Maternal uptake of pertussis cocooning strategy and other pregnancy related recommended immunizations

Wong, Clare; Thomas, NJ; Clarke, Michelle; Boros, C.; Tuckerman, Jane; Marshall, Helen

doi:10.1080/21645515.2015.1019188

Cited by 34 publications

(36 citation statements)

References 21 publications

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“…30 Literatürde, bir yaşından küçük bebekler için boğmaca etkeninin ana kaynağının bebeğe yakın aile üyeleri (>%55) olduğu belirtilmektedir. 18,20,21,29,[31][32][33][34][35][36] Ülkemizde yapılan bir çalışmada, bir yaş altı çocuklara boğmacanın %42,8 oranında anneden bulaştığı saptanmıştır. 36 Skoff ve ark.nın ça-lışmasında, boğmaca hastalığına yakalanan bir yaş altı çocuklarda rezervuarın %35,5 oranında kardeş-lerden, %20,6 oranında annelerden ve %10 oranında babalardan olduğu belirlenmiştir.…”

Section: Koza Strateji̇si̇ (Cocooning Strategy)unclassified

“…40 Koza stratejisinin, özellikle boğmaca ve influenza enfeksiyonlarının epidemi dönemlerinde etkili olduğu belirtilmektedir. 29,39 Günümüzde Almanya, Fransa, İtalya, İspanya, İsviçre, Yunanistan, Hollanda, ABD, Avustralya, Kanada, Brezilya ve Şili gibi dünyanın pek çok ülkesinde yenidoğanları boğmacaya karşı korumak için bu yöntem uygulanmaktadır. 3 aydan küçük çocuklarda boğmaca görülme riskinin %51 oranında azaldığı belirtilmiştir.…”

Section: Koza Strateji̇si̇ (Cocooning Strategy)unclassified

“…10,36,44 Koza stratejisinin başarıya ulaşmasında ebeveynlere ve bebeğin yakın çevresine verilen sağlık eğitimi önemli bileşenlerden biridir. 24, 29 Simonetti ve ark.nın yaptıkları çalışmada, sağlık profesyonelleri ile aileler arasında kurulan iletişimin güçlendi-rilmesi ile koza programına katılım oranının %2,6'dan %78,8'e yükseldiği belirlenmiştir. 40 Decrequy ve ark.nın çalışmasında, koza programıyla boğmaca etkenine karşı aşılanmak isteyen ailelerin oranının bir yılın sonunda yaklaşık beş kat arttığı saptanmıştır.…”

Section: Koza Strateji̇si̇ (Cocooning Strategy)unclassified

“…29 Uygulamayı zorlaştıran bu faktörlere rağmen, literatürde boğmaca koza programının büyük oranlarda tamamlandığı geniş ölçekli araştırmalar bulunmaktadır. 26,40,45 Düşük sosyoekonomik düzeye sahip gruplar, göçmenler ve sığınmacılarda gebelik döneminde düzenli izlemin yapılamaması, beslenme yetersizliği, kalabalık ortamda ve kötü çevre koşullarında yaşamanın yenidoğanlarda bulaşıcı hastalıklara bağlı mortalite riskini artırdığı bilinmektedir.…”

Section: Koza Strateji̇si̇ (Cocooning Strategy)unclassified

“…19 Sık kullanılan yöntemlerden biri de "koza stratejisi (cocooning)"dir. 3,10,12,18,19,[25][26][27][28][29] Sağlık hizmetlerinin her alanında olduğu gibi aşılar ve bağışıklama ile ilgili bilgiler de sürekli yenilenmektedir. Bu nedenle, sağlık profesyonellerinin güncel bilgiler doğrultusunda değişen uygulamaları takip etmesi bir gerekliliktir.…”

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A Different Approach to Pertussis Immunization: Cocooning Strategy

Terzi¹,

Kıtış²

2018

Turkiye Klinikleri J Nurs Sci

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Section: Koza Strateji̇si̇ (Cocooning Strategy)unclassified

