31. Influenza Vaccination During Pregnancy: A Descriptive Cross-sectional Survey of the Knowledge, Beliefs, and Attitudes of Mexican Gynecologists and Family Physicians

Abstract Background Influenza in pregnancy is associated with elevated morbidity and mortality. Influenza vaccines are both safe and effective in pregnancy, supporting routine use in this population. Even though influenza vaccination in Mexico is recommended for pregnant women, there are no publications of influenza vaccine coverage in pregnancy. This is the first Latin American survey done only in physicians aiming to assess the knowledge, beliefs, and attitudes that Mexican Obstetrics-Gynecologists (OBG) and Family Physicians (FP) have towards influenza and influenza immunization during pregnancy. Methods A cross-sectional survey was conducted, both paper-based and online. The questionnaire was composed of 35 questions, which addressed general knowledge of influenza, recommendations for vaccination during pregnancy, and beliefs and attitudes concerning the acceptability of the vaccine in pregnant women. Results A total of 206 completed surveys were available, 98 (47.6%) from OBG, 108 (52.4%) from FP. Regarding current practicing medical institutions, 76 (37%), 69 (34%), 31 (14.5%), 30 (14.5%) reported working for the Mexican Institute of Social Security, Private Sector, Secretariat of Health, or a combination of all respectively, representing an estimated 2,472 daily pregnancy consultations. About a quarter (26.2%) reported not having a notion that influenza is more severe among pregnant women. More than half (51.5%) ignored the potential side effects of influenza infection on the fetus. The majority (56.8%) did not know when vaccination during pregnancy should occur. Pregnancy as a risk factor for developing influenza complications was known only in 48.1%. Also, 46.1 % believed that vaccination only confers protection to the mother, but not to the fetus. Nevertheless, 96.1% considered that immunization against influenza during pregnancy is a safe and effective preventive intervention. A results’ summary is shown in Figure-1. Conclusion Based on this survey, current knowledge of OBG and FP for influenza morbidity and mortality during pregnancy, and the importance of influenza vaccination in pregnant women, is poor. Mandatory recommendations to educate medical providers regarding influenza vaccination during pregnancy in Mexico are necessary, even as imperative for CME credits. Disclosures All Authors: No reported disclosures

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Do Turkish Gynecologists and Obstetricians recommend pregnant women the influenza vaccine?

Infectious Diseases and Clinical Microbiology ◽

10.36519/idcm.2020.0005 ◽

2020 ◽

Vol 2 (1) ◽

pp. 16-23

Author(s):

Irem Akdemir Kalkan ◽

Ayşe Nur Usturalı Mut ◽

Gule Cinar ◽

Fatih Keskin ◽

Kemal Osman Memikoglu ◽

...

Keyword(s):

Influenza Vaccine ◽

Influenza Vaccination ◽

Pregnant Women ◽

Social Insurance ◽

Viral Infections ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Vaccination Rates ◽

Immunization Rates

Objective: Influenza is a systemic infectious disease. It is recommended that all pregnant women receive the influenza vaccine because the mortality of the disease is high during pregnancy. However, the rates of influenza vaccination in pregnant women are low. This study aims to estimate the rate at which Turkish gynecologists and obstetricians (GOs) recommend the influenza vaccine to their pregnant patients.. Materials and Methods: This study was designed as a cross-sectional survey. The sample size was calculated to be 364 based on 95% confidence interval and 5% margin of error. The data were collected through a questionnaire consisting of 17 questions, which was distributed through social media. The final study group included in the research consisted of 384 GOs. Results:The mean age of the GOs that participated in the study was 39.7 years (SD = 10.2). 43.5% of the GOs reported that they recommended the influenza vaccine to pregnant women who had consulted with them, while 62.8% reported that at least 50% of the pregnant women they had recommended the vaccine rejected it. According to multivariate logistic regression analysis, three factors increased the rate of GOs’ not to recommend influenza vaccination: the GOs’ age, not receiving influenza vaccination themselves, and not knowing the social insurance reimbursement for the vaccine. Conclusion: Vaccination of pregnant women is necessary because of the increased mortality risk of influenza during pregnancy. Even though GOs are not in charge of vaccinating their patients during their routine pregnancy follow-up, they can contribute to vaccination rates by recommending the vaccine. Physicians’ application of scientific knowledge and transferring it to their patients can contribute to increased adult immunization rates. Conclusion: Influenza, Influenza Vaccine, Pregnancy, Vaccination, Viral Infections

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Knowledge about Medicine Use in Pregnancy: A National Study among Pharmacy Students in Jordan

