Influenza and Pertussis Vaccine Uptake during Pregnancy: Determinants Found through a Multi-Center Questionnaire Study of Pregnant Women and Healthcare Professionals

2021 ◽  
pp. 1-6
Author(s):  
Ioannis Tsamandouras ◽  
Panagiota Spyromitrou-Xioufi ◽  
Michail Matalliotakis ◽  
Charoula Matalliotaki ◽  
Fani Ladomenou
Keyword(s):  
Pregnant Women ◽  
Pertussis Vaccine ◽  
Healthcare Professionals ◽  
Vaccine Uptake ◽  
Questionnaire Study

scholarly journals Social determinants of pertussis and influenza vaccine uptake in pregnancy: a national cohort study in England using electronic health records

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e046545
Author(s):  
Jemma L Walker ◽  
Christopher T Rentsch ◽  
Helen I McDonald ◽  
JeongEun Bak ◽  
Caroline Minassian ◽  
...  
Keyword(s):  
Cohort Study ◽  
Pregnant Women ◽  
Pertussis Vaccine ◽  
Social Determinants ◽  
Social Factors ◽  
Vaccine Uptake ◽  
Clinical Practice Research Datalink ◽  
White Ethnicity ◽  
North East ◽  
The Social

ObjectiveTo examine the social determinants of influenza and pertussis vaccine uptake among pregnant women in England.DesignNationwide population-based cohort study.SettingThe study used anonymised primary care data from the Clinical Practice Research Datalink and linked Hospital Episode Statistics secondary care data.ParticipantsPregnant women eligible for pertussis (2012–2015, n=68 090) or influenza (2010/2011–2015/2016, n=152 132) vaccination in England.Main outcome measuresInfluenza and pertussis vaccine uptake.ResultsVaccine uptake was 67.3% for pertussis and 39.1% for influenza. Uptake of both vaccines varied by region, with the lowest uptakes in London and the North East. Lower vaccine uptake was associated with greater deprivation: almost 10% lower in the most deprived quintiles compared with the least deprived for influenza (34.5% vs 44.0%), and almost 20% lower for pertussis (57.7% vs 76.0%). Lower uptake for both vaccines was also associated with non-white ethnicity (lowest among women of black ethnicity), maternal age under 20 years and a greater number of children in the household. The associations between all social factors and vaccine uptake were broadly unchanged in fully adjusted models, suggesting the social determinants of uptake were largely independent of one another. Among 3111 women vaccinated against pertussis in their first eligible pregnancy and pregnant again, 1234 (40%) were not vaccinated in their second eligible pregnancy.ConclusionsTargeting promotional campaigns to pregnant women who are younger, of non-white ethnicity, with more children, living in areas of greater deprivation or the London or North East regions, has potential to reduce vaccine-preventable disease among infants and pregnant women, and to reduce health inequalities. Vaccination promotion needs to be sustained across successive pregnancies. Further research is needed into whether the effectiveness of vaccine promotion strategies may vary according to social factors.

scholarly journals Consent in pregnancy - an observational study of ante-natal care in the context of Montgomery: all about risk?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jacqueline A. Nicholls ◽  
Anna L. David ◽  
Joseph Iskaros ◽  
Dimitrios Siassakos ◽  
Anne Lanceley
Keyword(s):  
Qualitative Research ◽  
Observational Study ◽  
Pregnant Women ◽  
Social Factors ◽  
Healthcare Professionals ◽  
Effective Interaction ◽  
Clinical Decision ◽  
Place Of Birth ◽  
Clinical Risk ◽  
In Pregnancy

Abstract Background How to best support pregnant women in making truly autonomous decisions which accord with current consent law is poorly understood and problematic for them and their healthcare professionals. This observational study examined a range of ante-natal consultations where consent for an intervention took place to determine key themes during the encounter. Methods Qualitative research in a large urban teaching hospital in London. Sixteen consultations between pregnant women and their healthcare professionals (nine obstetricians and three midwives) where ante-natal interventions were discussed and consent was documented were directly observed. Data were collectively analysed to identify key themes characterising the consent process. Results Four themes were identified: 1) Clinical framing - by framing the consultation in terms of the clinical decision to be made HCPs miss the opportunity to assess what really matters to a pregnant woman. For many women the opportunity to feel that their previous experiences had been ‘heard’ was an important but sometimes neglected prelude to the ensuing consultation; 2) Clinical risk dominated narrative - all consultations were dominated by information related to risk; discussion of reasonable alternatives was not always observed and women’s understanding of information was seldom verified making compliance with current law questionable; 3) Parallel narrative - woman-centred experience – for pregnant women social factors such as the place of birth and partner influences were as or more important than considerations of clinical risk yet were often missed by HCPs; 4) Cross cutting narrative - genuine dialogue - we observed variably effective interaction between the clinical (2) and patient (3) narratives influenced by trust and empathy and explicit empowering language by HCPs. Conclusion We found that ante-natal consultations that include consent for interventions are dominated by clinical framing and risk, and explore the woman-centred narrative less well. Current UK law requires consent consultations to include explicit effort to gauge a woman’s preferences and values, yet consultations seem to fail to achieve such understanding. At the very least, consultations may be improved by the addition of opening questions along the lines of ‘what matters to you most?’

