tetano
Editor, Senior Moderator
Hum Vaccin Immunother. 2013 Jun 19;9(9). [Epub ahead of print]
Knowledge and attitudes of postpartum women toward immunization during pregnancy and the peripartum period.
Rossmann Beel E, Rench MA, Montesinos DP, Mayes B, Healy CM.
Source
Department of Pediatrics, Baylor College of Medicine; Houston, TX USA.
Abstract
Influenza and pertussis prevention in young infants requires immunizing pregnant women and all caregivers (cocooning). We evaluated the knowledge and attitude of postpartum women about these two recommendations. A survey of predominantly Hispanic, underinsured, medically underserved postpartum women in Houston, Texas was performed during June 2010 through July 2012. 511 postpartum women [mean age 28.8 y (18-45); 94% Hispanic] with a mean of 3 children (1-12) participated. Ninety-one (17.8%) were first-time mothers. 496 (97.1%) received prenatal care; care was delayed in 24.3%. Only 313 (61.3%) received vaccine education while pregnant and 291 (57%) were immunized. Four hundred 74 women (93%) were willing to be immunized during pregnancy if recommended by their healthcare provider, (the most trusted information source for 62%). Immunization of infants or infant caregivers was discussed with 41% and 10% of mothers, respectively. 230 women (45%) had received influenza vaccine; most intended to (79%) or had already received (15%) tetanus, diphtheria, and acellular pertussis (Tdap) vaccine. Preferred locations for cocooning were hospital or community clinics (97%). Insufficient knowledge (46.6%), cost (31.4%), lack of transportation (26%), work commitments (13.3%), and fear of needles (13.3%) were perceived barriers to cocooning. Level of formal education received by mothers had no effect on the quantity or quality of immunization education received during PNC or their attitude toward immunization. Immunization during pregnancy and cocooning, if recommended by providers, are acceptable in this high-risk population. Healthcare providers, as reported in infant studies, have the greatest influence on vaccine acceptance by pregnant and postpartum women.
KEYWORDS:
attitudes, cocooning, influenza, maternal immunization, pertussis, pregnancy, provider
PMID:
23782490
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23782490
Knowledge and attitudes of postpartum women toward immunization during pregnancy and the peripartum period.
Rossmann Beel E, Rench MA, Montesinos DP, Mayes B, Healy CM.
Source
Department of Pediatrics, Baylor College of Medicine; Houston, TX USA.
Abstract
Influenza and pertussis prevention in young infants requires immunizing pregnant women and all caregivers (cocooning). We evaluated the knowledge and attitude of postpartum women about these two recommendations. A survey of predominantly Hispanic, underinsured, medically underserved postpartum women in Houston, Texas was performed during June 2010 through July 2012. 511 postpartum women [mean age 28.8 y (18-45); 94% Hispanic] with a mean of 3 children (1-12) participated. Ninety-one (17.8%) were first-time mothers. 496 (97.1%) received prenatal care; care was delayed in 24.3%. Only 313 (61.3%) received vaccine education while pregnant and 291 (57%) were immunized. Four hundred 74 women (93%) were willing to be immunized during pregnancy if recommended by their healthcare provider, (the most trusted information source for 62%). Immunization of infants or infant caregivers was discussed with 41% and 10% of mothers, respectively. 230 women (45%) had received influenza vaccine; most intended to (79%) or had already received (15%) tetanus, diphtheria, and acellular pertussis (Tdap) vaccine. Preferred locations for cocooning were hospital or community clinics (97%). Insufficient knowledge (46.6%), cost (31.4%), lack of transportation (26%), work commitments (13.3%), and fear of needles (13.3%) were perceived barriers to cocooning. Level of formal education received by mothers had no effect on the quantity or quality of immunization education received during PNC or their attitude toward immunization. Immunization during pregnancy and cocooning, if recommended by providers, are acceptable in this high-risk population. Healthcare providers, as reported in infant studies, have the greatest influence on vaccine acceptance by pregnant and postpartum women.
KEYWORDS:
attitudes, cocooning, influenza, maternal immunization, pertussis, pregnancy, provider
PMID:
23782490
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23782490