Australian Centre for Public and Population Health Research, University of Technology Sydney, 235 Jones Street, Ultimo, NSW, Australia.
Australian Centre for Public and Population Health Research, University of Technology Sydney, 235 Jones Street, Ultimo, NSW, Australia.
Women Birth. 2020 Mar;33(2):145-152. doi: 10.1016/j.wombi.2019.02.006. Epub 2019 Mar 8.
Inactivated influenza vaccine and diphtheria-tetanus acellular pertussis vaccine are routinely recommended during pregnancy to protect women and their babies from infection. Additionally, the hepatitis B vaccine is recommended for infants within the first week of life; however, little is known about midwives' experiences of recommending and delivering these immunisations.
Midwives are a trusted source of vaccine information for parents and the confident provision of information about immunisation during antenatal clinic visits has been found to increase the uptake of antenatal and childhood vaccines.
This study aims to explore midwives' experiences of discussing maternal and childhood immunisation with women and their partners and their confidence in answering parent's questions.
We conducted 23 semi-structured interviews with registered Australian midwives working in public and private hospital settings, and in private practice.
Midwives find negotiating the requirement to recommend immunisation within a women-centred framework challenging at times. The vast majority of midwives described their education on immunisation as inadequate and workplace issues, such as time pressure, were identified as further barriers to effective communication about immunisation.
DISCUSSION/CONCLUSION: The provision of immunisation training within midwifery education and continued professional development is critical. Appropriately resourcing midwives with the necessary infrastructure, education and resources to fully inform parents about immunisation may have a positive impact on vaccine uptake.
为了保护妇女及其婴儿免受感染，流感灭活疫苗和白喉-破伤风无细胞百日咳疫苗通常在怀孕期间推荐使用。此外，乙型肝炎疫苗也建议在婴儿出生后的第一周内接种；然而，对于助产士推荐和接种这些疫苗的经验，人们知之甚少。
助产士是父母疫苗信息的可靠来源，在产前诊所就诊时自信地提供有关免疫接种的信息已被发现可增加产前和儿童期疫苗的接种率。
本研究旨在探讨助产士与妇女及其伴侣讨论孕产妇和儿童免疫接种的经验，以及她们回答家长问题的信心。
我们对在公立医院和私立医院以及私人执业的 23 名注册澳大利亚助产士进行了 23 次半结构化访谈。
助产士有时发现需要在以妇女为中心的框架内协商推荐免疫接种具有挑战性。绝大多数助产士表示，他们的免疫接种教育不足，工作场所的问题，如时间压力，被确定为有效沟通免疫接种的进一步障碍。
讨论/结论：在助产士教育中提供免疫接种培训和持续的专业发展至关重要。为助产士提供必要的基础设施、教育和资源，以便充分告知父母有关免疫接种的信息，可能会对疫苗接种率产生积极影响。
