Since 1976, epidemiological surveillance of rubella infections acquired during pregnancy and congenital rubella syndrome in France has been based on a network of laboratories: the RENARUB network. The objective of this surveillance is to identify, at the national level, rubella infections occurring during pregnancy as well as congenital rubella syndrome, and more broadly to assess the impact of the vaccination policy implemented in France with a view to eliminating congenital rubella. Surveillance has shown the limited impact of vaccinating only pre-adolescent girls and women of childbearing age—a program implemented from 1976 to 1984—on the incidence of rubella infections during pregnancy. The introduction of vaccination into the infant immunization schedule led to a very marked decrease in incidence from 1985 to 1988. However, in 1993 and 1994, and again in 1997, the Renarub network identified a resurgence in incidence, with rates of rubella infections during pregnancy around 10 per 100,000 live births. This article presents the results of this surveillance for the year 1999.