Willingness Of Pregnant Women Research Articles

Factors associated with pregnant women’s willingness to receive maternal pertussis vaccination in Guizhou Province, China: An exploratory cross-sectional study

ABSTRACT The rise in pertussis incidence among infants in Guizhou, China underscores the need for maternal acellular pertussis vaccine (aP) immunization, a key strategy in protecting infants from severe health consequences. However, the willingness of pregnant women in Guizhou to receive this vaccine is not well-understood. This study aimed to explore pregnant women’s intentions toward maternal pertussis vaccination in Guizhou and identify the associated factors. A questionnaire based on the health belief model, was administered in an exploratory cross-sectional study from January to February 2022. Data from 564 participants were collected and analyzed. The chi-square test, Mann-Whitney U test, and Poisson regression were used to identify potential factors associated with vaccination intentions. Participants’ median age was 27 y (interquartile range (IQR): 24–31), and the median number of children per participant was one. The study found that only 36.0% of the participants intended to receive the aP vaccine while 64.0% were uncertain or negative in this regard. Significant factors associated with intentions to vaccinate included perceived barriers and cues for action and perceived benefits. The major barriers for low vaccination intentions were safety concerns for both the fetus and the mother, and family members’ negative attitudes. Free vaccines, perceiving preventive benefits, observing other pregnant women getting vaccinated, and healthcare provider recommendations may facilitate vaccination intentions. Multiple immune strategies should be developed or optimized to cope with the resurgence of pertussis.

Analisis Faktor Yang Mempengaruhi Kesediaan Ibu Hamil dalam Melakukan Vaksinasi COVID-19 Booster di Wilayah Kerja Puskesmas Balongpanggang Kabupaten Gresik

The coverage of the COVID-19 Booster vaccination for pregnant women is still very low, this is because there are still many pregnant women who experience doubts about making a decision to vaccinate. Pregnant women found that Booster doses were associated with higher maternal antibody levels and thus reduced risk for severe COVID-19 related outcomes, as well as a stronger degree of protection for the baby than mothers who only received the primary dose (1st dose and 2nd dose). The purpose of this study was to determine the factors associated with the willingness of pregnant women to carry out the COVID-19 Booster vaccination. This research is a quantitative research with correlation analytic method. The population in this study were pregnant women who were recorded in the PWS KIA K1 data for pregnant women at the Balongpanggang Gresik Health Center as many as 120 respondents, a sample of 55 samples. Sampling used a purposive sampling method by distributing questionnaires online via Google forms and offline using a paper-based-test technique. The results of the study showed that the willingness of pregnant women to carry out the COVID-19 Booster vaccination was 80%. Bivariate analysis in this study used Chi square, Fisher and Kruskal-wallis statistical tests. There is a relationship between education, knowledge and attitudes with the willingness of pregnant women to carry out the COVID-19 Booster vaccination in the working area of the Balongpanggang Health Center, Gresik Regency in 2023. The role of midwives, the community and the government is very much needed in efforts to fulfill the coverage of the COVID-19 Booster vaccination, especially in pregnant women who are a vulnerable population during a pandemic. An approach with the right health promotion strategy is expected to be able to help achieve the target of vaccination coverage.

The relationship between e-health literacy and information technology acceptance, and the willingness to share personal and health information among pregnant women

BackgroundMany factors may affect pregnant women’s willingness to accept information (IT) technology and share their personal and health information. One of these factors is their e-health literacy level. ObjectiveTo investigate the relationship between e-health literacy and IT acceptance, as well as the willingness of pregnant women to share their information. MethodsThis survey was conducted among pregnant women visiting hospitals and private physicians' offices in Zahedan, Iran in 2019. Data were collected using a 4-part questionnaire with 66 questions. The data were analyzed using descriptive (frequency, percentage, mean and standard deviation) and inferential (Pearson correlation coefficient and linear regression) statistics. ResultsThe mean scores of electronic health literacy, information technology acceptance, and willingness of pregnant women to share personal and health information were 27.43 ± 5.82, 145.49 ± 25.72, and 19.16 ± 5.47, respectively. There was a significant relationship between IT acceptance and information sharing, which means that with increasing IT acceptance, people were more willing to share their information. Also, the results showed that with the decrease in economic well-being, the willingness to share personal and health information decreases. ConclusionThis study showed that with the increase in e-health literacy of pregnant women, their IT acceptance grows. Increasing IT acceptance improves their willingness to share their information. Setting and updating information-sharing rules and security mechanisms with the participation of people can help reduce concerns and increase public trust. Healthcare policymakers can encourage the use of health IT in the prevention and treatment of diseases by providing relevant education and informing people.

