Effect of a postpartum prescription for pertussis vaccine: a before-and-after study.
Adult
Controlled Before-After Studies
Family Health
Female
Health Knowledge, Attitudes, Practice
Humans
Parity
Patient Discharge
Pertussis Vaccine
/ administration & dosage
Postpartum Period
Pregnancy
Prescriptions
Spouses
/ statistics & numerical data
Surveys and Questionnaires
Vaccination
/ statistics & numerical data
Whooping Cough
/ prevention & control
Cocooning strategy
Pertussis
Postpartum
Pregnancy
Prescription
Vaccination
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
09
11
2020
revised:
23
12
2020
accepted:
27
12
2020
pubmed:
10
1
2021
medline:
29
10
2021
entrez:
9
1
2021
Statut:
ppublish
Résumé
Among the strategies to encourage pregnant women to be vaccinated against pertussis in the postpartum period, that of giving them a prescription has been evaluated only sparsely. To measure the effect of giving women who are not immunized against pertussis a prescription for the vaccine at discharge from the maternity unit. Single-center before-and-after study (2011: before; 2015: after). All women received both oral and written information about vaccination against pertussis. During the after period, they were also specifically asked their immunization status during pregnancy. Those currently unimmunized received a written prescription for it at discharge. Among the women unimmunized at delivery, the percentage who were vaccinated postpartum climbed from 17 to 42% between 2011 and 2015 (p < 0.001), while the percentage of their unimmunized partners who were vaccinated remained stable (27 and 29%, p = 0.74). During this time, the percentage of women immunized against pertussis at the beginning of pregnancy rose from 32 to 52% (p < 0.001). Finally, the percentage of all women protected against this disease postpartum climbed from 44 to 72% between these two periods (p < 0.001). In the postpartum period, giving a prescription for pertussis vaccine to women unimmunized is accompanied by a significant elevation in their vaccination rate. Nevertheless, this rate remains low and better strategies have to be implemented.
Sections du résumé
BACKGROUND
BACKGROUND
Among the strategies to encourage pregnant women to be vaccinated against pertussis in the postpartum period, that of giving them a prescription has been evaluated only sparsely.
OBJECTIVE
OBJECTIVE
To measure the effect of giving women who are not immunized against pertussis a prescription for the vaccine at discharge from the maternity unit.
MATERIAL AND METHODS
METHODS
Single-center before-and-after study (2011: before; 2015: after). All women received both oral and written information about vaccination against pertussis. During the after period, they were also specifically asked their immunization status during pregnancy. Those currently unimmunized received a written prescription for it at discharge.
RESULTS
RESULTS
Among the women unimmunized at delivery, the percentage who were vaccinated postpartum climbed from 17 to 42% between 2011 and 2015 (p < 0.001), while the percentage of their unimmunized partners who were vaccinated remained stable (27 and 29%, p = 0.74). During this time, the percentage of women immunized against pertussis at the beginning of pregnancy rose from 32 to 52% (p < 0.001). Finally, the percentage of all women protected against this disease postpartum climbed from 44 to 72% between these two periods (p < 0.001).
CONCLUSIONS
CONCLUSIONS
In the postpartum period, giving a prescription for pertussis vaccine to women unimmunized is accompanied by a significant elevation in their vaccination rate. Nevertheless, this rate remains low and better strategies have to be implemented.
Identifiants
pubmed: 33421623
pii: S2468-7847(20)30426-8
doi: 10.1016/j.jogoh.2020.102050
pii:
doi:
Substances chimiques
Pertussis Vaccine
0
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
102050Informations de copyright
Copyright © 2021 Elsevier Masson SAS. All rights reserved.