Centeringpregnancy® models, or group pregnancy can help increase compliance with visits, and improve key quality metrics. Vaccination with Tdap, is an important component in preventative care during pregnancy. The goal of this study is to assess this in centerpregnancy® groups, in an inner city community teaching hospital.METHODS:
A retrospective chart review was performed in a prospectively maintained database of centeringpregnancy® patients, that received care in an inner-city community teaching hospital’s outpatient setting. Charts were reviewed for vaccination compliance with Tdap.RESULTS:
A total of 146 participants were included. Most were compliant with their prenatal care sessions, 2.7% missed 3 or more visits. The acceptance rate during pregnancy, when asked if they would agree to receive Tdap vaccination was 95%. However, at the time of administration, 4 declined. The administration of the vaccine to the group was 87%, with most receiving it in the third trimester (92.3%). The remainder agreed to receive the vaccination in the postpartum unit.CONCLUSION:
Further studies are needed to investigate reasons for non-acceptance of vaccination during pregnancy in diverse patient settings. The utility of group pregnancy models confers an opportunity for health education and peer-modeling.