NIHR Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
University of Southampton School of Medicine, University of Southampton, Southampton, UK.
Hum Vaccin Immunother. 2020 May 3;16(5):1221-1224. doi: 10.1080/21645515.2019.1640558. Epub 2019 Jul 24.
Improving the uptake of vaccination in pregnancy has been highlighted as a priority by the World Health Organisation, yet establishing the optimal location for delivery of the antenatal vaccination program remains a topic of debate internationally. In many countries, antenatal vaccines are usually delivered within Primary Care (under the lead of general practitioners [GPs] or family physicians), yet this often presents a logistic barrier to accessing vaccination, and increasing evidence demonstrates that embedding vaccination within routine antenatal care visits may significantly improve uptake. In this commentary, we discuss recent evidence to support this approach, including anonymous feedback from patients and staff at our own institution, in which a dedicated midwife-led vaccine clinic has recently been set up. Furthermore, we highlight a number of individual and institution-level barriers which would need addressing before this approach can be routinely adopted, and suggest targets for future education and research.
提高孕期疫苗接种率已被世界卫生组织（WHO）列为优先事项，但确定产前疫苗接种计划的最佳实施地点仍然是国际上争论的话题。在许多国家，产前疫苗通常在初级保健（由全科医生或家庭医生主导）中提供，但这通常给接种疫苗带来了后勤障碍，越来越多的证据表明，将疫苗接种纳入常规产前保健访问中可以显著提高接种率。在这篇评论中，我们讨论了支持这种方法的最新证据，包括我们自己机构的患者和工作人员的匿名反馈，在我们机构中，最近专门设立了一个由助产士主导的疫苗接种诊所。此外，我们还强调了在常规采用这种方法之前需要解决的一些个人和机构层面的障碍，并为未来的教育和研究提出了目标。
