a Department of Obstetrics and Gynaecology , Cavan Monaghan General Hospital , Co Cavan , Ireland.
Hum Vaccin Immunother. 2018 Apr 3;14(4):978-983. doi: 10.1080/21645515.2017.1419110. Epub 2018 Feb 22.
Infection with Pertussis or with Influenza during the antenatal period usually results in complications leading to severe morbidity and mortality. Influenza virus outbreak usually occurs almost every year during the winter periods with profound burden on the entire healthcare system. Both disease conditions are preventable with adequate health education and vaccination. Healthcare professionals have a role to play in the communication and provision of this all important health programme.
We aimed to assess patients' awareness of pertussis and influenza vaccination as well as healthcare professionals' knowledge and attitude to pertussis and influenza vaccination during the antenatal periods in Cavan Monaghan General Hospital.
We performed a prospective cohort study in the antenatal clinics among patients, Non- consultant hospital doctors (NCHDs) and midwives in the maternity unit.
Our setting was a regional hospital in the North East of the Republic of Ireland with approximately 2000 deliveries per annum.
These were randomly recruited from those attending routine antenatal clinic during the study period and healthcare professional working in the maternity unit.
Of the 113 antenatal women who completed the questionnaire,. more than 75% have heard of both vaccinations in pregnancy. Interestingly, 51.3% of women heard of the vaccination from their General practitioner (GP) while 1.8% heard of it from their hospital doctor. Despite this awareness, 57.6% and 31.9% of women knew that influenza and pertussis vaccine respectively is safe in pregnancy. The uptake of both vaccines is quite low with 31% for pertussis and 42.5% for influenza vaccine respectively. Despite more than 95% of healthcare professionals being aware of the health service executive (HSE) guidelines on immunisation, more than 75% of healthcare professionals did not receive the influenza vaccinations themselves and had no plans to receive it. More so, only 18% of healthcare professionals always discuss immunisation with antenatal women during their consultations.
Our study identified low pertussis and influenza vaccine uptake among pregnant women and their HCPs. Inadequate knowledge of immunization guidelines among HCPs, lack of insight on the need to get the vaccines among HCPs and poor communication are the probable cause of the low uptake. Hence, the need for more health educational programs to improve health professionals' knowledge and vaccine confidence and also vaccine uptake by patients.
妊娠期间感染百日咳或流感通常会导致严重的并发症，导致发病率和死亡率升高。流感病毒通常在冬季爆发，给整个医疗保健系统带来沉重负担。这两种疾病都可以通过充分的健康教育和疫苗接种来预防。医疗保健专业人员在沟通和提供这项重要的健康计划方面发挥着作用。
我们旨在评估卡万-莫纳亨综合医院（Cavan Monaghan General Hospital）妊娠期间患者对百日咳和流感疫苗的认识，以及医疗保健专业人员对百日咳和流感疫苗的知识和态度。
我们在产科门诊对患者、非顾问医院医生（NCHDs）和助产士进行了前瞻性队列研究。
我们的研究地点是爱尔兰共和国东北部的一家地区医院，每年约有 2000 名产妇分娩。
这些参与者是在研究期间参加常规产前检查的患者和在产科病房工作的医疗保健专业人员中随机招募的。
在完成问卷调查的 113 名孕妇中，超过 75%的人听说过妊娠期间的这两种疫苗。有趣的是，51.3%的女性是从全科医生（GP）那里听说过疫苗，而只有 1.8%的女性是从医院医生那里听说过疫苗。尽管有这种认识，但仍有 57.6%和 31.9%的女性知道流感和百日咳疫苗在妊娠期间是安全的。这两种疫苗的接种率都相当低，分别为 31%的百日咳疫苗和 42.5%的流感疫苗。尽管超过 95%的医疗保健专业人员了解卫生服务执行局（HSE）的免疫接种指南，但超过 75%的医疗保健专业人员自己没有接种流感疫苗，也没有计划接种。更重要的是，只有 18%的医疗保健专业人员在咨询时总是与孕妇讨论免疫接种。
我们的研究发现，孕妇及其 HCPs 接种百日咳和流感疫苗的比例较低。HCPs 对免疫接种指南的知识不足，HCPs 对接种疫苗的必要性认识不足，以及沟通不畅，可能是接种率低的原因。因此，需要开展更多的健康教育项目，以提高卫生专业人员的知识和疫苗信心，并提高患者的疫苗接种率。