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A Different Approach to Pertussis Immunization: Cocooning Strategy

Terzi¹,

Kıtış²

2018

Turkiye Klinikleri J Nurs Sci

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Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Geoghegan

Shuster

Butler

et al. 2022

Matern Child Health J

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Introduction Vaccines are being developed against Group B Streptococcus and respiratory syncytial virus. These vaccines are designed to be given to pregnant women to protect infants; thus, their success depends on uptake in this population. Maternal immunization programs have struggled to achieve target coverage rates. This systematic narrative synthesis aims to define the most important barriers and facilitators for maternal immunization and to identify priority areas for future research. Methods A search strategy was developed in Medline and adapted according to the requirements of additional search engines. Two reviewers independently reviewed the studies, using pre-specified inclusion and exclusion criteria. Results sections of included studies were coded, and thematic analysis was used to identify prominent themes. Results 321 studies were included in the final review. Most studies came from North America (37%), Europe (26%) or East Asia, Australia and New Zealand (22%). Low-and middle-income countries were under-represented. Five percent of studies came from Sub-Saharan Africa, and 2% came from South Asia. The prominent factors impacting maternal immunization were provider recommendation, perceived risks and benefits of maternal vaccines for the infant, race, birthplace, and access to healthcare. Few studies explored reasons behind racial and socioeconomic disparities in maternal immunization rates. Discussion A strong provider recommendation, equitable access to prenatal care and messaging that focuses on vaccine safety and infant benefits emerged as the key components for optimising vaccine uptake among pregnant women. Research among healthcare providers, minority groups and in low- and-middle-income countries was lacking. In anticipation of the expansion of maternal immunization programmes, focused research is needed to address these gaps and inform a successful public health strategy. Supplementary Information The online version contains supplementary material available at 10.1007/s10995-022-03508-0.

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Factors Influencing Maternal Antepartum Tdap Vaccination

Bernstein

Tong-Miller

Cleary

et al. 2022

Matern Child Health J

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Introduction Antepartum Tdap remains low despite national recommendations. This prospective observational study aims to identify factors associated with lower antepartum Tdap rates. Methods Maternal demographics, personal health beliefs, Tdap vaccination status, and recall of in-office obstetric provider actions were collected from a convenience sample of postpartum women in a New York metropolitan hospital. Bivariate and multivariable logistic regression were used to identify significant factors and adjusted odds ratios (OR) for recorded Tdap; OR > 1 reflects elements with increased odds of not receiving antepartum Tdap, while OR < 1 demonstrates increased odds of receipt. Results Surveys were collected (n = 1682) from a study population demographically similar to New York City and more diverse in race/ethnicity than the national population. Demographic analysis showed Hispanic women less likely than white, non-Hispanic women to vaccinate (OR 2.44, CI 1.54–3.88). Health beliefs associated with non-receipt of antepartum Tdap included “It is dangerous for pregnant women to get vaccines” (OR 1.68, CI 1.01–2.77), and “I worry about the safety of the Tdap vaccine” (OR 1.59, CI 1.12–2.24). Obstetric provider actions associated with vaccination included receiving an OB recommendation (OR 0.39, CI 0.23–0.65), getting written information about Tdap (OR 0.44, CI 0.30–0.64), and having Tdap offered in office (OR 0.24, CI 0.15–0.37). Health beliefs associated with antepartum Tdap included “I generally do what my OB/GYN provider recommends” (OR 0.49, CI 0.30–0.80), and “Pregnant women should get the Tdap (pertussis) vaccine” (OR 0.17, CI 0.09–0.33). Discussion Maternal race/ethnicity, personal health beliefs, and obstetric provider actions predict antepartum Tdap.

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Maternal uptake of pertussis cocooning strategy and other pregnancy related recommended immunizations

Cited by 34 publications

References 21 publications

A Different Approach to Pertussis Immunization: Cocooning Strategy

A Different Approach to Pertussis Immunization: Cocooning Strategy

Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Factors Influencing Maternal Antepartum Tdap Vaccination

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