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Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives

tetano

Editor, Senior Moderator
Women Birth. 2016 Feb 12. pii: S1871-5192(16)00033-0. doi: 10.1016/j.wombi.2016.01.009. [Epub ahead of print]
[h=1]Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives.[/h] Regan AK[SUP]1[/SUP], Mak DB[SUP]2[/SUP], Hauck YL[SUP]3[/SUP], Gibbs R[SUP]2[/SUP], Tracey L[SUP]2[/SUP], Effler PV[SUP]4[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low.
[h=4]AIM:[/h] To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia.
[h=4]METHODS:[/h] We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised.
[h=4]FINDINGS:[/h] Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p<0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%).
[h=4]DISCUSSION:[/h] Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination.
[h=4]CONCLUSION:[/h] Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.
Copyright ? 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.


[h=4]KEYWORDS:[/h] Antenatal vaccination; Influenza vaccine; Maternal health; Maternal vaccination; Pregnant woman

PMID: 26879102 [PubMed - as supplied by publisher]
 
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