COVID-19 Vaccine Hesitancy and Related Factors among Unvaccinated Pregnant Women during the Pandemic Period in Turkey

The COVID-19 virus appeared in Wuhan, China in 2019 and spread rapidly all over the world. Vaccination guidelines have recommended pregnant women to get vaccinated against COVID-19 to prevent disease. This study aimed to understand the willingness of pregnant women to vaccinate and the factors associated with their hesitation and resistance. This cross-sectional study was conducted between March and April 2022. The sample size was not calculated and tried to reach all pregnant women who did not have any COVID-19 vaccine. In the first part of the questionnaire, socio-demographic questions, and in the last part, the short form of the 12-item anti-vaccine scale, which was prepared as a 5-point Likert scale, were applied. The study was completed with 561 pregnant women. The mean score of the pregnant women who participated in this study from the vaccine hesitancy scale was found to be 33.40 ± 6.07. It was found that as the income of pregnant women decreased, the vaccine hesitancy scores decreased. Vaccine hesitancy scores of those who stated no one gave advice were significantly higher. The vaccination of pregnant women will bring significant success to the fight against the COVID-19 pandemic when implemented as part of the public health policies of countries.

Determinan Kesediaan Ibu Hamil Mengikuti Vaksinasi Covid-19

Pregnant women are a group that is vulnerable to Covid-19 due to physiological changes during pregnancy, resulting in a change in response to Covid-19 infection. Pregnant women infected with Covid-19 are at risk for preeclampsia, stillbirth, premature birth, and maternal death. The magnitude of the impact, it is necessary to have a Covid-19 vaccine to reduce the incidence and reduce the severity caused by Covid-19, especially in pregnant women. This study aims to determine the determinants of the willingness of pregnant women to take the Covid-19 vaccine in the working area of ​​the Tomalehu Health Center. The type of research used is descriptive analytic with a cross sectional study design. The population in this study were all pregnant women in the second and third trimesters who were in the Working Area of ​​the Tomalehu Health Center, West Seram Regency, as many as 41 respondents. The sample in this study were pregnant women in the second and third trimesters who were in the Working Area of ​​the Tomalehu Health Center as many as 37 respondents. Sampling was done by using purposive sampling method. Processing and analysis using Chi Square test with a significance level of p < 0.05. The results of this study indicate that there is a relationship between knowledge (p = 0.005), perception (p = 0.000) with the willingness of pregnant women to vaccinate against Covid-19 and there is no relationship between a history of disease (0.403) and the willingness of pregnant women to vaccinate against Covid-19 . Researchers suggest that health workers and the government should increase the socialization of giving vaccinations to pregnant women so that vaccination coverage can increase

Knowledge and Willingness toward Vaccination among Pregnant Women: Comparison between Pertussis and Influenza.

