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Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province

Maternal immunization is considered the best intervention in order to prevent influenza infection of pregnant women and influenza and pertussis infection of newborns. Despite the existing recommendations, vaccination coverage rates in Italy remain very low. Starting from August 2018, maternal immuni...

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Autores principales: Costantino, Claudio, Mazzucco, Walter, Bonaccorso, Nicole, Cimino, Livia, Conforto, Arianna, Sciortino, Martina, Catalano, Gabriele, D’Anna, Maria Rosa, Maiorana, Antonio, Venezia, Renato, Corsello, Giovanni, Vitale, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707644/
https://www.ncbi.nlm.nih.gov/pubmed/34960202
http://dx.doi.org/10.3390/vaccines9121455
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author Costantino, Claudio
Mazzucco, Walter
Bonaccorso, Nicole
Cimino, Livia
Conforto, Arianna
Sciortino, Martina
Catalano, Gabriele
D’Anna, Maria Rosa
Maiorana, Antonio
Venezia, Renato
Corsello, Giovanni
Vitale, Francesco
author_facet Costantino, Claudio
Mazzucco, Walter
Bonaccorso, Nicole
Cimino, Livia
Conforto, Arianna
Sciortino, Martina
Catalano, Gabriele
D’Anna, Maria Rosa
Maiorana, Antonio
Venezia, Renato
Corsello, Giovanni
Vitale, Francesco
author_sort Costantino, Claudio
collection PubMed
description Maternal immunization is considered the best intervention in order to prevent influenza infection of pregnant women and influenza and pertussis infection of newborns. Despite the existing recommendations, vaccination coverage rates in Italy remain very low. Starting from August 2018, maternal immunization against influenza and diphtheria-tetanus-pertussis were strongly recommended by the Italian Ministry of Health. We conducted a cross sectional study to estimate the effectiveness of an educational intervention, conducted during childbirth classes in three general hospitals in the Palermo metropolitan area, Italy, on vaccination adherence during pregnancy. To this end, a questionnaire on knowledge, attitudes, and immunization practices was structured and self-administered to a sample of pregnant women attending childbirth classes. Then, an educational intervention on maternal immunization, followed by a counseling, was conducted by a Public Health medical doctor. After 30 days following the interventions, the adherence to the recommended vaccinations (influenza and pertussis) was evaluated. At the end of the study 326 women were enrolled and 201 responded to the follow-up survey. After the intervention, among the responding pregnant women 47.8% received influenza vaccination (+44.8%), 57.7% diphtheria-tetanus-pertussis vaccination (+50.7%) and 64.2% both the recommended vaccinations (+54.8%). A significant association was found between pregnant women that received at least one vaccination during pregnancy and higher educational level (graduation degree/master’s degree), employment status (employed part/full-time) and influenza vaccination adherence during past seasons (at least one during last five years). The implementation of vaccination educational interventions, including counseling by healthcare professionals (HCPs), on maternal immunization during childbirth courses improved considerably the vaccination adherence during pregnancy.
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spelling pubmed-87076442021-12-25 Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province Costantino, Claudio Mazzucco, Walter Bonaccorso, Nicole Cimino, Livia Conforto, Arianna Sciortino, Martina Catalano, Gabriele D’Anna, Maria Rosa Maiorana, Antonio Venezia, Renato Corsello, Giovanni Vitale, Francesco Vaccines (Basel) Article Maternal immunization is considered the best intervention in order to prevent influenza infection of pregnant women and influenza and pertussis infection of newborns. Despite the existing recommendations, vaccination coverage rates in Italy remain very low. Starting from August 2018, maternal immunization against influenza and diphtheria-tetanus-pertussis were strongly recommended by the Italian Ministry of Health. We conducted a cross sectional study to estimate the effectiveness of an educational intervention, conducted during childbirth classes in three general hospitals in the Palermo metropolitan area, Italy, on vaccination adherence during pregnancy. To this end, a questionnaire on knowledge, attitudes, and immunization practices was structured and self-administered to a sample of pregnant women attending childbirth classes. Then, an educational intervention on maternal immunization, followed by a counseling, was conducted by a Public Health medical doctor. After 30 days following the interventions, the adherence to the recommended vaccinations (influenza and pertussis) was evaluated. At the end of the study 326 women were enrolled and 201 responded to the follow-up survey. After the intervention, among the responding pregnant women 47.8% received influenza vaccination (+44.8%), 57.7% diphtheria-tetanus-pertussis vaccination (+50.7%) and 64.2% both the recommended vaccinations (+54.8%). A significant association was found between pregnant women that received at least one vaccination during pregnancy and higher educational level (graduation degree/master’s degree), employment status (employed part/full-time) and influenza vaccination adherence during past seasons (at least one during last five years). The implementation of vaccination educational interventions, including counseling by healthcare professionals (HCPs), on maternal immunization during childbirth courses improved considerably the vaccination adherence during pregnancy. MDPI 2021-12-08 /pmc/articles/PMC8707644/ /pubmed/34960202 http://dx.doi.org/10.3390/vaccines9121455 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Costantino, Claudio
Mazzucco, Walter
Bonaccorso, Nicole
Cimino, Livia
Conforto, Arianna
Sciortino, Martina
Catalano, Gabriele
D’Anna, Maria Rosa
Maiorana, Antonio
Venezia, Renato
Corsello, Giovanni
Vitale, Francesco
Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title_full Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title_fullStr Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title_full_unstemmed Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title_short Educational Interventions on Pregnancy Vaccinations during Childbirth Classes Improves Vaccine Coverages among Pregnant Women in Palermo’s Province
title_sort educational interventions on pregnancy vaccinations during childbirth classes improves vaccine coverages among pregnant women in palermo’s province
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707644/
https://www.ncbi.nlm.nih.gov/pubmed/34960202
http://dx.doi.org/10.3390/vaccines9121455
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