Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy

Healy, Catherine; Rench, Marcia A.; Montesinos, Diana P.; Ng, Nancy; Swaim, Laurie S.

doi:10.1016/j.vaccine.2015.08.028

Cited by 105 publications

(101 citation statements)

References 28 publications

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“…Studies show that 78% to 93% of pregnant or postpartum women say they would receive a vaccine recommended by their provider, regardless of influence from other sources such as family, friends or online resources. [83][84][85][86][87][88][89] Numerous studies have evaluated the attitudes of pregnant and postpartum women toward maternal immunization. Although some cultural differences exist, themes are emerging.…”

Section: Implementation Of Maternal Immunizationmentioning

confidence: 99%

“…Maternal attitudes are remarkably consistent; their primary concern is that the vaccine is safe both for them and their baby, and they desire sufficient discussion with their provider to explain the rationale behind immunization. 83,84,[86][87][88][89] The benefits of and likely acceptance by pregnant women of pertussis vaccination has resulted in strong statements in support from organizations such as the American College of Obstetricians and Gynecologists, along with resources such as the Tdap toolkit, which provides literature and talking points for providers. 90,91 While these interventions have not as yet been translated into robust uptake rates, at least at a national level in the US, they address some of the provider level barriers.…”

Section: Implementation Of Maternal Immunizationmentioning

confidence: 99%

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Pertussis vaccination in pregnancy

Healy

2016

Human Vaccines & Immunotherapeutics

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Section: Implementation Of Maternal Immunizationmentioning

confidence: 99%

Section: Implementation Of Maternal Immunizationmentioning

confidence: 99%

Pertussis vaccination in pregnancy

Healy

2016

Human Vaccines & Immunotherapeutics

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“…Based on observations that most infant infections derive from contact with family member, the cocooning approach involves Tdap vaccination of parents and persons in close contact with the susceptible infants before completing the vaccination schedule of children with diphtheria-tetanus-pertussis vaccine (either acellular or whole-cell) to reduce the risk of pertussis transmission [35,36]. However, the main obstacle to this approach is the need to vaccinate multiple individuals, and it has therefore yielded variable results, ranging from no effects to >80% decrease in infant deaths [30,37]. Vaccination of pregnant women seems more effective than cocooning and is likely the most cost-effective strategy for preventing pertussis in infants too young to be vaccinated [38].…”

Section: Pertussismentioning

confidence: 99%

“…Healthcare providers responsible for pregnant women should understand the main aspects of maternal immunization and be convinced about its clear benefits for pregnant women and infants but, traditionally, they have had little experience in this area and often do not offer any vaccination to pregnant women [37]. Therefore, effective communication strategies are needed to improve awareness of maternal immunization among obstetricians-gynaecologists, midwives and general practitioners.…”

Section: Overcoming Barriers To Maternal Immunizationmentioning

confidence: 99%

“…Therefore, effective communication strategies are needed to improve awareness of maternal immunization among obstetricians-gynaecologists, midwives and general practitioners. However, education of healthcare providers alone is unlikely to be sufficient; parental vaccine hesitancy should also be addressed through specific public awareness campaigns [37]. Tailored communication strategies for pregnant women should focus on improving perceptions related to personal benefits and risks of vaccination compared to the disease.…”

Section: Overcoming Barriers To Maternal Immunizationmentioning

confidence: 99%

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Maternal immunization: where are we now and how to move forward?

et al. 2018

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Pregnancy and the postpartum period are associated with elevated risks to both mother and infant from infectious disease. Vaccination of pregnant women, also called maternal immunization, has the potential to protect pregnant women, foetuses and infants from several vaccinepreventable diseases. Maternal immunoglobulin G antibodies are actively transferred through the placenta to provide passive immunity to new-borns during the first months of life, until the time for infant vaccinations or until the period of greatest susceptibility has passed. Currently, inactivated influenza, tetanus, and pertussis vaccines are recommended during pregnancy in many countries, but other vaccines may also be administered to pregnant women when risk factors are present. Several new vaccines with a specific indication for use during pregnancy are under development (e.g. respiratory syncytial virus and group B streptococcus vaccines). Years of experience suggest that maternal immunization against influenza, tetanus or pertussis has an acceptable safety profile, is well tolerated, effective and confers significant benefits to pregnant women and their infants. This review describes the principles of maternal immunization and provides an update of the recent evidence regarding the use and timing of maternal immunization. Finally, the barriers preventing wider vaccination coverage and the current limitations in addressing these are also described (Supplementary Material). KEY MESSAGESMaternal immunization gives pregnant women greater protection against infectious diseases; induces high levels of maternal antibodies that can be transferred to the foetus; and helps protect new-borns during their first months of life, until they are old enough to be vaccinated. Pregnant women and new-borns are more vulnerable to infectious diseases than the overall population; nevertheless, vaccination rates are often low in pregnant women. This review provides an update of the recent evidence regarding the use and timing of maternal immunization and describes the barriers preventing wider vaccination uptake and the current limitations in addressing these. ARTICLE HISTORY

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Vaccination in pregnancy: Healthcare provider attitudes and practices

Rodriguez

Vilariño

Agasse

et al. 2022

Intl J Gynecology & Obste

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Objective To assess provider attitudes and practices regarding vaccination in pregnancy to discern strategies to increase vaccination rates in pregnancy, given that in the USA, various healthcare organizations recommend that pregnant individuals be vaccinated against influenza, pertussis, and SARS‐CoV‐2, but vaccination rates among gravidas remain suboptimal across these vaccines. Methods An Institutional Review Board‐approved survey was disseminated to obstetric healthcare providers by email from June through October 2021. Questions assessed provider demographics, attitudes, and practices surrounding vaccination in pregnancy. A total of 192 providers consented, 179 initiated the survey, and 153 completed it entirely. Statistical software (SAS) was used to perform descriptive statistics. Results All providers strongly agreed/agreed that all pregnant individuals should receive vaccines in pregnancy. Following patient vaccination consent, 13% reported needing to refer patients to alternative sites for vaccine administration. Following patient vaccination decline, 13% did not determine reasons for refusal, 30% did not re‐counsel at subsequent visits, and 92% did not ask another staff member to counsel the patient. Conclusion Despite provider support for maternal immunization, uptake of vaccines in gravidas remains suboptimal, demonstrating a gap between provider recommendations and patient uptake. These data highlight opportunities for intervention regarding counseling and vaccine availability to increase vaccine uptake in pregnancy.

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Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy

Cited by 105 publications

References 28 publications

Pertussis vaccination in pregnancy

Pertussis vaccination in pregnancy

Maternal immunization: where are we now and how to move forward?

Vaccination in pregnancy: Healthcare provider attitudes and practices

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