity against rubella in the obstetric population in Kuwait by testing 600 pregnant women at a p renatal clinic, using the haemagglutination inhibition technique. In additi on, a comparison was made between this study and one done in 1978 at the sa me clinic; its relation to the vaccination programme is also discussed. 7.7 % of the population under study were non-immune. Statistically significant effect was demonstrated for maternal age but not for parity and nationality . Though it has been almost 20 years since an intense rubella vaccination p rogramme was implemented, the percentage of non-immune pregnant women has n ot decreased. In Kuwait, termination of pregnancy for congenital rubella sy ndrome is prohibited. As a result, it is recommended that women be screened and vaccinated at the time of marriage. (C) 2001 Elsevier Science B.V. All rights reserved.