Our study sought to characterize the knowledge and willingness levels regarding vaccinations against pertussis and seasonal influenza (influenza) among pregnant women in Guizhou province, China, which have previously been unclear. In total, 11 hospitals that carried out obstetrics and antenatal examination services were randomly included in the target organizations, and 564 questionnaires completed by the pregnant women were collected and analyzed in Guizhou province. The questionnaires contained questions addressing awareness and knowledge of pertussis and influenza, willingness to be vaccinated at different life stages, and the basic statuses of subjects. A two-paired McNemar test was used to compare the knowledge levels on pertussis and influenza. A Friedman test was used to compare the willingness to be vaccinated at different life stages. To explore the factors influencing knowledge levels, a chi-square test and binary logistic regression were used with stepwise backward regression. In total, 11.9 percent of the pregnant women had received influenza vaccines in the year prior to their pregnancy in Guizhou province. The pregnant women had poorer knowledge of pertussis than of influenza. Given a vaccine was available, the willingness of pregnant women to partake in the following vaccination-related actions could be ranked, from highest to lowest: free vaccination of babies, recommend vaccination to family members, postpartum vaccination, vaccination of babies at mothers' expense, and vaccination during pregnancy. Knowledge levels played different roles in the women's willingness to receive vaccinations at different life stages. Common knowledge of pertussis and influenza played a limited role in the willingness to receive maternal vaccinations. Among the pregnant women, the factors influencing the low levels of pertussis knowledge were occupation as nonmedical-institution staff, lower educational level, pregnancy stage past the first trimester, and not bearing children; for influenza, the factors were occupation as nonmedical-institution staff, lower educational level, denial of pregnancy-induced disease, and lower monthly household income per capita. Pregnant women have poorer levels of knowledge on pertussis than influenza, whereas there was no significant difference in their willingness to be vaccinated against these conditions. Health education on pertussis should be strengthened and we called for vaccines given at birth.

Perception Of Pregnant Mothers And Willingness To Vaccinate Against Covid-19

Pregnant women are a group that is vulnerable to Covid-19 due to physiological changes that result in changes in response to Covid-19 infection. Pregnant women with Covid-19 are at risk for preeclampsia, stillbirth, premature birth, and maternal death. The magnitude of the impact, it is necessary to have a Covid-19 vaccine to reduce the incidence and reduce the severity caused by Covid-19, especially in pregnant women. This study aims to determine the relationship between knowledge, perception, and disease history with the willingness of pregnant women to take the Covid-19 vaccine. This research is a descriptive analytic with a cross sectional study design. The population is all pregnant women in the second and third trimesters who are in the Work Area of ​​the Tomalehu Health Center, West Seram Regency, as many as 41 respondents. The sample is pregnant women in the second and third trimesters who are in the Working Area of ​​the Tomalehu Health Center as many as 37 respondents with purposive sampling. Processing and analysis using Chi Square test. The results showed that there was a relationship between perception (p = 0.000) and the willingness of pregnant women to vaccinate against Covid-19. Researchers suggest that health workers and the government should increase the socialization of giving vaccinations to pregnant women. vaccination coverage can be increased

High rates of COVID-19 vaccine refusal among Afghan pregnant women: a cross sectional study

Severe Acute Respiratory Syndrome Corona Virus Type-2 (SARS-COV-2) was first detected in China and created a global pandemic rapidly. Subsequently after serious efforts different types of vaccines produced against the virus and recommended for all people including pregnant women. The aim of this study was to realize the willingness of pregnant women to accept the COVID-19 vaccine in Kabul Afghanistan. For this purpose, a cross-sectional study was conducted in gynecology wards of several hospitals in Kabul, Afghanistan from 10th of July to 20th of August 2021 through direct interview with the pregnant women who had come for prenatal care to the healthcare centers. The collected data were analyzed through Statistical Package for Social Studies (SPSS) version 25. Simple descriptive analysis computed for demographic characteristics and bi-variable (Chi-square) analysis was carried out to find out the associations of taking vaccine with demographic variables. A p-value of < 0.05 was considered significant at 95% confidence interval. A total of 491 who were completed the inclusion criteria included in the analysis. A small portion of pregnant women (8.6%) illustrated the intent to get the COVID-19 vaccine if it is recommended by the health authorities in Afghanistan. Our study found a high rate of COVID-19 vaccine refusal among pregnant women in Kabul, Afghanistan. They showed the concern on adverse effects of the vaccine as the main reason for refusal, emphasizing the need to reduce the misconception on vaccine efficacy and campaigns to enhance awareness on the vaccine safety and benefits for mothers and babies.

