tetano
Editor, Senior Moderator
Minerva Ginecol. 2019 Mar 29. doi: 10.23736/S0026-4784.19.04294-1. [Epub ahead of print]
[h=1]Knowledge, attitudes, beliefs and practices of obstetrics-gynecologists on seasonal influenza and pertussis immunizations in pregnant women: preliminary results from North-Western Italy.[/h] Ricco' M[SUP]1[/SUP], Vezzosi L[SUP]2[/SUP], Gualerzi G[SUP]3[/SUP], Balzarini F[SUP]4[/SUP], Capozzi VA[SUP]5[/SUP], Volpi L[SUP]6[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Italian National Immunization Plan (NIP) 2017-2019 has introduced new recommendations regarding immunization practices during pregnancy. In this cross sectional study, we documented specific knowledge, attitudes, and practices (KAP) in a sample of obstetrician-gynecologists (OBGYN).
[h=4]METHODS:[/h] A total of 68 OBGYN (39.7% of males, mean age of 47.7 ? 9.3 years old) compiled a structured online-questionnaire. Participants were asked about: knowledge of vaccine issues (both in general and regarding NIP recommendations for pregnant women); actual performance/recommendation of seasonal influenza (SID) and tetanus-diphtheria- acellular pertussis vaccinations (Tdap); risk perception about SID and pertussis. Eventually, a regression analysis was performed in order to identify predictive factors for vaccine propensity.
[h=4]RESULTS:[/h] Although most OBGYN were aware of official recommendations, only 57.4% and 55.9% correctly recalled the appropriate timing for vaccinations shots for SID and Tdap. Overall, 79.4% and 67.6% of participants usually delivered or recommended SID and Tdap to pregnant women, respectively. Main perceived barriers were identified by OBGYN in patients' fear of side effects (89.7%), their low risk perception (82.3%), insufficient awareness of official recommendations among pregnant women (75.0%). Significant predictors of Tdap practice were identified in higher risk perception (OR 6.466, 95%CI 1.077; 38.803) and better knowledge of official recommendations (OR 7.310, 95%CI 1.195; 44.704), whereas SID was apparently unrelated with individual characteristics of participants.
[h=4]CONCLUSIONS:[/h] Sampled OBGYN were largely favorable towards vaccination of pregnant women. As knowledge of official recommendations was identified as a main predictor of appropriate behavior at least for Tdap practice, future educational interventions could eventually improve immunization rates.
PMID: 30938116 DOI: 10.23736/S0026-4784.19.04294-1
[h=1]Knowledge, attitudes, beliefs and practices of obstetrics-gynecologists on seasonal influenza and pertussis immunizations in pregnant women: preliminary results from North-Western Italy.[/h] Ricco' M[SUP]1[/SUP], Vezzosi L[SUP]2[/SUP], Gualerzi G[SUP]3[/SUP], Balzarini F[SUP]4[/SUP], Capozzi VA[SUP]5[/SUP], Volpi L[SUP]6[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Italian National Immunization Plan (NIP) 2017-2019 has introduced new recommendations regarding immunization practices during pregnancy. In this cross sectional study, we documented specific knowledge, attitudes, and practices (KAP) in a sample of obstetrician-gynecologists (OBGYN).
[h=4]METHODS:[/h] A total of 68 OBGYN (39.7% of males, mean age of 47.7 ? 9.3 years old) compiled a structured online-questionnaire. Participants were asked about: knowledge of vaccine issues (both in general and regarding NIP recommendations for pregnant women); actual performance/recommendation of seasonal influenza (SID) and tetanus-diphtheria- acellular pertussis vaccinations (Tdap); risk perception about SID and pertussis. Eventually, a regression analysis was performed in order to identify predictive factors for vaccine propensity.
[h=4]RESULTS:[/h] Although most OBGYN were aware of official recommendations, only 57.4% and 55.9% correctly recalled the appropriate timing for vaccinations shots for SID and Tdap. Overall, 79.4% and 67.6% of participants usually delivered or recommended SID and Tdap to pregnant women, respectively. Main perceived barriers were identified by OBGYN in patients' fear of side effects (89.7%), their low risk perception (82.3%), insufficient awareness of official recommendations among pregnant women (75.0%). Significant predictors of Tdap practice were identified in higher risk perception (OR 6.466, 95%CI 1.077; 38.803) and better knowledge of official recommendations (OR 7.310, 95%CI 1.195; 44.704), whereas SID was apparently unrelated with individual characteristics of participants.
[h=4]CONCLUSIONS:[/h] Sampled OBGYN were largely favorable towards vaccination of pregnant women. As knowledge of official recommendations was identified as a main predictor of appropriate behavior at least for Tdap practice, future educational interventions could eventually improve immunization rates.
PMID: 30938116 DOI: 10.23736/S0026-4784.19.04294-1