Vaccination during pregnancy: Canadian maternity care providers' opinions and practices
A number of countries have implemented vaccination in pregnancy as a strategy to reduce the burden of influenza and pertussis. The aim of this study was to assess the involvement of Canadian maternity care providers in administration of vaccines to their pregnant patients. A cross-sectional web-base...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-11-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2020.1735225 |
| _version_ | 1797677278393532416 |
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| author | Eve Dubé Dominique Gagnon Kyla Kaminsky Courtney R. Green Manale Ouakki Julie A. Bettinger Nicholas Brousseau Eliana Castillo Natasha S. Crowcroft S. Michelle Driedger Devon Greyson Deshayne Fell William Fisher Arnaud Gagneur Maryse Guay Donna Halperin Scott A. Halperin Shannon MacDonald Samantha B. Meyer Nancy M. Waite Kumanan Wilson Holly O. Witteman Mark Yudin Jocelynn L. Cook |
| author_facet | Eve Dubé Dominique Gagnon Kyla Kaminsky Courtney R. Green Manale Ouakki Julie A. Bettinger Nicholas Brousseau Eliana Castillo Natasha S. Crowcroft S. Michelle Driedger Devon Greyson Deshayne Fell William Fisher Arnaud Gagneur Maryse Guay Donna Halperin Scott A. Halperin Shannon MacDonald Samantha B. Meyer Nancy M. Waite Kumanan Wilson Holly O. Witteman Mark Yudin Jocelynn L. Cook |
| author_sort | Eve Dubé |
| collection | DOAJ |
| description | A number of countries have implemented vaccination in pregnancy as a strategy to reduce the burden of influenza and pertussis. The aim of this study was to assess the involvement of Canadian maternity care providers in administration of vaccines to their pregnant patients. A cross-sectional web-based survey was sent to family physicians, obstetricians-gynecologists, midwives, pharmacists, and nurses. A multivariable logistic regression model was used to determine variables independently associated with offering vaccination services in pregnancy in providers’ practice. A total of 1,135 participants participated. Overall, 64% (n = 724) of the participants reported offering vaccines in their practice and 56% (n = 632) reported offering vaccines to pregnant patients. The main reasons reported for not offering vaccination services in pregnancy were the belief that vaccination was outside of the scope of practice; logistical issues around access to vaccines; or lack of staff to administer vaccines. In multivariable analysis, the main factors associated with vaccination of pregnant patients in practices where vaccination services were offered were: providers’ confidence in counseling pregnant patients about vaccines, seeing fewer than 11 pregnant patients on average each week, and being a nurse or a family physician. Although the majority of participants expressed strong support for vaccination during pregnancy, half were not offering vaccination services in their practice. Many were not equipped to offer vaccines in their practice or felt that it was not their role to do so. To enhance vaccine acceptance and uptake in pregnancy, it will be important to address the logistical barriers identified in this study. |
| first_indexed | 2024-03-11T22:43:00Z |
| format | Article |
| id | doaj.art-56949e2c492448fe8d17125bacb44228 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T22:43:00Z |
| publishDate | 2020-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-56949e2c492448fe8d17125bacb442282023-09-22T08:45:36ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-11-0116112789279910.1080/21645515.2020.17352251735225Vaccination during pregnancy: Canadian maternity care providers' opinions and practicesEve Dubé0Dominique Gagnon1Kyla Kaminsky2Courtney R. Green3Manale Ouakki4Julie A. Bettinger5Nicholas Brousseau6Eliana Castillo7Natasha S. Crowcroft8S. Michelle Driedger9Devon Greyson10Deshayne Fell11William Fisher12Arnaud Gagneur13Maryse Guay14Donna Halperin15Scott A. Halperin16Shannon MacDonald17Samantha B. Meyer18Nancy M. Waite19Kumanan Wilson20Holly O. Witteman21Mark Yudin22Jocelynn L. Cook23Institut National de Santé Publique du QuébecInstitut National de Santé Publique du QuébecSociety of Obstetricians and Gynaecologists of CanadaSociety of Obstetricians and Gynaecologists of CanadaInstitut National de Santé Publique du QuébecUniversity of British ColumbiaInstitut National de Santé Publique du QuébecUniversity of CalgaryInstitute for Clinical Evaluative Sciences and University of TorontoUniversity of ManitobaUniversity of British ColumbiaUniversity of OttawaWestern UniversityUniversité de SherbrookeInstitut National de Santé Publique du QuébecSt. Francis Xavier UniversityDalhousie University and the IWK Health CentreUniversity of AlbertaUniversity of WaterlooUniversity of WaterlooOttawa Hospital Research InstituteUniversité LavalUniversity of TorontoSociety of Obstetricians and Gynaecologists of CanadaA number of countries have implemented vaccination in pregnancy as a strategy to reduce the burden of influenza and pertussis. The aim of this study was to assess the involvement of Canadian maternity care providers in administration of vaccines to their pregnant patients. A cross-sectional web-based survey was sent to family physicians, obstetricians-gynecologists, midwives, pharmacists, and nurses. A multivariable logistic regression model was used to determine variables independently associated with offering vaccination services in pregnancy in providers’ practice. A total of 1,135 participants participated. Overall, 64% (n = 724) of the participants reported offering vaccines in their practice and 56% (n = 632) reported offering vaccines to pregnant patients. The main reasons reported for not offering vaccination services in pregnancy were the belief that vaccination was outside of the scope of practice; logistical issues around access to vaccines; or lack of staff to administer vaccines. In multivariable analysis, the main factors associated with vaccination of pregnant patients in practices where vaccination services were offered were: providers’ confidence in counseling pregnant patients about vaccines, seeing fewer than 11 pregnant patients on average each week, and being a nurse or a family physician. Although the majority of participants expressed strong support for vaccination during pregnancy, half were not offering vaccination services in their practice. Many were not equipped to offer vaccines in their practice or felt that it was not their role to do so. To enhance vaccine acceptance and uptake in pregnancy, it will be important to address the logistical barriers identified in this study.http://dx.doi.org/10.1080/21645515.2020.1735225immunizationpertussisprenatal carehealth care providersimmunization servicesknowledgeattitudes and practices |
| spellingShingle | Eve Dubé Dominique Gagnon Kyla Kaminsky Courtney R. Green Manale Ouakki Julie A. Bettinger Nicholas Brousseau Eliana Castillo Natasha S. Crowcroft S. Michelle Driedger Devon Greyson Deshayne Fell William Fisher Arnaud Gagneur Maryse Guay Donna Halperin Scott A. Halperin Shannon MacDonald Samantha B. Meyer Nancy M. Waite Kumanan Wilson Holly O. Witteman Mark Yudin Jocelynn L. Cook Vaccination during pregnancy: Canadian maternity care providers' opinions and practices Human Vaccines & Immunotherapeutics immunization pertussis prenatal care health care providers immunization services knowledge attitudes and practices |
| title | Vaccination during pregnancy: Canadian maternity care providers' opinions and practices |
| title_full | Vaccination during pregnancy: Canadian maternity care providers' opinions and practices |
| title_fullStr | Vaccination during pregnancy: Canadian maternity care providers' opinions and practices |
| title_full_unstemmed | Vaccination during pregnancy: Canadian maternity care providers' opinions and practices |
| title_short | Vaccination during pregnancy: Canadian maternity care providers' opinions and practices |
| title_sort | vaccination during pregnancy canadian maternity care providers opinions and practices |
| topic | immunization pertussis prenatal care health care providers immunization services knowledge attitudes and practices |
| url | http://dx.doi.org/10.1080/21645515.2020.1735225 |
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