Current Clinical Pharmacology ◽

10.2174/1574884715666200716150504 ◽

2020 ◽

Vol 15 ◽

Author(s):

Esra’ Taybeh ◽

Rawan Kokash ◽

Ahmad Talhouni ◽

Mervat Alsous

Keyword(s):

Pregnant Women ◽

Medication Use ◽

Pharmacy Students ◽

National Study ◽

Medicine Use ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Undergraduate Study ◽

Pharmacy Curriculum ◽

In Pregnancy

Background: Knowledge of medication use during pregnancy presents a concern to pharmacists upon graduation since they will be responsible for drug related inquiries and counselling pregnant women about their medications. The present study aimed to assess undergraduate senior pharmacy students’ knowledge about medication use during pregnancy in Jordan. Methods: A cross-sectional survey was conducted in Jordanian universities. A total of 409 senior pharmacy students participated in the study. Results: The results found that the majority of the students (60.6%) did not have enough instruction on medications during pregnancy through their undergraduate study. Overall, only 2.5% of the participating students were considered to have good knowledge about medicine use during pregnancy and accordingly the majority (52.6%) were not confident to recommend medicines for pregnant women in the future. In view of that, participating students suggested the addition of an obligatory course to the current curriculum. Students in public universities, Pharm.D. students, and those in their sixth year of study were more knowledgeable than others (P > 0.05). Conclusion: It was concluded that pharmacy students have low knowledge regarding medication use in pregnancy. The results call for a reassessment of the current pharmacy curriculum.

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Knowledge and Attitude of Nigerian Pregnant Women towards Antenatal Exercise: A Cross-Sectional Survey

ISRN Obstetrics and Gynecology ◽

10.1155/2014/260539 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 10

Author(s):

Chidozie E. Mbada ◽

Olubukayomi E. Adebayo ◽

Adebanjo B. Adeyemi ◽

Olujide O. Arije ◽

Olumide O. Dada ◽

...

Keyword(s):

Weight Gain ◽

Pregnant Women ◽

Negative Attitude ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Maternal Characteristics ◽

Knowledge And Attitude ◽

Exercise In Pregnancy ◽

In Pregnancy

Background. Engagement in physical exercise in pregnancy is hamstrung by safety concerns, skepticism about usefulness, and limited individualized prescription guidelines. This study assessed knowledge and attitude of pregnant women towards antenatal exercises (ANEx). Methods. The cross-sectional study recruited 189 pregnant women from six selected antenatal clinics in Ile-Ife, South-West, Nigeria. Data were obtained on maternal characteristics, knowledge, and attitude towards ANEx. Results. Relaxation and breathing (59.8%), back care (51.3%), and muscle strengthening (51.3%) exercises were the most commonly known ANEx. Prevention of back pain risk (75.9%) and excess weight gain (69.1%) were perceived as benefits, while lower extremities swelling (31.8%) and extreme weight gain or loss (30.7%) were considered as contraindications to ANEx. 15.8% of the respondents had negative attitude towards ANEx resulting from insufficient information on exercise (83.3%) and tiredness (70.0%). Age significantly influences knowledge about contraindications to ANEx (P=0.001), while attitude was influenced by age and occupation, respectively (P<0.05). There was significant association between attitude and knowledge about benefits and contraindications to ANEx (P<0.05). Conclusion. A majority of Nigerian pregnant women demonstrated inadequate knowledge but had positive attitude towards ANEx. Knowledge about benefits and contraindications to ANEx significantly influenced the attitude towards exercise in pregnancy.

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Seasonal influenza vaccination: knowledge, attitude and practice in Varna, Bulgaria

Therapeutic Advances in Vaccines and Immunotherapy ◽

10.1177/2515135519868152 ◽

2019 ◽

Vol 7 ◽

pp. 251513551986815

Author(s):

Neli M. Ermenlieva ◽

Gabriela S. Tsankova ◽

Tatina T. Todorova

Keyword(s):

Influenza Vaccination ◽

Seasonal Influenza ◽

Vaccine Coverage ◽

Negative Attitude ◽

Risk Groups ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Seasonal Influenza Vaccination ◽

