Evaluation of a midwife-led, hospital based vaccination service for pregnant women

Helen Skirrow · Beth S. Holder · Alison Meinel · Evelyn Narh · Beverly Donaldson · Anna Bosanquet +2 more

16 citations0/0 files storedHuman Vaccines & Immunotherapeutics

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Vaccine Coverage and Hesitancy Maternal and Neonatal Healthcare Intramuscular injections and effects

Abstract

Background: Vaccines against whooping cough (pertussis) and seasonal-influenza are recommended for pregnant women in England. Uptake however varies regionally and by ethnicity. Pregnant women are traditionally vaccinated in primary care, though some hospitals now offer vaccines through antenatal clinics. This mixed-methods evaluation describes the demographic characteristics of women seen in a hospital midwife-led antenatal vaccine clinic and explores vaccine decision making.Methods: Descriptive statistics of women seen in a London hospital’s midwife-led vaccine clinic were generated from electronic routine maternity records, including data on ethnicity, parity, age and deprivation indices. Reasons for vaccine decline given by women to midwives were categorized by themes. Qualitative interviews of women seen in the clinic were also undertaken.Results: Between 1st April 2017 and 31st March 2018 the vaccine clinic saw 1501 pregnant women. Of these, 83% received pertussis vaccine and (during flu season) 51% received influenza vaccine, from the clinic. Fewer Black Afro-Caribbean women seen by the clinic were vaccinated, compared to other ethnicities with only 68% receiving pertussis and 34% flu vaccines respectively (p < .05). Among all women delivering at the hospital over the year, 42%, (1334/3147) were vaccinated by the clinic. Qualitative interviews found that reassurance from healthcare professionals, particularly midwives, was the most important factor influencing maternal vaccine decisions.Conclusions: Midwife-led hospital clinics can offer an effective alternative to primary care provision for vaccines in pregnancy. Consistent with previous work, vaccine uptake varied by ethnicity. Midwives play a key role in the provision of vaccine services and influence women’s vaccine decisions.

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References

2008Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology 2014A practical guide to using Interpretative Phenomenological Analysis in qualitative research psychology 2008Interpretative Phenomenological Analysis (IPA): A Qualitative Methodology of Choice in Healthcare Research 2013English Indices of Deprivation 2015Understanding factors influencing vaccination acceptance during pregnancy globally: A literature review 2015Racial and Ethnic Disparities in Vaccination Coverage Among Adult Populations in the U.S.2017Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake 2006Differences in risk factors for partial and no immunisation in the first year of life: prospective cohort study

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