Improving influenza vaccination coverage in pregnancy in Melbourne 2010-2011
Improving influenza vaccination coverage in pregnancy in Melbourne 2010-2011
复制标题
DOI：
10.1111/j.1479-828x.2012.01428.x
复制
发表时间：
2012-08-01
影响因子：
1.7
通讯作者：
McDonald, Susan
中科院分区：
文献类型：
--
作者：
McCarthy, Elizabeth A.;Pollock, Wendy Elizabeth;McDonald, Susan
背景：孕期季节性流感疫苗接种可有效预防严重的母婴呼吸道疾病，但澳大利亚公布的审计报告很少涉及这方面的做法。根据2010年7月从新妈妈那里获得的关于流感疫苗接种障碍的信息，为产科工作人员和孕妇制定了一项教育计划，旨在提高2011年的疫苗接种率。方法对2010年7月和2011年7月在某三级产科医院产后病房的199名新妈妈和240名新妈妈进行了访谈，询问是否提供或给予流感疫苗，以及妇女在怀孕期间选择接种或不接种疫苗的原因。结果流感疫苗接种率从2010年的30%上升到2011年的40%（P = 0.03）。在2011年的教育运动之后，很少有妇女提到自己或婴儿的安全问题。2011年90名妇女的评论使人们有理由推测，如果流感疫苗接种作为医院产前保健的一部分，疫苗接种率可能高达78%。结论：孕期流感疫苗接种率正在提高，但障碍依然存在，特别是医护人员的建议不存在或不一致，以及常规产前护理缺乏现成的途径。
Background Seasonal influenza vaccination during pregnancy is effective in preventing serious maternal and infant respiratory illness, but published Australian audits are sparse concerning practice. Aims Guided by information gained from new mothers about obstacles to influenza vaccination in July 2010, an educational program for maternity staff and pregnant women was developed with the aim of improving vaccine uptake in 2011. Methods One hundred and ninety-nine new mothers in July 2010 and 240 new mothers in July 2011 on postnatal wards of a tertiary obstetric hospital were interviewed about whether influenza vaccine had been offered or given and about reasons why women chose for or against vaccination during pregnancy. Results Influenza vaccination increased from 30% in 2010 to 40% in 2011 (P = 0.03). Fewer women cited safety concerns for themselves or their babies after the 2011 educational campaign. Comments from 90 women in 2011 give grounds for speculation that the vaccination rate could have been as high as 78% if influenza vaccination had been integrated as part of hospital-based antenatal care. Conclusions Influenza vaccine coverage during pregnancy is increasing but obstacles persist, especially absent or inconsistent advice from healthcare workers and lack of ready access during routine antenatal care.