Ubom Akaninyene Eseme, Topcu Elif Goknur, Miskeen Elhadi, Afon Olire Christine, Roy Priyankur, Ruiloba Francisco, Aqua David M, John Emmanuel E
Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
World Association of Trainees in Obstetrics and Gynecology (WATOG), Paris, France.
Ethiop J Health Sci. 2024 Nov;34(6):440-448. doi: 10.4314/ejhs.v34i6.3.
Maternal vaccination is a key strategy to meet Sustainable Development Goal 3, aiming to eliminate preventable deaths among newborns and children under five by 2030. This study explored obstetricians' knowledge and practices regarding maternal vaccination globally.
A cross-sectional survey targeting obstetricians was conducted by the World Association of Trainees in Obstetrics and Gynaecology (WATOG,) from June 25 to July 18, 2023. A structured 25-item questionnaire, distributed electronically, gathered data on sociodemographics and vaccination knowledge and practices. Data analysis was performed using IBM Statistical Product and Service Solutions (SPSS) Statistics for Windows, version 24.
Ninety-two obstetricians participated. Only 16.3% exhibited good knowledge of safe vaccines in pregnancy. Fear of teratogenicity was the primary reason (58.7%) for vaccine hesitancy among pregnant women. Approximately 47.8% of participants indicated that only tetanus toxoid was routinely available in their hospitals, with 48.9% reporting that women had to pay for vaccines. Nonetheless, 62% stated their countries had national vaccination guidelines for pregnant women.
The study identifies significant gaps in obstetricians' knowledge of vaccine safety, alongside barriers related to availability and cost, impacting maternal vaccination uptake.
孕产妇疫苗接种是实现可持续发展目标3的关键策略，该目标旨在到2030年消除新生儿和5岁以下儿童的可预防死亡。本研究探讨了全球范围内产科医生关于孕产妇疫苗接种的知识和实践情况。
2023年6月25日至7月18日，世界妇产科实习生协会（WATOG）对产科医生进行了一项横断面调查。通过电子方式分发一份包含25个条目的结构化问卷，收集有关社会人口统计学以及疫苗接种知识和实践的数据。使用IBM统计产品与服务解决方案（SPSS）Windows版统计软件24进行数据分析。
92名产科医生参与了调查。只有16.3%的人对孕期安全疫苗有充分了解。对致畸性的担忧是孕妇疫苗犹豫的主要原因（58.7%）。约47.8%的参与者表示，他们医院常规仅提供破伤风类毒素，48.9%的人报告称女性需要自费接种疫苗。尽管如此，62%的人表示他们国家有针对孕妇的国家疫苗接种指南。
该研究发现产科医生在疫苗安全性知识方面存在重大差距，以及与疫苗可及性和成本相关的障碍，这些都影响了孕产妇疫苗接种率。
