Routine vaccination of all pregnant women with influenza and Tdap vaccines is recommended to prevent poor maternal, fetal and neonatal outcomes from infection. We surveyed pregnant women about their experiences, attitudes and history of vaccination in pregnancy to identify barriers to accepting vaccination for either vaccine.METHODS:
From December, 2014 to April, 2015, 338 women seen for prenatal care at a tertiary care center completed a survey regarding their experiences, attitudes and history of vaccination in pregnancy. Responses were compared using bivariate logistic regression with SPSS software.RESULTS:
Influenza vaccination acceptance rate was 70.1% and Tdap vaccination acceptance rate was 76.3%. Age, race, ethnicity and education level were not predictive of vaccine acceptance. The logistic regression model suggested that predictors of vaccine acceptance in pregnancy are patient attitude and previous vaccination history. A provider recommendation for vaccination is a strong predictor of Tdap vaccine acceptance (P≤.001) but not influenza vaccine acceptance. Conversely, being provided with education materials on the vaccine was a predictor of influenza vaccine acceptance (P≤.001) but not Tdap vaccine acceptance. In general patient attitudes were more favorable toward Tdap than influenza vaccination.CONCLUSION:
Our study suggests that providers can improve Tdap vaccination acceptance in pregnancy simply by recommending the vaccination while influenza vaccination acceptance may be increased by providing patients with educational materials.