Prenatal Care Providers and Influenza Prevention and Treatment: Lessons from the Field
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
To better understand the knowledge, attitudes, and behaviors of providers regarding influenza infection and vaccination in pregnancy, fourteen focus groups were conducted among 92 providers in Atlanta, GA; Dallas, TX; and Portland, OR in late 2009. NVivo 8.0 was used for analysis. Most providers had no experience with pregnant women severely affected by influenza. Many perceived the 2009 H1N1 pandemic to be limited and mild. Providers knew that pregnant women should receive the 2009 H1N1 vaccine and reported plans to vaccinate more patients than the previous season. Most knew CDC guidelines for antiviral treatment and prophylaxis, but some reported hesitancy with presumptive treatment. Although awareness of influenza’s potential to cause severe illness in pregnant women was observed, providers’ experience and comfort with influenza prevention and treatment was suboptimal. Sustained efforts to educate prenatal care providers about influenza in pregnancy through trusted channels are critical.
- Beigi, R. H. (2007). Pandemic influenza and pregnancy: a call for preparedness planning. Obstetrics and Gynecology, 109(5), 1193–1196. CrossRef
- Hewagama, S., Walker, S. P., Stuart, R. L., Gordon, C., Johnson, P. D., Friedman, N. D., et al. (2010). H1N1 influenza A and pregnancy outcomes in Victoria, Australia. Clinical Infectious Diseases, 50(5), 686–690. CrossRef
- Ie, S., Rubio, E. R., Alper, B., & Szerlip, H. M. (2002). Respiratory complications of pregnancy. Obstetrical and Gynecological Survey, 57(1), 39–46. CrossRef
- Goodnight, W. H., & Soper, D. E. (2005). Pneumonia in pregnancy. Critical Care Medicine, 33(10 Suppl), S390–S397. CrossRef
- Rasmussen, S. A., Jamieson, D. J., & Bresee, J. S. (2008). Pandemic influenza and pregnant women. Emerging Infectious Diseases, 14(1), 95–100. CrossRef
- Siston, A. M., Rasmussen, S. A., Honein, M. A., Fry, A. M., Seib, K., Callaghan, W. M., et al. (2010). Pandemic 2009 influenza A (H1N1) virus illness among pregnant women in the United States. JAMA, 303(15), 1517–1525. CrossRef
- Jamieson, D. J., Honein, M. A., Rasmussen, S. A., Williams, J. L., Swerdlow, D. L., Biggerstaff, M. S., et al. (2009). H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet, 374(9688), 451–458. CrossRef
- Louie, J. K., Acosta, M., Jamieson, D. J., & Honein, M. A. (2010). Severe 2009 H1N1 influenza in pregnant and postpartum women in California. New England Journal of Medicine, 362(1), 27–35. CrossRef
- CDC. (2009). Novel influenza A (H1N1) virus infections in three pregnant women—United States, April-May 2009. MMWR Morb Mortal Wkly Rep, 58(18), 497–500.
- SteelFisher G. K., Blendon R. J., Bekheit M. M., Mitchell E. W., Kendrick J. S., Williams J., et al. 2010. Motivators and barriers related to getting the H1N1 flu vaccine among pregnant women. Am J Obstet Gyncol, (in press).
- Lynch M. M., Mitchell E. W., Williams J. L., Brumbaugh K., Jones-Bell M., Pinkney D. E., et al. 2010. Knowledge, attitudes, and beliefs about influenza A pandemic (H1N1) 2009 among pregnant and recently pregnant women: implications for public health communication. (submitted).
- Elder, J. P., Ayala, G. X., & Harris, S. (1999). Theories and intervention approaches to health-behavior change in primary care. American Journal of Preventive Medicine, 17(4), 275–284. CrossRef
- Perkins, M. B., Jensen, P. S., Jaccard, J., Gollwitzer, P., Oettingen, G., Pappadopulos, E., et al. (2007). Applying theory-driven approaches to understanding and modifying clinicians’ behavior: what do we know? Psychiatric Services, 58(3), 342–348. CrossRef
- CDC. (2010). Seasonal influenza and 2009 H1N1 influenza vaccination coverage among pregnant women—10 states, 2009–10 influenza season. MMWR Morb Mortal Wkly Rep, 59(47), 1541–1545.
- Prenatal Care Providers and Influenza Prevention and Treatment: Lessons from the Field
Maternal and Child Health Journal
Volume 16, Issue 2 , pp 479-485
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Antiviral medications
- H1N1 virus
- Influenza vaccine
- Prenatal care providers
- Industry Sectors
- Author Affiliations
- 1. SciMetrika, LLC, Research Triangle Park, NC, USA
- 2. National Center on Birth Defects and Developmental Disabilities, SciMetrika Contractor for the Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, MS E-86, Atlanta, GA, USA
- 3. RTI International, Research Triangle Park, NC, USA
- 4. Division of Reproductive Health, Centers for Disease Control and Prevention, National Center on Chronic Disease Prevention and Health Promotion, 1600 Clifton Rd., NE, MS K-20, Atlanta, GA, USA
- 5. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, MS E-86, Atlanta, GA, USA