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产前接种流感和百日咳疫苗:行动呼吁。

Antenatal vaccination for influenza and pertussis: a call to action.

机构信息

Department of Pediatrics, Patras Medical School, Patras, Greece.

Department of Infectious Diseases, Patras Medical School, Patras, Greece.

出版信息

J Obstet Gynaecol. 2021 Jul;41(5):750-754. doi: 10.1080/01443615.2020.1799340. Epub 2020 Oct 16.

DOI:10.1080/01443615.2020.1799340
PMID:33063592
Abstract

Pregnant women should receive influenza and pertussis vaccines according to the National Immunisation Schedule in Greece. The purpose of this study was to assess the knowledge, attitudes and factors associated with antenatal vaccination of women in Greece. A cross-sectional prospective survey was conducted involving 432 pregnant women and women who had recently given birth in Western Greece. Although the majority of women were aware of both diseases (289, 66.9%), they admitted lack of knowledge about antenatal vaccination (317, 73.4%). Overall, there was poor awareness that the vaccination is safe during pregnancy (95, 22%). Only 26 (6%) of women have been offered the vaccines during current pregnancy. Prior vaccination and obstetrician`s recommendation were the stronger predictors of antenatal vaccine uptake. There is substantial room for improvement among antenatal care providers in both patient education and the provision of the vaccines.Impact Statement Maternal vaccination has been recognised as an important public health intervention to protect both pregnant women and their offspring from various infectious diseases. Pregnant women should receive influenza and pertussis vaccines according to the National Immunisation Schedules in many countries worldwide. However, scepticism still exists upon vaccine uptake during pregnancy. The purpose of the study was to assess the knowledge, attitudes and factors associated with antenatal vaccination of women in Greece. We found that the knowledge and uptake of influenza and pertussis vaccine among pregnant women in Greece is poor. There is substantial room for improvement among antenatal care providers in both patient education and the provision of the vaccines.

摘要

孕妇应按照希腊国家免疫计划接种流感和百日咳疫苗。本研究旨在评估希腊孕妇的知识、态度和与产前接种相关的因素。在希腊西部进行了一项横断面前瞻性调查,涉及 432 名孕妇和近期分娩的妇女。尽管大多数妇女都知道这两种疾病(289 人,66.9%),但她们承认对产前接种缺乏了解(317 人,73.4%)。总体而言,只有 22%(95 人)的人意识到疫苗在怀孕期间是安全的。目前只有 6%的女性在怀孕期间被提供了这些疫苗。既往接种和产科医生的建议是产前疫苗接种的更强预测因素。在为孕妇提供疫苗方面,产前保健提供者在患者教育和疫苗接种方面都有很大的改进空间。

影响陈述 产妇疫苗接种已被公认为保护孕妇及其后代免受各种传染病的重要公共卫生干预措施。在世界上许多国家,孕妇应按照国家免疫计划接种流感和百日咳疫苗。然而,人们对怀孕期间接种疫苗仍持怀疑态度。本研究的目的是评估希腊妇女产前接种的知识、态度和相关因素。我们发现,希腊孕妇对流感和百日咳疫苗的知识和接种率都很低。在为孕妇提供疫苗方面,产前保健提供者在患者教育和疫苗接种方面都有很大的改进空间。

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