Wie werden die Impfempfehlungen gegen saisonale Influenza und gegen humane Papillomaviren in gynäkologischen Praxen umgesetzt?

Bödeker, Birte; Seefeld, Linda; Buck, Stephanie; Ommen, Oliver; Wichmann, Ole

doi:10.1007/s00103-015-2303-6

Cited by 7 publications

(13 citation statements)

References 33 publications

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“…Physicians who obtained influenza vaccination themselves were far more likely to actively inform about and vaccinate their pregnant patients against both influenza and pertussis in our survey, as also observed by others [50, 52, 55, 56]. In our survey, concerns of limited effectiveness and safety were more common among gynaecologists who reported not obtaining annual influenza vaccination.…”

Section: Discussionsupporting

confidence: 78%

“…The majority of gynaecologists participating in our survey was aware and supportive of current recommendations for influenza and pertussis vaccination for pregnant women or, in case of pertussis, their contacts or women of child-bearing age. Strong support for influenza vaccination in pregnancy was also reported in a previous German survey [50]. However, this is not reflected in high vaccination uptake by pregnant women in Germany [10–13].…”

Section: Discussionmentioning

confidence: 69%

“…This is the first survey in Germany to assess attitudes towards and performance of pertussis vaccination to protect mothers and their infants among privately practicing gynaecologists. Although a survey on attitudes towards and recommendation of influenza vaccination for pregnant women was performed previously [50], this did not assess active informing and actual performance of vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…This was despite our invitation to participate through various channels to maximize awareness for the survey and to address as many members of the target population as possible, accepting that some might be contacted more than once, and despite offering multiple response options. A recent survey on influenza and HPV vaccination achieved a slightly higher response of 20% by directly sending questionnaires to privately practicing gynaecologists [50]. Although about 70% of privately practicing gynaecologists receive the BVF journal Frauenarzt , the proportion of active readers may be lower.…”

Section: Discussionmentioning

confidence: 99%

“…We developed a 24-item questionnaire (Additional file 2) by focussing on the study aim and taking previous experience and literature findings into account [50]. After an internal pre-test by colleagues of the Immunization Unit at the RKI for comprehensibility and time required (approximately 8 min), the questionnaire was sent to elected officials of the BVF and their working group on vaccination (in total approx.…”

Section: Methodsmentioning

confidence: 99%

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Influenza and pertussis vaccination during pregnancy – attitudes, practices and barriers in gynaecological practices in Germany

Böhm

Röbl-Mathieu

Scheele³

et al. 2019

BMC Health Serv Res

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Background In Germany, antenatal influenza vaccination is recommended since 2010, but uptake remains low. Several countries recently introduced antenatal pertussis vaccination, which is currently under consideration in Germany. We conducted a survey among gynaecologists on attitudes, practices and barriers regarding influenza and pertussis vaccination during pregnancy. Methods Gynaecologists were invited to complete a pre-tested, 24-item questionnaire published in the German Professional Association of Gynaecologists’ journal in September 2017 within 2 months. Associations between variables were examined using Chi-Squared, Fischer’s Exact or t-tests. Variables associated with gynaecologists’ self-reported implementation of vaccination in pregnant women were identified using univariate and multivariate logistic regression analyses. Results Of 867 participants (response 11%), 91.4 and 59.4% reported currently vaccinating pregnant women against influenza and pertussis, respectively. Gynaecologists who reported obtaining annual influenza vaccination and actively informing their patients about these vaccinations were significantly more likely to vaccinate pregnant women against influenza (96.5% vs. 65.7 and 95.1% vs. 62.2%) and pertussis (63.1% vs. 44.3 and 82.4% vs. 12.9%). Performing influenza vaccination was least likely among gynaecologists who perceived logistical difficulties as a vaccination barrier (35.9%), while pertussis vaccination was least likely if the lacking official recommendation (32.0%), logistical difficulties (27.1%), safety concerns (17.5%) and limited vaccine effectiveness (11.1%) were perceived as barriers. Of participants not yet vaccinating pregnant women against pertussis, 86.5% reported they would follow an official recommendation. Including vaccination recommendations in the maternity record (95.2%) and informing the public (88.7%) and health care professionals (86.6%) were considered the most suitable measures to achieve high pertussis vaccination coverage. Conclusions The large proportion reporting performance of influenza vaccination during pregnancy and high acceptance of a potential recommendation for pertussis vaccination reflected positive attitudes towards vaccination among participants. However, factors associated with failure to vaccinate may be more prevalent among non-participants. Results suggest that gynaecologists’ confidence in vaccination is crucial for implementing vaccination in pregnancy. Thus, doubts on vaccine effectiveness and safety should be allayed among gynaecologists and pregnant women via various communication channels, and solutions for logistical barriers sought. Including antenatal vaccination recommendations in the maternity record would serve as an important reminder for both groups. Electronic supplementary material The online version of this article (10.1186/s12913-019-4437-y) contains supplementary material, which is avail...

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Influenza and pertussis vaccination during pregnancy – attitudes, practices and barriers in gynaecological practices in Germany

Böhm

Röbl-Mathieu

Scheele³

et al. 2019

BMC Health Serv Res

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Masernelimination – die Notwendigkeit einer „Public Health Governance“ und einer medizinischen Exekutive

Weigl

2019

Präv Gesundheitsf

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Implementation of the Recommendation to Vaccinate Pregnant Women against Seasonal Influenza – Vaccination Rates and Acceptance

Baum

Hitschold

Becker

et al. 2017

Geburtshilfe Frauenheilkd

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Pregnant women were interviewed using a standardized, pre-tested questionnaire and asked whether they were aware of the recommendation to vaccinate against seasonal influenza and about possible factors which might influence their decision to be vaccinated. In addition, data from their vaccination certificates and pregnancy passports were evaluated.Results Overall, the records of only 19.5 % of the pregnant women showed that they had been vaccinated against influenza in pregnancy.Among the group of pregnant women who had a previous history of vaccinations against influenza the willingness to be vaccinated was high (43.3 %) and this figure was statistically significant. The vaccination rate was even higher (49.9 %) and even more statistically significant among pregnant women whose gynecologist or family physician had recommended that they should be vaccinated. In contrast, only 3.3 % of pregnant women who had not been given the recommendation to vaccinate by their physicians were vaccinated against influenza.Discussion The failure to recommend that pregnant women be vaccinated against influenza and womenʼs lack of any previous experience of influenza vaccination were the main reasons for the inadequate influenza vaccination coverage in pregnancy.Conclusion One of the key points to increase the influenza vaccination rate is to intensify the counselling of the pregnant women through the gynecologist. ZUSAMMENFASSUNG EinleitungIn Deutschland werden die Impfempfehlungen jährlich

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Wie werden die Impfempfehlungen gegen saisonale Influenza und gegen humane Papillomaviren in gynäkologischen Praxen umgesetzt?

Cited by 7 publications

References 33 publications

Influenza and pertussis vaccination during pregnancy – attitudes, practices and barriers in gynaecological practices in Germany

Influenza and pertussis vaccination during pregnancy – attitudes, practices and barriers in gynaecological practices in Germany

Masernelimination – die Notwendigkeit einer „Public Health Governance“ und einer medizinischen Exekutive

Implementation of the Recommendation to Vaccinate Pregnant Women against Seasonal Influenza – Vaccination Rates and Acceptance

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