Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives

Annette Regan, D.B. Mak, Y.L. Hauck, R. Gibbs, L. Tracey, Paul Effler

    Research output: Contribution to journalArticle

    23 Citations (Scopus)

    Abstract

    © 2016 Australian College of MidwivesBackground Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. Aim To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. Methods We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. Findings Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p <0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%). Discussion Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. Conclusion Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.
    Original languageEnglish
    Pages (from-to)423-429
    JournalWomen and Birth
    Volume29
    Issue number5
    DOIs
    Publication statusPublished - 2016

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    Western Australia
    Influenza Vaccines
    Midwifery
    Vaccination
    Human Influenza
    Pregnancy
    Prenatal Care
    Pregnant Women
    Mothers
    Public Hospitals
    Telephone
    Health Personnel
    General Practitioners
    Decision Making
    Public Health
    Newborn Infant

    Cite this

    Regan, Annette ; Mak, D.B. ; Hauck, Y.L. ; Gibbs, R. ; Tracey, L. ; Effler, Paul. / Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives. In: Women and Birth. 2016 ; Vol. 29, No. 5. pp. 423-429.
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    abstract = "{\circledC} 2016 Australian College of MidwivesBackground Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. Aim To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. Methods We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. Findings Between 2012 and 2014, influenza vaccine coverage increased from 22.9{\%} to 41.4{\%}. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p <0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8{\%}) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5{\%}). Discussion Antenatal influenza vaccination uptake is increasing, but coverage remains below 50{\%}. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. Conclusion Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.",
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    Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives. / Regan, Annette; Mak, D.B.; Hauck, Y.L.; Gibbs, R.; Tracey, L.; Effler, Paul.

    In: Women and Birth, Vol. 29, No. 5, 2016, p. 423-429.

    Research output: Contribution to journalArticle

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    N2 - © 2016 Australian College of MidwivesBackground Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. Aim To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. Methods We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. Findings Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p <0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%). Discussion Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. Conclusion Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.

    AB - © 2016 Australian College of MidwivesBackground Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. Aim To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. Methods We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. Findings Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p <0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%). Discussion Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. Conclusion Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.

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