The promise, problems, and pitfalls of including pregnant women in clinical trials of Lassa fever vaccine: a qualitative assessment of sub-Sahara Africa investigators’ perception

IntroductionLassa fever runs a uniquely severe course in pregnancy. There are plans for Lassa fever vaccine clinical trials in endemic West African countries. We assessed the perception of West African investigators to include pregnant women in these studies.Methodsinterviews were conducted with eight sub-Saharan African investigators. These investigators, listed as speakers at the 9th European and developing countries clinical trials partnership (EDCTP) congress and had clinical research experience in sub-Saharan Africa, were purposefully included as study participants. Six are from West Africa. The information was analyzed thematically.Resultswe interviewed eight (six in-person and two on the phone) out of fifteen earmarked investigators. Respondents had limited experience with pregnant women in clinical trials, but desired a paradigm shift. They identified pregnant women's willingness, a robust community engagement strategy, and adequate safety data as enablers, while lack of safety data, persistent fears about potential harm to pregnant women and offspring, and inappropriate community engagement activities as potential barriers.Conclusionthe inclusion of pregnant women in Lassa fever vaccine clinical trials should be a priority of vaccine developers. Investigators are willing to conduct these studies provided adequate measures to ensure safety is in place.

The risk factors and pregnant women's willingness toward the SARS-CoV-2 vaccination in various countries: A systematic review and meta-analysis

IntroductionPregnant women will benefit from research on immunization during pregnancy because they will have more accurate information on the SARS-CoV-2 vaccine. The purpose of this study was to determine the risk factors and pregnant women's desire to get the SARS-CoV-2 vaccine in various countries. MethodsA search of PubMed, ProQuest, and EBSCO for related publications published (January and December 2021) on risk factors and pregnant women's desire to get the SARS-CoV-2 vaccine in various countries. The Pooled Odds Ratio (POR) were calculated using fixed and random-effect analysis. The I-squared formula was used to calculate the heterogeneity. Egger's and Begg's tests were used to identify study bias. STATA 16.0 was used for data analysis. ResultsThis study revealed good practice has the highest POR (8.99), followed by received influenza vaccine last year (2.72), high perception of SARS-CoV-2 vaccine (2.70), >35 years (2.01), sufficient information about the SARS-COV-2 vaccine (1.94), higher school education (1.84), and third trimester (1.35) with pregnant women's desire toward the SARS-CoV-2 vaccination. The heterogeneity analysis revealed homogenous among risk factors in >35 years, high perception of SARS-CoV-2 vaccine, good practice, and third trimester (I2 ≤ 50%). In the articles combined in this study, there was no indication of study bias. ConclusionThe insights of this study might help the authorities in determining the most effective strategy to deploy SARS-CoV-2 mass immunization campaigns for pregnant women.

Determinant Factors Involved In Pregnant Women's Willingness To Receive Covid-19 Vaccine

Background: The COVID-19 vaccine still has a poor vaccination rate among pregnant women for a variety of reasons, one of which is a lack of knowledge about the vaccine's advantages as well as the potential side effects and risks that may result from the vaccine. The purpose of this research is to discover determinant factors that influence Covid-19 vaccination willingness.&#x0D; Methods: This is a descriptive analytic study with a chronological method. In this study, a total population of 255 pregnant women was sampled, using the first dose of COVID-19 vaccination administered to pregnant women at Kedungwuni II Health Center. This research relies on primary data and a questionnaire that has been assessed for validity and reliability. This study lasted six months, from July to December 2021. The analysis was a multivariate logistic regression analysis.&#x0D; Results: The factors related to the willingness of pregnant women to take part in the COVID-19 vaccination were age (p=0.026), gravida status (p=0.029), ANC frequency (p=0.002) and knowledge about covid 19 vaccination (p=0.001).&#x0D; Conclusion: It is critical for healthcare practitioners to provide information about the COVID -19 vaccination so that expectant mothers do not feel anxious about going to the vaccination sites. Pregnant women should also be informed about the possibility of post-vaccination complications.

HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG HIV/AIDS SERTA DUKUNGAN SUAMI DENGAN KESEDIAAN IBU DALAM MELAKUKAN VCT DI PUSKESMAS BALOI PERMAI KOTA BATAM.

A normal and healthy pregnancy is what every woman desires. Diseases experienced during pregnancy will be at risk for the baby. One of the most feared diseases is the Human Immunodeficiency Virus (HIV). The VCT strategy is at the core of all HIV / AIDS prevention and control efforts. Therefore, preventive service of HIV transmission from a mother to a child is one of the efforts to combat HIV and AIDS integrated with health services. The purpose of this study was to determine whether the Relationship between Knowledge of Pregnant Women and HIV / AIDS and the Support of Husbands in Their Willingness to Perform VCT. The research design used in this study was an Analytical Survey using the Cross Sectional approach. The study was conducted in April to August at the Public Health Center Baloi Permai in Batam. The population in this study was 273 respondents with a sample of 73 respondents, using a point time approach technique. Data collection using questionnaire instruments filled out by respondents. Data in tabular and textual form was analyzed using Chi-Square. The statistical test results obtained 66 respondents with good knowledge, husband less-support was 40 respondents and the willingness of pregnant women 73 respondents There is a significant relationship between Knowledge (p = 0,000) and husband support (p = 0.007) with the willingness of mothers to conduct VCT. It is expected to improve socialization about HIV / AIDS and VCT services at the Public Health Center and motivate health workers to play a role in increasing public knowledge about VCT testing through counseling in more creative ways. Hence, the community is interested in participating in these activities, and providing educative information so as to increase the knowledge of pregnant women related to VCT.

THE INFLUENCE OF INTERNAL FACTORS OF PREGANT WOMEN ON TRIPLE ELIMINATION EXAMINATION

AbstractBackground: HIV, Hepatitis dan Syphilis can be transmitted from mother to fetus which causes high morbidity dan mortality, especially in developing countries. Transmission of this infection can be prevented by early detection of triple elimination during pregnancy to the maximum. Optimizing the scope of the examination through the identification of internal factors that influence pregnant women to perform triple elimination examination Methods: This study is a descriptive analytic study with a cross sectional approach. The number of samples was 69 pregnant women at Poli KIA Puskesmas who had never done a triple elimination examination. Sampling with accidental sampling. The independent variable of the study was the mother's internal factors consisting of the mother's socio-economic characteristics, knowledge, attitudes dan motivation. The dependent variable is the willingness of pregnant women to perform triple elimination examination. Analysis using the Mann Whitney test, significant if the difference in p-value &lt;0.05. Result : From 69 respondents, 13 mothers were not willing to do the examination. The internal factors of pregnant women have a different average between those who are willing dan unwilling, but the difference is not significant (&gt; 0.05) dan has no influence on the mother's decision to perform a triple elimination examination. The P-value of each factor was obtained from characteristics dan socio-economic characteristics (age (0.550), education (0.602), gravida (0.829), gestational age (0.612), family type (0.567), number of family members (0.407), mother's occupation (0.886 ), husbdan's occupation (0.761), income (0.733), knowledge (0.311), motivation (0.281), dan attitude (0.714) Conclusion: There is no internal factor of the mother that affects the willingness to perform triple elimination examination during pregnancy, further research is needed on external factors from pregnant women to maximize the coverage of triple elimination examination

Dancing During Labor: Are Women Down to Boogie?

