Increasing uptake of influenza vaccine by pregnant women post H1N1 pandemic: a longitudinal study in Melbourne, Australia, 2010 to 2014

Elizabeth Anne McCarthy · Wendy Pollock · Lauren Tapper · Maree Sommerville · Susan McDonald

43 citations0/0 files storedBMC Pregnancy and Childbirth

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Vaccine Coverage and Hesitancy Cervical Cancer and HPV Research Influenza Virus Research Studies

Abstract

BACKGROUND: A Melbourne (Australia) university affiliated, tertiary obstetric hospital provides lay and professional education about influenza vaccine in pregnancy annually each March, early in the local influenza season. Responding to a 2011 survey of new mothers' opinions, the hospital made influenza vaccine freely available in antenatal clinics from 2012. We wished to determine influenza vaccination uptake during pregnancy with these strategies 5 years after 2009 H1N1. METHODS: Face to face interviews based on US Center for Disease Control and Prevention Pregnancy Risk Assessment Monitoring System with new mothers in postnatal wards each July, 2010 to 2014. We calculated recalled influenza vaccine uptake each year and assessed trends with chi square tests, and logistic regression. RESULTS: We recorded 1086 interviews. Influenza vaccination during pregnancy increased by 6% per year (95% confidence interval 4 to 8%): from 29.6% in 2010 to 51.3% in 2014 (p < 0.001). Lack of discussion from maternity caregivers was a persistent reason for non-vaccination, recalled by 1 in 2 non-vaccinated women. Survey respondents preferred face to face consultations with doctors and midwives, internet and text messaging as information sources about influenza vaccination. Survey responses indicate messages about vaccine safety in pregnancy and infant benefits are increasingly being heeded. However, there was progressively lower awareness of maternal benefits of influenza vaccination, especially for women with risk factors for severe disease. CONCLUSIONS: We observed improving influenza vaccination during pregnancy. There is potential to integrate technology such as text message or internet with antenatal consultations to increase vaccination coverage further.

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2011Addressing the vaccine confidence gap 2014Determinants of uptake of influenza vaccination among pregnant women – A systematic review 2017Influenza Vaccination Coverage Among Pregnant Women — United States, 2016–17 Influenza Season 2013Uptake of influenza vaccine by pregnant women: a cross‐sectional survey 2013Influenza Vaccine Text Message Reminders for Urban, Low-Income Pregnant Women: A Randomized Controlled Trial 2014Understanding Pregnant Women’s Attitudes and Behavior Toward Influenza and Pertussis Vaccination 2014Antenatal care provider's advice is the key determinant of influenza vaccination uptake in pregnant women 2014Influenza vaccination coverage among pregnant women--United States, 2013-14 influenza season.

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2018Influenza vaccination in pregnancy: vaccine uptake, maternal and healthcare providers’ knowledge and attitudes. A quantitative study 2023Interventions to increase vaccination against COVID-19, influenza and pertussis during pregnancy: a systematic review and meta-analysis 2018A Systematic Review of Barriers to Vaccination During Pregnancy in the Canadian Context 2019Midwives’ role in the provision of maternal and childhood immunisation information

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