Lloyd Kate, Jones Sara
Swansea University Swansea UK.
Public Health Chall. 2025 Sep 7;4(3):e70114. doi: 10.1002/puh2.70114. eCollection 2025 Sep.
Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an understanding of midwives' perceptions of the issue is crucial for identifying factors influencing vaccine uptake in Wales.
A quantitative, cross-sectional descriptive survey was conducted amongst 143 registered midwives working in Wales using the Capability, Opportunity, Motivation-Behaviour (COM-B) approach to identify factors affecting vaccine uptake.
Midwives lacked training and confidence to promote vaccines, and some noted language barriers as a problem to providing equitable care. Other problems included lack of access to vaccination appointments and inconsistencies in vaccine promotion depending on care provider. Midwives perceived vaccine hesitancy to be high, with 71% saying they thought vaccine hesitancy was common amongst pregnant women and 40% saying they thought it was common amongst their colleagues.
A national approach is required to ensure effective vaccination training amongst midwives in Wales, as well as improved availability of language diverse resources. Additional qualitative research is needed in Wales and the United Kingdom to further understand vaccine hesitancy and barriers to promoting vaccine uptake in pregnancy.
疫苗接种对全球健康至关重要；然而，自2020年新冠疫情爆发以来，英国威尔士孕妇对疫苗的接受度显著下降。促进孕期疫苗接种是助产士职责的关键部分。因此，了解助产士对该问题的看法对于确定影响威尔士疫苗接种率的因素至关重要。
采用能力、机会、动机—行为（COM-B）方法，对威尔士143名注册助产士进行了一项定量横断面描述性调查，以确定影响疫苗接种的因素。
助产士缺乏推广疫苗的培训和信心，一些人指出语言障碍是提供公平护理的一个问题。其他问题包括难以获得疫苗接种预约，以及根据护理提供者不同，疫苗推广存在不一致的情况。助产士认为疫苗犹豫现象很严重，71%的人表示他们认为疫苗犹豫在孕妇中很常见，40%的人表示他们认为在同事中也很常见。
需要采取全国性方法，以确保威尔士助产士接受有效的疫苗接种培训，并提高多语言资源的可及性。威尔士和英国还需要进行更多定性研究，以进一步了解疫苗犹豫以及孕期推广疫苗接种的障碍。