scholarly journals The development of a digital intervention to increase influenza vaccination amongst pregnant women

2021 ◽  
Vol 7 ◽  
pp. 205520762110121
Author(s):  
Joanne E Parsons ◽  
Katie V Newby ◽  
David P French ◽  
Elizabeth Bailey ◽  
Nadia Inglis
Keyword(s):  
Pregnant Women ◽  
Qualitative Methodology ◽  
Intervention Mapping ◽  
Vaccine Uptake ◽  
Flu Vaccination ◽  
Increased Risk ◽  
Diverse Area ◽  
Seasonal Flu ◽  
Flu Vaccine ◽  
The Uk

Objective Pregnant women and unborn babies are at increased risk of complications from influenza, including pneumonia, yet in the UK, uptake of flu vaccination amongst this population remains <50%. Pregnant women hold beliefs about risks of flu and efficacy of vaccination that consistently predict them to decline vaccination. This study aimed to develop a theory and evidence-based intervention addressing these beliefs to promote flu vaccine uptake. Methods The intervention was developed by behavioural scientists, pregnant women, midwives, clinicians and Public Health professionals, informed by Intervention Mapping. Six predefined steps were performed in line with Intervention Mapping. Results The intervention is an animation addressing beliefs about risks of flu and efficacy of vaccination. Preliminary testing using qualitative methodology indicates the information within the animation is appropriate, and the animation is acceptable to pregnant women. Conclusions This is the first known intervention for pregnant women, aiming to increase flu vaccination through addressing risk and efficacy appraisals. It has been implemented within seasonal flu vaccination campaigns during 2018/19 and 2019/20 within one geographically and ethnically diverse area of the UK.

scholarly journals Influenza and pertussis vaccination in pregnancy: Portrayal in online media articles and perceptions of pregnant women and healthcare professionals

Vaccine ◽  
2018 ◽  
Vol 36 (50) ◽  
pp. 7625-7631 ◽  
Author(s):  
Christopher R Wilcox ◽  
Kathryn Bottrell ◽  
Pauline Paterson ◽  
William S Schulz ◽  
Tushna Vandrevala ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Healthcare Professionals ◽  
Online Media ◽  
In Pregnancy

scholarly journals Congenital toxoplasmosis: perception of knowledge and primary prevention measures among healthcare professionals and pregnant women treated in public healthcare facilities

2017 ◽  
Vol 27 (1) ◽  
pp. 25389 ◽  
Author(s):  
Fernanda Loureiro De Moura ◽  
Patricia Riddell Millar ◽  
Ana Beatriz Monteiro Fonseca ◽  
Maria Regina Reis Amendoeira
Keyword(s):  
Risk Factors ◽  
Primary Prevention ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Congenital Toxoplasmosis ◽  
Public Healthcare ◽  
Prevention Measures ◽  
Community Healthcare ◽  
Healthcare Facilities ◽  
Before And After

