Boston University School of Medicine, Boston, Massachusetts.
Department of Pediatrics, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts.
Womens Health Issues. 2022 Jan-Feb;32(1):67-73. doi: 10.1016/j.whi.2021.09.004. Epub 2021 Oct 9.
We aimed to understand pregnant women's perceptions of vaccination during pregnancy and to assess their reaction to different vaccine messages.
English-speaking pregnant women aged 18 years or older who received prenatal care at a safety-net hospital participated in qualitative interviews. Interview topics included attitudes toward vaccinations in general and toward influenza and tetanus-diphtheria-pertussis vaccination in pregnancy. Participants were also queried regarding sources of vaccine information, and were asked to provide feedback on specific messages regarding maternal vaccination.
Twenty-eight pregnant women participated in interviews. Participant age ranged from 18 to 40 years old; 64% were insured through Medicaid. All participants had positive attitudes toward routine vaccinations and had received vaccinations for themselves and their children. Attitudes were less favorable for influenza vaccines than other vaccines. Participants reported receiving vaccine information from multiple sources. Stories about vaccine harms worried participants, even when they did not trust the sources of negative information. All stated that their health care providers were the most trusted source of information. Participants felt that the most important messages to encourage maternal vaccination were that maternal vaccination protects the baby after birth and maternal vaccination is safe for both mother and baby. Participants were not motivated to vaccinate by messages about the severity of maternal disease.
Maternal vaccinations are important to protect pregnant women and infants from influenza and pertussis. Focusing on messages related to vaccine safety and protection of the infant are motivating to mothers, especially when delivered by trusted health care providers.
本研究旨在了解孕妇对孕期接种疫苗的看法，并评估她们对不同疫苗信息的反应。
在一家医疗保障医院接受产前护理的年龄在 18 岁及以上的英语为母语的孕妇参与了定性访谈。访谈主题包括对一般疫苗接种和孕期流感及破伤风、白喉、百日咳疫苗接种的态度。还询问了参与者获取疫苗信息的来源，并就有关孕产妇疫苗接种的具体信息征求了反馈意见。
28 名孕妇参加了访谈。参与者年龄从 18 岁到 40 岁不等，64%的人通过医疗补助计划获得保险。所有参与者对常规疫苗接种持积极态度，并为自己和孩子接种了疫苗。她们对接种流感疫苗的态度不如其他疫苗积极。参与者报告从多个来源获得疫苗信息。关于疫苗危害的故事令参与者感到担忧，即使他们不相信负面信息的来源。所有人都表示，他们的医疗保健提供者是他们最信任的信息来源。参与者认为，鼓励孕产妇接种疫苗最重要的信息是，孕产妇接种疫苗可以在婴儿出生后保护婴儿，并且对母亲和婴儿都是安全的。通过关于孕产妇疾病严重程度的信息来促使她们接种疫苗的动机不足。
孕产妇疫苗接种对于保护孕妇和婴儿免受流感和百日咳的侵害非常重要。关注与疫苗安全性和保护婴儿相关的信息对母亲来说是有激励作用的，尤其是当这些信息来自可信赖的医疗保健提供者时。
