- Effective strategies for addressing vaccination refusal among pregnant women needed.
- Emphasizing risk to newborn may be effective.
Why this matters
- Vaccination against influenza and pertussis (Tdap) is recommended for all pregnant women in each pregnancy.
- Barriers to receiving vaccinations include: patient concerns about vaccination safety, fears of getting the disease, lack of time for provider to explain risks/benefits of vaccination.
- Vaccination refusal among pregnant women is higher than refusal for childhood vaccines.
- 69% response rate; most obstetrician/gynecologists (ob/gyns) reported favorable attitudes toward vaccinating their patients in concordance with current recommendations.
- 90% reported administering at least 1 vaccine to their pregnant patients.
- 60% used standing orders for influenza and 56% used standing orders for Tdap.
- More pregnant women refused influenza vs Tdap.
- Strategies used when patients refused vaccinations: stating vaccinations are safe in pregnancy (96%), not getting vaccinations puts newborns at risk (90%), not getting vaccinations puts patients at risk (84%), discussing outbreaks (72%), informing patient that not getting vaccination is against providers recommendations (64%), stating they would personally get vaccination or offer to family member (53%).
- Internet and mail survey to ob/gyns in 2016.
- Funding: CDC.
- Only physicians surveyed.