Expert opinion on the way forward for improving maternal influenza vaccination in India

Purandare, C. N.; Preiss, Scott; Kolhapure, Shafi; Sathyanarayanan, Sripriya

doi:10.1080/14760584.2021.1932474

Expert Review of Vaccines

2021

DOI: 10.1080/14760584.2021.1932474

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Expert opinion on the way forward for improving maternal influenza vaccination in India

C. N. Purandare

Scott Preiss²,

Shafi Kolhapure

et al.

Abstract: Introduction: : Rates of maternal vaccination against influenza are extremely low in India. An expert panel of obstetric-gynecologists and pediatricians met to develop consensus-based recommendations for improving awareness of the benefits of influenza vaccination during pregnancy in India. Areas covered: : The group discussed experiences of influenza infection in pregnancy and infancy before focusing on maternal vaccination practices in India, including the degree of communication between obstetric-gynecologi… Show more

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Cited by 3 publications

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“…Even during the 2009 H1N1 pandemic, the acceptance of pandemic influenza vaccine was only 26 per cent in Maharashtra despite free vaccination 33 . Poor sensitization of the care providers was identified as a major barrier to influenza vaccination in pregnant women in India 34 , 35 . It has also been shown that engaging clinicians reduce the missed opportunities for vaccination during antenatal period 36 .…”

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confidence: 99%

Need for a robust public health response to seasonal influenza in India

Krishnan

2023

Indian J Med Res

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mentioning

confidence: 99%

Need for a robust public health response to seasonal influenza in India

Krishnan

2023

Indian J Med Res

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Maternal immunization: trends in South and Southeast Asian countries

Kamath

Kukreja

Mukherjee

et al. 2021

The Journal of Maternal-Fetal & Neonatal Medicine

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Maternal immunization has the potential to reduce neonatal deaths caused by vaccine-preventable infectious diseases. Elimination of maternal and neonatal tetanus from many countries illustrates the potential benefits of maternal immunization as a strategy to decrease neonatal mortality caused by vaccine-preventable infections. Many countries in South and Southeast Asia have high cases of neonatal deaths, which were historically attributed to vaccine-preventable infections. Still, these countries vary in recommendations regarding immunization of pregnant women. We reviewed the current recommendations for the use of tetanus toxoid, tetanus-diphtheria, or tetanus-diphtheria-acellular pertussis (Tdap) vaccines for immunization of pregnant women. In addition to protection against tetanus and diphtheria, administration of the Tdap vaccine to pregnant women could help protect neonates against pertussis until they can receive the first two vaccine doses of their primary course. Vaccination against seasonal influenza is also recommended in many countries worldwide for pregnant women as influenza can pose health risks for the mother-fetus unit and the infant. Despite the recognized benefit of influenza vaccination for pregnant women, only some South and Southeast Asian countries have implemented its recommendation. The success of maternal tetanus vaccination has kindled the interest in vaccines that can be safely administered during pregnancy. Future availability of vaccines against respiratory syncytial virus and group B streptococcus, for use in pregnant women, could help prevent neonatal infections, especially in regions where diseases are less controlled. Communicating the body of evidence that supports maternal immunization to obstetricians is key for achieving optimal vaccination coverage to ensure protection of neonates. The current review aims to create awareness about the existing and potential benefits of maternal immunization in South and Southeast Asia.

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Knowledge, attitudes, awareness and factors associated with the uptake of influenza vaccine among pregnant women in urban Pune

Shaikh,

Undale,

Pardeshi

et al. 2024

IJOGR

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: This cross-sectional study was aimed to assess the knowledge, attitudes, awareness, facilitators, and barriers associated with the uptake of influenza vaccination during pregnancy in the urban area of Pune. : The study was conducted with 500 participants: 62 pregnant women and 438 postpartum women (total 524 were approached) attending Obstetrics and Gynaecology outpatient department (OPD) in a tertiary-care municipal hospital in Pune. The study-questionnaire collected data regarding socio-demographics general knowledge about influenza, attitude towards influenza vaccination, vaccine risk awareness, and its potential risk and benefits during pregnancy. The log-binomial regression models were used to examine the factors associated with influenza vaccination. : A good uptake of the vaccine (223/500, 44.6%) was found during current pregnancy of the participant; however, only 2.7% of study-participants vaccinated with influenza vaccine in their previous pregnancies. Also, there was poor awareness among all the participants regarding the safety of the seasonal influenza vaccine during pregnancy (19%, n=95/500). 11.2% (n=31/277) study-participants were found to be against the maternal influenza vaccination. Women receiving the vaccine against influenza were more likely to be previously informed of the recommendations from health-care providers about maternal influenza vaccination with odds ratio of 0.18 (95% CI, 0.04 to 0.8; p<0.00001), received the influenza vaccine in the past OR 8.27 (95% CI, 0.94 to 72.0), Z 1.09, p=0.05 and of having knowledge on influenza and its complications has more impact on influenza vaccination during pregnancy OR 14.4 (95% CI, 5.68 to 36.53), Z 5.6, p<0.0001 respectively.: This study concludes the vital causative factors for non-vaccination were provision of incomplete information or poor awareness about influenza vaccination (68.6%). There was poor knowledge among the pregnant women regarding the safety of maternal influenza vaccines. The recommendation from healthcare professionals is the major facilitators of decision-making by pregnant women for influenza vaccination during pregnancy.

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Expert opinion on the way forward for improving maternal influenza vaccination in India

Cited by 3 publications

References 46 publications

Need for a robust public health response to seasonal influenza in India

Need for a robust public health response to seasonal influenza in India

Maternal immunization: trends in South and Southeast Asian countries

Knowledge, attitudes, awareness and factors associated with the uptake of influenza vaccine among pregnant women in urban Pune

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