Abstract
CenteringPregnancy, an alternative to traditional prenatal care, offers additional time between clinicians and patients with the goal of increasing knowledge, understanding, and autonomy in pregnant participants. We investigated whether these women would be more likely to receive recommended Tdap and influenza vaccinations relative to others who received one-on-one traditional prenatal care. Our study employed a retrospective chart review of all women who participated in CenteringPregnancy group care compared to a group of matched women who received only traditional prenatal care at a large, quaternary care referral academic center. We extracted demographic and clinical characteristics from charts that included maternal age during pregnancy care and parity. Outcome variables of interest were influenza and Tdap vaccination status. Compared with traditional obstetrical care patients, women who participated in CenteringPregnancy were 1.7–2.7 times more likely to obtain the Tdap and influenza vaccines. These findings may be attributable to the increased opportunity for patient education and social support offered by the CenteringPregnancy model.
This is a preview of subscription content, log in via an institution to check access.
References
Baxter, R., Bartlett, J., Fireman, B., Lewis, E., & Klein, N. P. (2017). Effectiveness of vaccination during pregnancy to prevent infant pertussis. Pediatrics. https://doi.org/10.1542/peds.2016-4091.
Bodeker, B., Walter, D., Reiter, S., & Wichmann, O. (2014). Cross-sectional study on factors associated with influenza vaccine uptake and pertussis vaccination status among pregnant women in Germany. Vaccine, 32(33), 4131–4139. https://doi.org/10.1016/j.vaccine.2014.06.007.
Dodds, L., McNeil, S. A., Fell, D. B., Allen, V. M., Coombs, A., Scott, J., et al. (2007). Impact of influenza exposure on rates of hospital admissions and physician visits because of respiratory illness among pregnant women. Canadian Medical Association Journal, 176(4), 463–468. https://doi.org/10.1503/cmaj.061435.
Izurieta, H. S., Thompson, W. W., Kramarz, P., Shay, D. K., Davis, R. L., DeStefano, F., et al. (2000). Influenza and the rates of hospitalization for respiratory disease among infants and young children. New England Journal of Medicine, 342(4), 232–239. https://doi.org/10.1056/NEJM200001273420402.
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. https://doi.org/10.1016/S0140-6736(09)61304-0.
Kahn, K. E., Black, C. L., Ding, H., Williams, W. W., Lu, P. J., Fiebelkorn, A. P., et al. (2018). Influenza and Tdap vaccination coverage among pregnant women—United States, April 2018. Morbidity and Mortality Weekly Report, 67(38), 1055–1059. https://doi.org/10.15585/mmwr.mm6738a3.
Marshall, H., McMillan, M., Andrews, R. M., Macartney, K., & Edwards, K. (2016). Vaccines in pregnancy: The dual benefit for pregnant women and infants. Human Vaccines & Immunotherapeutics, 12(4), 848–856. https://doi.org/10.1080/21645515.2015.1127485.
Merritt, T. A., Rasmussen, S. A., Bright, M. A., Roussos-Ross, D., Sims, S. M., Gurka, M. J., et al. (2020). Variation in Tdap and influenza vaccination coverage among pregnant women by insurance type—Florida, 2016–2018. Morbidity and Mortality Weekly Report, 69(3), 72–76. https://doi.org/10.15585/mmwr.mm6903a4.
Munoz, F. M. (2002). The impact of influenza in children. Seminars in Pediatric Infectious Diseases, 13(2), 72–78.
Munoz, F. M., Bond, N. H., Maccato, M., Pinell, P., Hammill, H. A., Swamy, G. K., et al. (2014). Safety and immunogenicity of tetanus diphtheria and acellular pertussis (Tdap) immunization during pregnancy in mothers and infants: A randomized clinical trial. Journal of the American Medical Association, 311(17), 1760–1769. https://doi.org/10.1001/jama.2014.3633.
Poehling, K. A., Szilagyi, P. G., Staat, M. A., Snively, B. M., Payne, D. C., Bridges, C. B., et al. (2011). Impact of maternal immunization on influenza hospitalizations in infants. American Journal of Obstetrics and Gynecology, 204(6 Suppl 1), S141–S148. https://doi.org/10.1016/j.ajog.2011.02.042.
Power, M. L., Leddy, M. A., Anderson, B. L., Gall, S. A., Gonik, B., & Schulkin, J. (2009). Obstetrician-gynecologists’ practices and perceived knowledge regarding immunization. American Journal of Preventive Medicine, 37(3), 231–234. https://doi.org/10.1016/j.amepre.2009.05.019.
Rising, S. S. (1998). Centering pregnancy. An interdisciplinary model of empowerment. Journal of Nurse Midwifery, 43(1), 46–54. https://doi.org/10.1016/s0091-2182(97)00117-1.
Ruiz-Mirazo, E., Lopez-Yarto, M., & McDonald, S. D. (2012). Group prenatal care versus individual prenatal care: A systematic review and meta-analyses. Journal of Obstetrics & Gynaecology Canada, 34(3), 223–229. https://doi.org/10.1016/S1701-2163(16)35182-9.
Sheffield, J. S., & Ramin, S. M. (2004). Tetanus in pregnancy. American Journal of Perinatology, 21(4), 173–182. https://doi.org/10.1055/s-2004-828605.
Wiley, K. E., Massey, P. D., Cooper, S. C., Wood, N., Ho, J., Quinn, H. E., et al. (2013). Uptake of influenza vaccine by pregnant women: A cross-sectional survey. Medical Journal of Australia, 198(7), 373–375. https://doi.org/10.5694/mja12.11849.
Yuen, C. Y., & Tarrant, M. (2014). Determinants of uptake of influenza vaccination among pregnant women—A systematic review. Vaccine, 32(36), 4602–4613. https://doi.org/10.1016/j.vaccine.2014.06.067.
Funding
This study required no funding.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare they have no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Roussos-Ross, D., Prieto, A., Goodin, A. et al. Increased Tdap and Influenza Vaccination Acquisition Among Patients Participating in Group Prenatal Care. J Primary Prevent 41, 413–420 (2020). https://doi.org/10.1007/s10935-020-00606-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10935-020-00606-z