Department of Psychology, American University, Washington, DC 20024, USA.
Obstet Gynecol Surv. 2009 Dec;64(12):823-9. doi: 10.1097/OGX.0b013e3181c4bbb7.
Vaccines are important tools for disease prevention and, in obstetric patients, to prevent transmission to infants. Obstetrician-gynecologists are well situated to screen for immunization status of women of child-bearing age and to provide appropriate vaccinations. A series of research investigated obstetrician-gynecologists' beliefs, practices, and knowledge regarding immunization. Surveys were sent out in 2007 to Fellows of the American College of Obstetricians and Gynecologists. Most obstetrician-gynecologists viewed screening for vaccine-preventable diseases to be within their professional role, and a majority administers at least some vaccines. Over half agreed financial factors (eg, inadequate reimbursement, cost of storing vaccines) were barriers to vaccine administration. Other perceived barriers were a concern over safety of vaccinations during pregnancy and a view that administering vaccines was not part of their usual practice. They were also concerned about their level of training. A majority believed their immunization training was less than adequate, and believed their practice would benefit from continuing medical education courses. One study identified changes in Michigan obstetrician-gynecologists' attitudes, knowledge and practices since 2000. More Michigan ob-gyns are assessing vaccination needs, viewing this as part of their professional purview, and, in general, their knowledge of vaccine recommendations has improved. Concerns over the safety of vaccines in pregnancy as well as financial burdens of immunization have increased. Immunization is an important part of women's health care and has been, at least partially, incorporated into obstetrician-gynecologist practice. Financial burdens and physician concerns over training remain barriers to vaccine administration.
疫苗是预防疾病的重要工具，在产科患者中，还可用于预防向婴儿传播。妇产科医生在筛查育龄妇女的免疫状况并提供适当疫苗方面具有得天独厚的优势。一系列研究调查了妇产科医生对免疫接种的信念、实践和知识。2007 年向美国妇产科医师学会的研究员发送了调查。大多数妇产科医生认为筛查疫苗可预防疾病是其专业职责的一部分，并且大多数人至少会接种一些疫苗。超过一半的人同意财务因素（例如，报销不足，储存疫苗的费用）是疫苗接种的障碍。其他被认为的障碍包括对怀孕期间疫苗安全性的担忧，以及认为接种疫苗不是其常规做法的一部分。他们还担心自己的培训水平。大多数人认为他们的免疫接种培训不足，并且认为他们的实践将受益于继续医学教育课程。一项研究确定了自 2000 年以来密歇根州妇产科医生的态度、知识和实践的变化。越来越多的密歇根州妇产科医生正在评估疫苗接种需求，将其视为其专业职责的一部分，而且，他们对疫苗推荐的了解总体上有所提高。对怀孕期间疫苗安全性的担忧以及免疫接种的经济负担增加了。免疫接种是妇女保健的重要组成部分，并且已经（至少部分）纳入了妇产科医生的实践。经济负担和医生对培训的关注仍然是疫苗接种的障碍。
