Maternal and Child Health Journal

, Volume 16, Issue 9, pp 1743–1747

Missed Opportunities: A National Survey of Obstetricians About Attitudes on Maternal and Infant Immunization

  • Ruth Link-Gelles
  • Allison T. Chamberlain
  • Jay Schulkin
  • Kevin Ault
  • Ellen Whitney
  • Katherine Seib
  • Saad B. Omer
Brief Report

Abstract

The recent reoccurrence of several vaccine-preventable diseases demonstrates the need for new techniques to promote childhood vaccination. Many mothers make decisions regarding vaccination of their children during pregnancy. As a result, obstetricians have a unique opportunity to influence maternal decisions on this crucial component of child health. Our objective was to understand OB/GYNs’ attitudes, beliefs, and current practices toward providing vaccinations to pregnant patients and providing information about routine childhood immunizations during standard prenatal care. We surveyed OB/GYNs in the United States about their vaccination practices and perceptions during the 2009 H1N1 outbreak. Most (84%) respondents indicated their practice would be administering H1N1 vaccines to pregnant patients. While a majority (98%) of responding providers felt childhood vaccination is important, relatively few (47%) felt that they could influence mothers’ vaccination choices for their children. Discussion of routine childhood immunization between obstetricians and their patients is an area for future improvements in childhood vaccination.

Keywords

H1N1 pandemic Vaccines Immunizations Influenza Prenatal care 

References

  1. 1.
    Siston, A. M., Rasmussen, S. A., Honein, M. A., et al. (2010). Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA, 303(15), 1517–1525. doi:10.1001/jama.2010.479.PubMedCrossRefGoogle Scholar
  2. 2.
    Gust, D. A., Strine, T. W., Maurice, E., et al. (2004). Underimmunization among children: Effects of vaccine safety concerns on immunization status. Pediatrics, 114(1), e16–e22.PubMedCrossRefGoogle Scholar
  3. 3.
    Smith, P. J., Kennedy, A. M., Wooten, K., et al. (2006). Association between health care providers’ influence on parents who have concerns about vaccine safety and vaccination coverage. Pediatrics, 118(5), e1287–e1292. doi:10.1542/peds.2006-0923.PubMedCrossRefGoogle Scholar
  4. 4.
    Gust, D. A., Kennedy, A., Shui, I., et al. (2005). Parent attitudes toward immunizations and healthcare providers the role of information. American Journal of Preventative Medicine, 29(2), 105–112. doi:10.1016/j.amepre.2005.04.010.CrossRefGoogle Scholar
  5. 5.
    Benin, A. L., Wisler-Scher, D. J., Colson, E., et al. (2006). Qualitative analysis of mothers’ decision-making about vaccines for infants: The importance of trust. Pediatrics, 117(5), 1532–1541. doi:10.1542/peds.2005-1728.PubMedCrossRefGoogle Scholar
  6. 6.
    Leader, S., & Perales, P. J. (1995). Provision of primary-preventive health care services by obstetrician-gynecologists. Obstetrics and Gynecology, 85(3), 391–395. doi:10.1016/0029-7844(94)00411-6.PubMedCrossRefGoogle Scholar
  7. 7.
    Navar, A. M., Halsey, N. A., Carter, T. C., et al. (2007). Prenatal immunization education the pediatric prenatal visit and routine obstetric care. American Journal of Preventative Medicine, 33(3), 211–213. doi:10.1016/j.amepre.2007.04.027.CrossRefGoogle Scholar
  8. 8.
    Schrag, S. J., Fiore, A. E., Gonik, B., et al. (2003). Vaccination and perinatal infection prevention practices among obstetrician-gynecologists. Obstetrics and Gynecology, 101(4), 704–710.PubMedCrossRefGoogle Scholar
  9. 9.
    Gonik, B., Jones, T., Contreras, D., et al. (2000). The obstetrician-gynecologist’s role in vaccine-preventable diseases and immunization. Obstetrics and Gynecology, 96(1), 81–84.PubMedCrossRefGoogle Scholar
  10. 10.
    Zola, J., Smith, N., Goldman, S., et al. (1997). Attitudes and educational practices of obstetric providers regarding infant hepatitis B vaccination. Obstetrics and Gynecology, 89(1), 61–64.PubMedCrossRefGoogle Scholar
  11. 11.
    Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–333.CrossRefGoogle Scholar
  12. 12.
    Stumpf, P. G., Anderson, B., Lawrence, H., et al. (2009). Obstetrician-gynecologists’ opinions about patient safety: Costs and liability remain problems; are mandated reports a solution? Womens Health Issues, 19(1), 8–13. doi:10.1016/j.whi.2008.07.012.PubMedCrossRefGoogle Scholar
  13. 13.
    Anderson BL, Hale RW, Salsberg E, et al. (2008). Outlook for the future of the obstetrician-gynecologist workforce. American journal of obstetrics and gynecology. 199(1):88e1-8. doi 10.1016/j.ajog.2008.03.013.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Ruth Link-Gelles
    • 1
  • Allison T. Chamberlain
    • 1
  • Jay Schulkin
    • 2
  • Kevin Ault
    • 3
    • 4
  • Ellen Whitney
    • 1
  • Katherine Seib
    • 1
  • Saad B. Omer
    • 1
    • 4
  1. 1.Emory Preparedness and Emergency Response Research Center, Rollins School of Public HealthEmory UniversityAtlantaUSA
  2. 2.American Congress of Obstetricians and GynecologistsWashingtonUSA
  3. 3.Emory University School of MedicineAtlantaUSA
  4. 4.Emory Vaccine CenterAtlantaUSA

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