Aims: To evaluate knowledge about toxoplasmosis among pregnant women and healthcare professionals and to evaluate the knowledge acquired by pregnant women after health education actions.  Methods: Five hundred pregnant women and 141 healthcare professionals from health units in Niterói, state of Rio de Janeiro, answered a questionnaire, received information about toxoplasmosis and had access to an interactive educational model and to folders between 2013 and 2016. After 3 months, 145 pregnant women answered the questionnaire once again.  Results: Of 500 pregnant women, 226 (45.2%) reported having heard about toxoplasmosis. Among these, 23.5% had obtained information from friends and 19.0% from their doctors. About their exposure to risk factors, 6.8% had had contact with cat feces; 14.0% had had contact with soil without gloves; 23.4% had ingested undercooked meat; and 24.0% had drunk unfiltered water from the public supply system. The questionnaires of 145 pregnant women before and after the educational activities were compared and showed that contact with soil without gloves dropped significantly from 11.0% to 4.8% (p = 0.022) while consumption of unfiltered water fell from 26.9% to 20.0% (p < 0.001). Washing foods (62.1%), washing hands (62.1%) and consumption of well-cooked meat (61.4%) were the most widely cited preventive measures. Many mistakes were reported among healthcare professionals, and one nursing technician and 13 community healthcare agents (9.9%) had not heard about toxoplasmosis.  Conclusions: Lack of knowledge about toxoplasmosis by most of the interviewed pregnant women, in addition to the misconceptions observed among healthcare professionals, leads to the conclusion that little importance has been given so far to primary prevention of toxoplasmosis during the prenatal period. Also, health professionals’ inadequate knowledge could be detrimental to secondary prevention, which consists of early detection and treatment of toxoplasmosis during pregnancy. In this study, educational intervention contributed to improving knowledge about the transmission and prevention of toxoplasmosis by pregnant women and, to a lesser extent, to reducing exposure to some risk factors.  

scholarly journals Relationships among Constitution, Stress, and Discomfort in the First Trimester

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Hsiao-Ling Wang ◽  
Tzu-Chi Lee ◽  
Shih-Hsien Kuo ◽  
Fan-Hao Chou ◽  
Li-Li Chen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Healthcare Professionals ◽  
Neutral Type ◽  
First Trimester ◽  
Constitutional Change ◽  
Correlational Research ◽  
Individualized Care ◽  
First Trimester Of Pregnancy ◽  
Southern Taiwan ◽  
Constitutional Changes

The purpose of this study was to explore correlations among constitution, stress, and discomfort symptoms during the first trimester of pregnancy. We adopted a descriptive and correlational research design and collected data from 261 pregnant women during their first trimester in southern Taiwan using structured questionnaires. Results showed that (1) stress was significantly and positively correlated with Yang-Xu, Yin-Xu, and Tan-Shi-Yu-Zhi constitutions, respectively; (2) Yin-Xu and Tan-Shi-Yu-Zhi constitutions had significant correlations with all symptoms of discomfort, while Yang-Xu had significant correlations with all symptoms of discomfort except for “running nose”; (3) Tan-Shi-Yu-Zhi constitution and stress were two indicators for “fatigue”; Tan-Shi-Yu-Zhi was the indicator for “nausea”; Yang-Xu and Yin-Xu were indicators for “frequent urination.” Our findings also indicate that stress level affects constitutional changes and that stress and constitutional change affect the incidence of discomfort. This research can help healthcare professionals observe these discomforts and provide individualized care for pregnant women, to nurture pregnant women into neutral-type constitution, minimize their levels of discomfort, and promote the health of the fetus and the mother.

scholarly journals Dental Phobia among Pregnant Women: Considerations for Healthcare Professionals

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Muhanad Alhareky
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
First Trimester ◽  
Considerable Proportion ◽  
Cross Sectional ◽  
Dental Phobia

Objective. To report the prevalence of dental phobia and associated factors among pregnant women. Materials and Methods. This cross-sectional study included pregnant women visiting hospitals in Dhahran, Khobar, and Dammam in Saudi Arabia. The Modified Dental Anxiety Scale (MDAS) was used to assess dental anxiety and phobia. The score of MDAS ranges from 5 to 25, and a cutoff value of 19 was used to identify participants with dental phobia. Results. The study analyzed data of 825 participants with mean age of 29.08 ± 5.18 years. The prevalence of dental phobia was 16.1%. About 46.9% of the sample believed that dental treatment should be avoided during pregnancy, and the importance of regular dental checkup was recognized by 16.4% of the participants. Dental phobia was associated with the perception of the health of teeth (P 0.004) and gums (P 0.016). Multiple logistic regression showed that being under the age of 30 years (OR 0.63, P 0.019) and updating knowledge about oral health (OR 0.49, P 0.006) were significantly associated with reduced likelihood of dental phobia. However, having bad dental experience (OR 2.13, P 0.001) and being in first trimester of pregnancy (OR 1.57, P 0.033) were significantly associated with increased odds of dental phobia. Conclusions. A considerable proportion of pregnant women reported dental phobia. The bad dental experience was associated with increased dental phobia. However, reduced likelihood of dental phobia was associated with updating oral health knowledge. Healthcare professionals may consider these factors to reduce dental phobia and improve oral health of pregnant women.

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