Knowledge And Attitude ◽

Practice Knowledge

Background: Seasonal influenza vaccination is recommended for certain at-risk groups in Bulgaria, but vaccine coverage and the population’s perception of vaccination are currently unknown. The objective of this study was to assess the level of seasonal influenza vaccination in Varna Region, Bulgaria. It also aimed to investigate the status of knowledge and the attitude towards the reliability, safety, and other aspects associated with the use of influenza vaccines. Methods: A cross-sectional survey was conducted among 120 responders in Varna Region, Bulgaria. They completed a questionnaire assessing the practice, knowledge, and attitude towards seasonal influenza vaccination. Results: Nearly 70% of all responders have never been vaccinated against seasonal influenza in their lives. The main reason indicated was a lack of confidence in the vaccine in general (53.7% of nonvaccinated responders). Individuals with insufficient knowledge, or with a negative perception, were more likely to not be vaccinated: being poorly informed and having a negative attitude towards influenza vaccination also decreased the chance of being vaccinated by 29% and 36%, respectively. Conclusions: This study indicates that efforts should be made towards achieving better understanding and knowledge of the vaccine’s mechanism of prevention and effectiveness among the Bulgarian population.

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Women's adherence to iron supplementation during pregnancy in Kumasi, Ghana

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2020.0008 ◽

2020 ◽

Vol 14 (4) ◽

pp. 1-10

Author(s):

Owusu Lydia Boampong ◽

Emikpe Abigael Omowumi

Keyword(s):

Pregnant Women ◽

Iron Supplementation ◽

Formal Education ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Iron Supplements ◽

Chi Square Test ◽

Hook Worm ◽

In Pregnancy

Introduction Anaemia in pregnancy is caused by factors such as malaria, poor diet and hook worm infestation. Adherence to iron supplementation in pregnancy has been found to correct anaemia and improve fetal outcomes. In Ghana, though iron is given to pregnant women at no cost under the free maternal healthcare policy, anaemia prevalence is high. This calls for investigation into adherence to iron supplementation. This study investigated adherence of pregnant women to prescribed iron supplements in Kumasi, Ghana. Methods A cross-sectional survey was conducted among postnatal women in Kumasi in November and December 2017. Women were selected through systematic random sampling and given a structured questionnaire to elicit information regarding their sociodemographic characteristics and iron supplementation intake during pregnancy. Results were analysed using descriptive statistics and the chi-square test, with P≤0.05 considered to be significant. Results Overall, most of the women were between 22 and 35 years old (69.5%) and had some form of formal education (86.7%). The majority (96.6%) took iron supplements during pregnancy. Most (82.2%) had their supplements prescribed by a midwife or nurse. The majority of women (61.9%) adhered to their prescription. There was a significant relationship between education level and adherence to iron prescription. Conclusions Strategies to improve education regarding adherence to the use of iron supplements by midwives are required.

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Health-care access and uptake of influenza vaccination among pregnant women in the USA: a cross-sectional survey

The Lancet ◽

10.1016/s0140-6736(13)61395-1 ◽

2013 ◽

Vol 381 ◽

pp. S141 ◽

Cited By ~ 4

Author(s):

Mayuko Takayama ◽

Catherine W Gillespie ◽

Ali H Mokdad

Keyword(s):

Health Care ◽

Influenza Vaccination ◽

Pregnant Women ◽

Health Care Access ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Care Access ◽

The Usa

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Frequency of Stress Urinary Incontinence during Third Trimester in pregnant female with Referral for the Physiotherapy

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v10i4.603 ◽

2021 ◽

Vol 10 (4) ◽

pp. 215-219

Author(s):

Dr Fizah Mahnoor Khan ◽

Dr Tehmina Gul ◽

Dr Syeda Farah Naqvi ◽

Dr.Sumaiyah Obaid ◽

Dr Mahwish Haye

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pregnant Women ◽

Sampling Technique ◽

Third Trimester ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Pregnant Females ◽

International Consultation ◽

In Pregnancy

Introduction .Objectives of the study are:- 1) To determine the frequency of stress incontinence in pregnant females, 2) To determine the frequency of urinary incontinence is increased in primigravida (pregnant for first time), or multigravida. 3) To determine how many of the females are referred for physiotherapy. Methodology: A Cross-sectional survey was conducted among 600 pregnant females from January to June 2018 selected via the convenience sampling technique. Data was collected from different major cities of Pakistan using validated questionnaires including “The Questionnaire for Urinary Incontinence Diagnosis” (QUID) and “International consultation on incontinence questionnaire” (ICIQ-SF) and self-structured questions assessing the reference of pregnant women to physiotherapy, for urinary incontinence. Subjects were selected according to the inclusion and exclusion criteria with the consent and approval of the participants. Statistical analysis was done using SPSS v.20. Results Out of 600 females, 84.3% (506/600) had experienced stress urinary incontinence in pregnancy and a 64.5% urinary incontinence was found in multigravida females. According to the results, the complaints of urinary incontinence were increased during the 9th month to 35.5%. 6.2% of the participants were referred to a physiotherapist for exercise, out of which, 3.7% were prescribed daily exercise and 1% followed the exercise regime regularly. Conclusion This Study concludes that the frequency of stress urinary incontinence in third-trimester pregnant women especially during 9th-month multigravida is severed. Referral to physiotherapy for urinary incontinence in pregnancy is extremely low.

