Determinants of Influenza and Pertussis Vaccination Uptake in Pregnancy

Christopher R Wilcox · Anna Calvert · Jane Metz · Eliz Kilich · Rachael MacLeod · Kirsten Beadon +7 more

57 citations0/0 files storedThe Pediatric Infectious Disease Journal

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Vaccine Coverage and Hesitancy Cervical Cancer and HPV Research Intramuscular injections and effects

Abstract

INTRODUCTION: Uptake rates of antenatal vaccination remain suboptimal. Our aims were to determine (1) the acceptability of routine vaccination among pregnant women, (2) the confidence of maternity healthcare professionals (HCPs) discussing vaccination and (3) HCP opinion regarding the optimum healthcare site for vaccine administration. METHODS: Separate questionnaires for pregnant women and HCPs were distributed within 4 national health service (NHS) trusts in South England (July 2017 to January 2018). RESULTS: Responses from 314 pregnant women and 204 HCPs (18% obstetricians, 75% midwives, 7% unidentified) were analyzed. Previous/intended uptake of influenza and pertussis vaccination was 78% and 92%, respectively. The commonest reason for declining vaccination was feared side effects for their child. White British women (79%) were significantly more accepting of influenza [85% vs. 61%; odds ratio (OR) 3.25; 95% confidence interval [CI], 1.67-6.32] and pertussis vaccination (96% vs. 83%; OR 4.83; 95% CI: 1.77-13.19) compared with nonwhite British women. Among HCPs, 25% were slightly or not at all confident discussing vaccination. Obstetricians felt significantly more confident discussing pertussis vaccination than midwives (68% vs. 55% were very/moderately confident; OR 2.05; 95% CI: 1.02-4.12). Among HCPs, 53%, 25% and 16% thought vaccines should be administered in primary care (general practice), community midwifery and in hospital, respectively. CONCLUSION: Misconceptions exist regarding safety/efficacy of antenatal vaccination, and framing information towards the child's safety may increase uptake. Education of HCPs is essential, and vaccine promotion should be incorporated into routine antenatal care, with an emphasis on women from ethnic minorities. Administration of vaccines in primary care presents logistical barriers; however, support for alternative sites appears low among HCPs.

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2015Measuring vaccine hesitancy: The development of a survey tool 2015Understanding factors influencing vaccination acceptance during pregnancy globally: A literature review 2013Uptake of influenza vaccine by pregnant women: a cross‐sectional survey 2013Pregnant women's intention to take up a post-partum pertussis vaccine, and their willingness to take up the vaccine while pregnant: A cross sectional survey 2015Improving rates of maternal immunization: Challenges and opportunities 2014Understanding Pregnant Women’s Attitudes and Behavior Toward Influenza and Pertussis Vaccination 2017Vaccination in pregnancy: Attitudes of nurses, midwives and health visitors in England 2013Midwives' influenza vaccine uptake and their views on vaccination of pregnant women

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2020The faces of influenza vaccine recommendation: A Literature review of the determinants and barriers to health providers’ recommendation of influenza vaccine in pregnancy 2020Barriers and facilitators regarding influenza and pertussis maternal vaccination uptake: A multi-center survey of pregnant women in Italy 2021‘My primary purpose is to protect the unborn child’: Understanding pregnant women’s perceptions of maternal vaccination and vaccine trials in Europe

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