Selling the public health message to pregnant women - the role of midwives in maternal immunisation
PHE ePoster Library. Wood A. 09/13/16; 137922; 198
Dr. Annette Wood
Dr. Annette Wood
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Abstract Nationally, uptake for influenza and pertussis vaccination in pregnant women remains poor. As part of a programme to improve influenza and pertussis vaccination in pregnant women, we conducted a review of the processes in each maternity trust in the NHS England (West Midlands) area. At the time, none of the trusts delivered vaccination to pregnant women. A questionnaire was sent to all heads of midwifery to gain more information about processes, policies and structures. Nine out of 11 trusts replied. The responses revealed that:All trusts used a variety of methods to promote vaccination. However no trusts had a process for communicating with Primary Care about whether vaccine had been givenOnly one trust had a policy covering influenza and maternityMany trusts did not know the influenza vaccination uptake rate for its midwives. Uptake was monitored by a variety of methods.Training for midwives was very variable. It ranged from no training at all to formal sessions run by a public health team or senior midwives. More often than not there was very minimal training.In conclusion, there was a lack of a systematic approach to improving vaccination uptake in pregnant women in the trusts who took part in this review. There is a need to develop a more comprehensive approach that links with Primary Care and covers matters such as training and the vaccination of staff. Data from the review are being used to inform the option for maternal vaccination to be delivered by trusts in 2016-17.
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