Recent social media trends have demonstrated increased interest in dancing during the final weeks of pregnancy and labor. However, there is limited evidence about dancing during labor and its impact on labor pain and duration as well as patient satisfaction. Before conducting a prospective study, given that enrollment is often challenging, our feasibility study aimed to assess the willingness of pregnant women to participate in a future study evaluating low-impact dance during labor. We anonymously surveyed a convenience sample of English-speaking/reading pregnant women who presented for prenatal care at 1 of 3 clinics from June 2019 to July 2019. Questions related to women's interest in dancing during labor and limited demographic information were collected and analyzed. Overall, 88.6% of pregnant women who completed the survey expressed interest in participating in a future study on low-impact dance during labor, with Caucasian patients and those ≥35 years of age being less interested in future participation (P<0.05 for both). Interest in participating was not influenced by any other demographic characteristic, pregnancy history, or current activity level. Given sufficient interest among pregnant women in participating in a study aimed at evaluating the potential benefits of low-impact dance during labor, enrollment numbers may be easier to achieve than previously expected.

Willingness of antenatal care attendees towards voluntary HIV counseling and testing, Southern Ethiopia

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p &lt; 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes

Dancing During Labor: Social Media Trend or Future Practice?

Over the past 30 years, medical interventions in pregnancy and childbirth have increased. Some pregnant women seek less invasive and nonpharmacological options to manage discomforts during labor. While exercise during pregnancy is recommended, less is known about exercise, specifically dancing, during labor. While anecdotal evidence is supportive, little is known about the implications of exercise and dance during the first stage of labor for pain reduction and labor progression. Some movements common in dance, such as expanding hip circles that loosen and relax muscles of the pelvic floor, may be beneficial to women during labor. Available evidence suggests that dancing during the first stage of labor may decrease duration and intensity of pain and increase patient satisfaction, but further study is warranted. Ultimately, before assessing the implications of dance during labor, a feasibility study should be conducted to determine pregnant women's willingness to participate in a prospective or randomized controlled trial.

Impact of video demonstration on willingness of pregnant women to receive epidural labor analgesia in a Nigerian hospital- An open label trial

Background: Labor pain is an inevitable experience for parturients with choice for labor analgesia depending on awareness, parturients' education, availability, cost and adverse effects of the analgesic materials. Methods: All pregnant women attending booking clinics in the obstetric units of our hospital were recruited into an open-label randomized control trial for a period of 3 months into either intervention or control group. The pregnant women in the intervention group were shown a video demonstration on epidural labor analgesia in addition to distribution of epidural information leaflets with verbal explanation on pain management in labour. The control group had the same exposure except the video demonstration. An interviewer semi-structured questionnaire was used to collect information on biodata, knowledge of pain management in labor, previous labor pain experience, willingness to receive epidural labor analgesia in the current pregnancy and factors associated with willingness to receive epidural labor analgesia. Data were analyzed using descriptive and inferential statistics with P < 0.05 accepted as statistically significant. Results: Out of the 199 expectant mothers that participated in the study, 95 (47.7%) were in the intervention group and 104 (52.3%) in the control group with 18 (18.9%) and 5 (4.8%) patients had prior knowledge of epidural labor analgesia respectively. A higher proportion of 41 (43.2%) of participants in the intervention group were willing to receive epidural analgesia in the current pregnancy, when compared with 13 (12.5%) in the control group (P = 0.001). Conclusion: Addition of video demonstration to epidural leaflet information with verbal explanation in the intervention group increased the willingness of pregnant women to request for epidural pain relief in the current pregnancy compared to the control group.

Exploring Coping Strategies of Nursing Staff for Influenza Vaccination Among Pregnant Women

Influenza vaccinations may decrease the risk of contracting influenza and its complications significantly in pregnant women and effectively help infants less than six months of age avoid hospitalization. Based on scientific evidence supporting the safety and benefits of the influenza vaccination for pregnant women and fetuses, the epidemic prevention policy of both the World Health Organization and Taiwan's Ministry of Health and Welfare recommend that pregnant women receive the influenza vaccination. However, low acceptance of the influenza vaccine among pregnant women is an ongoing concern in Taiwan. Nursing staffs play a key role in implementing the influenza vaccination program for pregnant women. Therefore, strengthening the professional competency and service effectiveness of nursing staffs may be expected to significantly improve the vaccination coverage rate. This article offers practical methods for achieving this, including promoting nursing staffs' professional knowledge and positive attitudes regarding influenza vaccinations for pregnant women, improving nursing staffs' related education and skills in communication with pregnant women and their families, and improving the implementation of the notification mechanism for disseminating accurate information regarding the vaccine and vaccine adverse events. Our ultimate goal is to enhance the confidence and willingness of pregnant women with regard to receiving influenza vaccinations in order to promote the health of mothers and their fetuses.