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The Impact of Patient’s Socio-Demographic Characterictics, Comorbidities and Attitudes on Flu Vaccination Uptake in Family Practice Settings / Vpliv Bolnikovih Psihosocialnih Značilnosti, Komorbidnosti In Stališč Na Odločitev O Cepljenju Proti Gripi V Ambulantah Družinske Medicine

Slovenian Journal of Public Health ◽

10.1515/sjph-2015-0029 ◽

2015 ◽

Vol 54 (3) ◽

pp. 204-211 ◽

Cited By ~ 1

Author(s):

Andrej Kravos ◽

Lucija Kračun ◽

Klara Kravos ◽

Rade Iljaž

Keyword(s):

Influenza Vaccination ◽

Family Physician ◽

Demographic Data ◽

Family Physicians ◽

Office Visits ◽

Cross Sectional ◽

Vaccination Rates ◽

Flu Vaccination ◽

The Impact ◽

Beliefs And Attitudes

Abstract Objectives. In Slovenia, the role of family physicians in primary care and preventive procedures is very important. Influenza vaccination rates in Slovenia are low. The reasons for low vaccination rates in Slovenia were not clear. We suppose that patient’s beliefs and attitudes are important factors. We assessed patients’ opinions regarding the acceptance of flu vaccination by their family physicians and their beliefs and attitudes about flu and vaccination. The aim was to check out factors that influence the decision to take the vaccine in family physician offices. Methods. This was a cross-sectional, multicenter, observational study in the Styria region in Slovenia. We included patients from seven family physicians during regular office visits. They filled in a questionnaire about their general demographic data and attitudes regarding influenza and vaccination. The main outcome was the decision to be vaccinated. Results. The logistic regression model identified five predictors for influenza vaccination, namely: heart disease, previous vaccination, an agreement with the beliefs ‘the vaccination is an efficient measure to prevent influenza’, ‘after the vaccination there are usually no important side effects’ and ‘the vaccination is also recommended for a healthy adult person’. The belief that vaccinations harm the immune system is negatively associated with vaccination. Conclusions. Patients’ beliefs are an important factor to decide for vaccination or not. Family physician teams should discuss with patients their beliefs and concerns about vaccination.

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Prevalence and obstetric factors associated with anaemia among pregnant women, attending antenatal care in Unguja island, Tanzania

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190577 ◽

2019 ◽

Vol 6 (3) ◽

pp. 950 ◽

Cited By ~ 1

Author(s):

Mwanaisha M. Ali ◽

Agatha F. Ngowi ◽

Nyasiro S. Gibore

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Major Health Problem ◽

Factors Associated ◽

Obstetric Factors ◽

Anaemia In Pregnancy ◽

In Pregnancy

Background: Anaemia in pregnancy remains a major health problem with adverse maternal and fetal outcome worldwide, especially in developing countries such as Tanzania. The study aimed to establish prevalence and obstetric factors associated with anaemia among pregnant women attending antenatal care visits in Unguja Island, Tanzania.Methods: This cross sectional survey used systemic random sampling in three hospitals of Unguja Island to select 388 pregnant women. Demographic and obstetric characteristics of respondents were collected using a structured questionnaire. Hemoglobin levels were measured by using Hemocue machine. Multivariate logistic regression analysis was carried out in SPSS version 21.0 to measure obstetric factors associated with anaemia among pregnant women.Results: The overall prevalence of anaemia among pregnant women was 80.8%, whereby 68.64% of respondents had mild anaemia, 11.24% had moderate anaemia and 0.89% had severe anaemia. The factors associated with anaemia in pregnancy were gravidity, (AOR= 1.185, 95% CI=0.317-4.338, p<0.001), irregular taking of iron tablets (AOR=0.288, 95% CI=0.149-0.556, p<0.001) and age of the child <2 years, (AOR 3.635, 95% CI= 1.103-11.882, p<0.034).Conclusions: The prevalence of anaemia among pregnant women in Unguja is high. Timely and regular intake of iron tablets during pregnancy, child spacing as well as having children within the capacity of parents to raise them up may significantly reduce the prevalence of anaemia in pregnancy. Therefore health education on family planning and the importance of taking of iron tablet is critical.

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