Vaccination Against Influenza in Pregnancy: A Survey of Canadian Maternity Care Providers

Dubé, Ève; Gagnon, Dominique; Kaminsky, Kyla; Green, Courtney R.; Ouakki, Manale; Bettinger, Julie A.; Brousseau, Nicholas; Castillo, Eliana; Crowcroft, Natasha S.; Driedger, S. Michelle; Greyson, Devon; Fell, Deshayne B.; Fisher, William A.; Gagneur, Arnaud; Guay, Maryse; Halperin, Donna; Halperin, Scott A.; MacDonald, Shannon E.; Meyer, Samantha B.; Waite, Nancy; Wilson, Kumanan; Witteman, Holly O.; Yudin, Mark H.; Cook, Jocelynn L.

doi:10.1016/j.jogc.2018.09.007

Cited by 27 publications

(32 citation statements)

References 42 publications

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“…In the same study, the health professionals reported that 30% of the pregnant women they recommended vaccines to refused it. Although this percentage is lower than in our study, the reason why pregnant women refused the vaccination is similar: the fear that the vaccine can harm the fetus (11).…”

Section: Discussioncontrasting

confidence: 76%

Do Turkish Gynecologists and Obstetricians recommend pregnant women the influenza vaccine?

Kalkan

Mut

Çınar

et al. 2020

Infect Dis Clin Microbiol

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Objective: Influenza is a systemic infectious disease. It is recommended that all pregnant women receive the influenza vaccine because the mortality of the disease is high during pregnancy. However, the rates of influenza vaccination in pregnant women are low. This study aims to estimate the rate at which Turkish gynecologists and obstetricians (GOs) recommend the influenza vaccine to their pregnant patients.. Materials and Methods: This study was designed as a cross-sectional survey. The sample size was calculated to be 364 based on 95% confidence interval and 5% margin of error. The data were collected through a questionnaire consisting of 17 questions, which was distributed through social media. The final study group included in the research consisted of 384 GOs. Results:The mean age of the GOs that participated in the study was 39.7 years (SD = 10.2). 43.5% of the GOs reported that they recommended the influenza vaccine to pregnant women who had consulted with them, while 62.8% reported that at least 50% of the pregnant women they had recommended the vaccine rejected it. According to multivariate logistic regression analysis, three factors increased the rate of GOs’ not to recommend influenza vaccination: the GOs’ age, not receiving influenza vaccination themselves, and not knowing the social insurance reimbursement for the vaccine. Conclusion: Vaccination of pregnant women is necessary because of the increased mortality risk of influenza during pregnancy. Even though GOs are not in charge of vaccinating their patients during their routine pregnancy follow-up, they can contribute to vaccination rates by recommending the vaccine. Physicians’ application of scientific knowledge and transferring it to their patients can contribute to increased adult immunization rates. Conclusion: Influenza, Influenza Vaccine, Pregnancy, Vaccination, Viral Infections

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Section: Discussioncontrasting

confidence: 76%

Do Turkish Gynecologists and Obstetricians recommend pregnant women the influenza vaccine?

Kalkan

Mut

Çınar

et al. 2020

Infect Dis Clin Microbiol

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“…Although pharmacy administration of vaccines is associated with increased uptake [32,33], pharmacy administration of vaccinations to pregnant women has received little research to date. A Canadian survey of health care providers of pregnant women found proportionately fewer pharmacists (70%) and midwives (38%) than nurses (84%) and physicians (80%) self-reported recommending the influenza vaccine to all their pregnant patients, however this study was limited by a very low response rate [34]. While not specifically for pregnant women, an intervention in the period 2010-2012 by pharmacists in a US hospital administering Tdap vaccines in the pharmacy or an on-site clinic to close contacts of neonates increased Tdap vaccination of such people from 1.3 per month pre-intervention to 85.2 per month postintervention [35].…”

Section: Introductionmentioning

confidence: 65%

A Qualitative Study of Views and Experiences of Women and Health Care Professionals about Free Maternal Vaccinations Administered at Community Pharmacies

Gauld

Martin²,

Sinclair

et al. 2020

Vaccines

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Background: A policy to extend funding of maternal pregnancy influenza and pertussis vaccinations to community pharmacies could address low pregnancy vaccine uptake. The policy has been implemented in one region in New Zealand. This study explored the views and experiences of women eligible for the vaccines and health care professionals regarding funded maternal vaccinations in pharmacy. Methods: Women in late pregnancy or with an infant, and midwives, pharmacists, and general practice staff were selected purposively and interviewed regarding maternal vaccinations and the new policy, including their awareness and views of the funded vaccinations in pharmacies, and how this policy worked in practice. Enablers and barriers to vaccination by pharmacists were explored. Interviews were transcribed and analysed using a framework approach. Results: Fifty-three interviews were conducted. Most women and health care professionals viewed funded maternal vaccinations in pharmacies positively with respect to increasing awareness and providing delivery options. Many women received messages from pharmacies. Most pharmacies used posters, leaflets and/or verbal explanation to pregnant women to raise awareness of the vaccinations. Not all pharmacies provided these vaccinations, and frontline staff could help to raise awareness. Conclusion: Funded maternal vaccinations in pharmacies are generally well accepted and provide an opportunity to increase uptake and prevent disease.

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“…2 Regarding clinicians' recommendations, in a 2017 survey of over 1000 Canadian maternity care providers (including pharmacists), 72% reported recommending influenza vaccine to all pregnant patients. 11 Approximately 65% strongly agreed that pregnant women are at an increased risk of complications from influenza, and nearly 70% strongly agreed that the vaccine is safe.…”

Section: Influenza Vaccinementioning

confidence: 99%

“…This is especially important given the lack of streamlined delivery systems across maternity care providers, including general practitioners, obstetricians-gynecologists, midwives, pharmacists and nurses, which may lead to missed opportunities for vaccination. 8,11 In this context, pharmacists' roles may encompass proactive review of vaccination status, providing education on recommended vaccines and dispelling vaccine myths, as well as administering recommended vaccines. In particular, in cases where pharmacists are unable to provide influenza and/or Tdap vaccines, they should refer pregnant women to other maternity care providers.…”

Section: Pharmacists' Role In Championing Maternal Vaccinationmentioning

confidence: 99%

“…7,10 Despite this recommendation and even with wide access to publicly funded influenza vaccines at physicians’ offices, public health clinics and pharmacies in most jurisdictions, vaccine coverage in pregnant Canadian women remains well below the recommended target of 80%. 11 In 1 study conducted in Nova Scotia, only 16% of women received influenza vaccine during pregnancy in the 2 years following H1N1. 12 Reported influenza vaccination rates in pregnancy vary in other countries, ranging from <25% in Europe to approximately 50% in the United Kingdom and United States.…”

Section: Recommended Vaccinations In Pregnancymentioning

confidence: 99%

See 1 more Smart Citation

Pharmacists and vaccination in pregnancy

Hughes

2019

Can Pharm J

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Vaccination Against Influenza in Pregnancy: A Survey of Canadian Maternity Care Providers

Cited by 27 publications

References 42 publications

Do Turkish Gynecologists and Obstetricians recommend pregnant women the influenza vaccine?

Do Turkish Gynecologists and Obstetricians recommend pregnant women the influenza vaccine?

A Qualitative Study of Views and Experiences of Women and Health Care Professionals about Free Maternal Vaccinations Administered at Community Pharmacies

Pharmacists and vaccination in pregnancy

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