Low awareness of influenza vaccination among pregnant women and their obstetricians: a population-based survey in Beijing, China

ABSTRACTWe assessed how an awareness of influenza vaccination might influence both the willingness of pregnant women to be vaccinated and the readiness of obstetricians to recommend antenatal influenza vaccination in Beijing, China. From March to April 2016, we surveyed pregnant women who were attending antenatal clinics at eight hospitals in Beijing, along with obstetricians at the same clinics. Demographic, attitudinal, and behavioral information regarding influenza vaccination were collected using structured questionnaires. Consent and completed questionnaires were obtained from 988 of 1009 pregnant women and 165 of 173 obstetricians. Only 113 (11.4%) pregnant women reported being willing to receive an influenza vaccine during their pregnancies. Willingness to receive an influenza vaccination was positively associated with ever having a history of vaccination or influenza (aOR=6.74, 95%CI: 1.72-26.4, P=0.006), perceiving benefits of vaccination (aOR=1.67, 95%CI: 1.00-2.79, P=0.050), and having a higher level of influenza knowledge (aOR=82.2, 95%CI: 21.7-311.1, P<0.001). Among obstetricians, only 19.4% reported being willing to recommend influenza vaccination to their pregnant patients and 15.2% reported knowledge that influenza vaccination during pregnancy was recommended by China’s National Health Commission. Neither pregnant women nor their obstetricians were aware of Chinese government recommendations that antenatal influenza vaccination should be encouraged and provided. Pregnant women and their obstetricians were ill-informed of the relevant evidence. It is in emergent need to train and disseminate the updated evidence on influenza vaccination to obstetricians. It also warranted more high-quality trials regarding influenza vaccination during pregnancy to address public concern.

Pregnant women\u2019s experiences and perceptions of participating in the EVERREST prospective study; a qualitative study

BackgroundThe EVERREST Prospective Study is a multicentre observational cohort study of pregnancies affected by severe early-onset fetal growth restriction. The study recruits women with singleton pregnancies where the estimated fetal weight is less than the 3rd centile and below 600 g, between 20 + 0 and 26 + 6 weeks of pregnancy, in the absence of a known chromosomal, structural or infective cause.MethodThe reported study was retrospective descriptive qualitative interview study of women who had participated in the EVERREST Prospective Study. The aim of this study was to explore the experiences and perceptions of pregnant women taking part in research during a pregnancy affected by severe early-onset fetal growth restriction. Audio-recorded semi-structured telephone interviews were conducted with a purposive sample of 12 women, at least 1 year after delivery of their baby. Two of these pregnancies had ended in stillbirth and one in neonatal death, reflecting the outcomes seen in the EVERREST Prospective Study. Participants gave informed consent, were 16 years or older and were interviewed in English. A topic guide was used to ensure a consistent approach. Questions focused on pregnancy experiences, involvement with the EVERREST study and potential involvement in future research. Recordings were transcribed verbatim for thematic analysis using NVivo10.ResultsFour broad themes were identified; ‘before joining the EVERREST Prospective Study’, ‘participating in research’, ‘information and support’ and ‘looking back and looking forwards’. Each broad theme incorporated several subthemes. All participants recalled their reaction to being told their baby was smaller than expected. The way this news was given had a lasting impact. A range of benefits of participation in the EVERREST Prospective Study were described and the participants were positive about the way it was conducted. As a consequence, they were receptive to participating in future research. However, the findings suggest that research teams should be sensitive when approaching families at a difficult time or when they are already participating in other research.ConclusionsThis study highlights the willingness of pregnant women to participate in research and identifies strategies for researchers to engage participants.