Determinants of influenza vaccination uptake in pregnancy: A large single-centre cohort study
BMC Pregnancy and Childbirth Dec 26, 2019
Bartolo S, Deliege E, Mancel O, et al. - Researchers conducted an observational hospital-based study in the French hospital performing the highest number of deliveries, located in the city of Lille, among all women who had given birth during the 2014–2015 influenza season in order to recognize determinants of influenza vaccination uptake in pregnancy so that strategies to improve seasonal influenza vaccination rates could be assessed. They included 2,045 women in the study; of these, 35.5% reported to be vaccinated against influenza during their pregnancy. Greater vaccination uptake was observed in significant correlation to the following factors: previous influenza vaccination (50.9% vs 20.2%), nulliparity (41.0% vs 31.3%), history of preterm delivery < 34 weeks (43.4% vs 30.3%), the mother’s perception that the frequency of vaccine complications for babies is very low (54.6% vs 20.6%), the mother’s good knowledge of influenza and its vaccine (61.7% vs 24.4%), hospital-based prenatal care in their first trimester of pregnancy (55.0% vs 30.2%), vaccination recommendations during pregnancy by a healthcare worker (47.0% vs 2.7%), receipt of a vaccine reimbursement form (52.4% vs 18.6%), and information from at least one healthcare worker about the vaccine (43.8% vs 19.1%). To improve flu vaccination compliance among pregnant women, they recommend ensuring cost-free access to vaccination, and incorporation of education about the risks of influenza and the efficacy/safety of vaccination and clear recommendations from healthcare professionals into routine antenatal care in future public health programs.
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