Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit

In Italy, the National Plan for the Elimination of Measles and Congenital Rubella 2010–15 suggests offering Measles, Mumps and Rubella (MMR) vaccination to susceptible women who underwent voluntary termination of pregnancy (VTP) In Rome, S. Eugenio Hospital is one of the structures where VTP is prac...

Full description

Bibliographic Details
Main Authors: V. Pettinicchio, V. Santoro, C. Vazzoler, P. Magliocchetti, D. Orsini, A. Lancia, E. Franco
Format: Article
Language:English
Published: Taylor & Francis Group 2018-04-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1409317
_version_ 1797677545349447680
author V. Pettinicchio
V. Santoro
C. Vazzoler
P. Magliocchetti
D. Orsini
A. Lancia
E. Franco
author_facet V. Pettinicchio
V. Santoro
C. Vazzoler
P. Magliocchetti
D. Orsini
A. Lancia
E. Franco
author_sort V. Pettinicchio
collection DOAJ
description In Italy, the National Plan for the Elimination of Measles and Congenital Rubella 2010–15 suggests offering Measles, Mumps and Rubella (MMR) vaccination to susceptible women who underwent voluntary termination of pregnancy (VTP) In Rome, S. Eugenio Hospital is one of the structures where VTP is practised in an Operative Unit called “Family Planning” The primary goal of this study was to estimate the prevalence of susceptibility to rubella, using IgG and IgM immunoassays, among women accessing VTP and to offering MMR vaccination to susceptible women. Secondarily, this study evaluated acceptance of the vaccination offer From 2013 to 2015, data were collected from 1513 voluntary termination of pregnancy (VTP) cases The results show a significant increase of 5 percent in susceptibility prevalence in the target group from 13.6% in 2013 and 2014 to 18.4% in 2015 The association between rubella susceptibility and age was statistically significant (p<0.01) Throughout the entire period, acceptance of the vaccine proposal was 19% (45/232) among susceptible women; 58% (135/232) refused the vaccine and 23% (52/232) took time to think about it This study shows an increase of 5 percent in the prevalence of rubella susceptibility over two years. This result is worrying, even considering the short span of the data collection The rate of acceptance of vaccination is unsatisfactory considering the possibility of future pregnancies This issue deserves continued action, which, going forward, might transform a “project” into a shared strategy as part of a wider network with the goal of aligning Italy with international recommendations.
first_indexed 2024-03-11T22:46:49Z
format Article
id doaj.art-5b7ae6e58f2444d09cd8d218e68692c5
institution Directory Open Access Journal
issn 2164-5515
2164-554X
language English
last_indexed 2024-03-11T22:46:49Z
publishDate 2018-04-01
publisher Taylor & Francis Group
record_format Article
series Human Vaccines & Immunotherapeutics
spelling doaj.art-5b7ae6e58f2444d09cd8d218e68692c52023-09-22T08:17:53ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2018-04-0114486486710.1080/21645515.2017.14093171409317Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unitV. Pettinicchio0V. Santoro1C. Vazzoler2P. Magliocchetti3D. Orsini4A. Lancia5E. Franco6University of Rome Tor VergataUniversity of Rome Tor VergataHygiene and Public Health Operative Unit, Local Health Unit “Roma 2”Family Planning Operative Unit, S. Eugenio Hospital, Local Health Unit “Roma 2”Laboratory of Clinical Pathology, “S. Eugenio” Hospital, Local Health Unit “Roma 2”9th Sanitary District, Local Health Unit “Roma 2”University of Rome Tor VergataIn Italy, the National Plan for the Elimination of Measles and Congenital Rubella 2010–15 suggests offering Measles, Mumps and Rubella (MMR) vaccination to susceptible women who underwent voluntary termination of pregnancy (VTP) In Rome, S. Eugenio Hospital is one of the structures where VTP is practised in an Operative Unit called “Family Planning” The primary goal of this study was to estimate the prevalence of susceptibility to rubella, using IgG and IgM immunoassays, among women accessing VTP and to offering MMR vaccination to susceptible women. Secondarily, this study evaluated acceptance of the vaccination offer From 2013 to 2015, data were collected from 1513 voluntary termination of pregnancy (VTP) cases The results show a significant increase of 5 percent in susceptibility prevalence in the target group from 13.6% in 2013 and 2014 to 18.4% in 2015 The association between rubella susceptibility and age was statistically significant (p<0.01) Throughout the entire period, acceptance of the vaccine proposal was 19% (45/232) among susceptible women; 58% (135/232) refused the vaccine and 23% (52/232) took time to think about it This study shows an increase of 5 percent in the prevalence of rubella susceptibility over two years. This result is worrying, even considering the short span of the data collection The rate of acceptance of vaccination is unsatisfactory considering the possibility of future pregnancies This issue deserves continued action, which, going forward, might transform a “project” into a shared strategy as part of a wider network with the goal of aligning Italy with international recommendations.http://dx.doi.org/10.1080/21645515.2017.1409317active offeringimmunization programsmmr vaccinerubellavoluntary interruption of pregnancy
spellingShingle V. Pettinicchio
V. Santoro
C. Vazzoler
P. Magliocchetti
D. Orsini
A. Lancia
E. Franco
Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
Human Vaccines & Immunotherapeutics
active offering
immunization programs
mmr vaccine
rubella
voluntary interruption of pregnancy
title Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
title_full Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
title_fullStr Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
title_full_unstemmed Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
title_short Voluntary termination of pregnancy: An opportunity for Measles, Mumps and Rubella vaccination in an Italian healthcare local unit
title_sort voluntary termination of pregnancy an opportunity for measles mumps and rubella vaccination in an italian healthcare local unit
topic active offering
immunization programs
mmr vaccine
rubella
voluntary interruption of pregnancy
url http://dx.doi.org/10.1080/21645515.2017.1409317
work_keys_str_mv AT vpettinicchio voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT vsantoro voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT cvazzoler voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT pmagliocchetti voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT dorsini voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT alancia voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit
AT efranco voluntaryterminationofpregnancyanopportunityformeaslesmumpsandrubellavaccinationinanitalianhealthcarelocalunit