Department of Obstetrics and Gynaecology, Hospital Universitario del Vinalopó, Spain C/Tonico Sansano Mora, 14, 03293 Elche, Spain.
Department of Nursing Universidad CEU Cardenal Herrera, Plaza Reyes Católicos, 19, 03204 Elche, Spain.
Int J Environ Res Public Health. 2019 Feb 14;16(4):543. doi: 10.3390/ijerph16040543.
: Pregnant women should receive two vaccines during pregnancy due to maternal-foetal complications and risks as well as the influenza and pertussis vaccinations. The goal was to evaluate vaccination coverage against influenza and pertussis in pregnant women, following midwife professional advice during the pregnancy follow-up; : Prospective cohort study of 1017 pregnancies during the vaccination campaign in 2015⁻2016. To estimate the degree of consistency between the coverage declared by mothers and that registered in the Nominal Vaccination Registry (NVR), we used the Cohen's kappa index (k); : 95.4% were registered in the NVR. Vaccination coverage recorded against influenza was 64.2% (95% CI: 61.2⁻67.2), and 89.8% (95% CI: 87.9⁻91.7) against pertussis. The coverage of the pregnant women interviewed was 61.7% (95% CI: 58.1⁻67.3)) for influenza and 92.3% (95% CI: 91.4⁻95.3) for pertussis. Subsequent interviews of 67.2% of the women produced a kappa agreement index between the data obtained from interviews and those recorded in the NVR of 0.974 (IC95%: 98.0⁻99.6) for influenza, and 0.921 (IC95%: 98.1⁻99.7) for pertussis. The women identified midwives as the main source of vaccination information and advice 88.4% (IC95%: 85.8⁻90.9); : The NVR is an effective platform for estimating immunisation coverage in pregnant women. The degree of agreement between declared vaccinations and registered vaccinations was high for both vaccines.
孕妇在怀孕期间应接种两针疫苗，以应对母婴并发症和风险，以及流感和百日咳疫苗。目的是评估在 2015-2016 年流感和百日咳疫苗接种运动期间，根据助产士在妊娠随访期间的专业建议，孕妇接种疫苗的覆盖率；一项针对 2015-2016 年疫苗接种运动期间 1017 例妊娠的前瞻性队列研究。为了估计母亲报告的覆盖率与名义疫苗接种登记处（NVR）登记的覆盖率之间的一致性程度，我们使用 Cohen's kappa 指数（k）；95.4%的人在 NVR 中登记。针对流感的疫苗接种覆盖率为 64.2%（95%可信区间：61.2-67.2），针对百日咳的疫苗接种覆盖率为 89.8%（95%可信区间：87.9-91.7）。接受采访的孕妇的疫苗接种覆盖率为 61.7%（95%可信区间：58.1-67.3））流感和 92.3%（95%可信区间：91.4-95.3）百日咳。对 67.2%的女性进行后续访谈，从访谈中获得的数据与 NVR 中记录的数据之间的 Kappa 一致性指数为 0.974（95%可信区间：98.0-99.6）流感，以及 0.921（95%可信区间：98.1-99.7）百日咳。女性将助产士确定为接种疫苗信息和建议的主要来源，占 88.4%（95%可信区间：85.8-90.9）；NVR 是一种有效的平台，可用于估算孕妇的免疫接种覆盖率。两种疫苗的报告接种率与登记接种率之间的一致性程度很高。
