Effect of a postpartum prescription for pertussis vaccine: a before-and-after study - 16/03/21
, Saliha El Morabit a, 1, Yamina Hammou a, Rachida Gallouj a, Nasser Messaadi b, Sophie Vanderstichele a, Marielle Roumilhac a, Philippe Dufour a, Damien Subtil a, cBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Background |
Among the strategies to encourage pregnant women to be vaccinated against pertussis in the postpartum period, that of giving them a prescription has been evaluated only sparsely.
Objective |
To measure the effect of giving women who are not immunized against pertussis a prescription for the vaccine at discharge from the maternity unit.
Material and methods |
Single-center before-and-after study (2011: before; 2015: after). All women received both oral and written information about vaccination against pertussis. During the after period, they were also specifically asked their immunization status during pregnancy. Those currently unimmunized received a written prescription for it at discharge.
Results |
Among the women unimmunized at delivery, the percentage who were vaccinated postpartum climbed from 17 to 42% between 2011 and 2015 (p < 0.001), while the percentage of their unimmunized partners who were vaccinated remained stable (27 and 29%, p = 0.74). During this time, the percentage of women immunized against pertussis at the beginning of pregnancy rose from 32 to 52% (p < 0.001). Finally, the percentage of all women protected against this disease postpartum climbed from 44 to 72% between these two periods (p < 0.001).
Conclusions |
In the postpartum period, giving a prescription for pertussis vaccine to women unimmunized is accompanied by a significant elevation in their vaccination rate. Nevertheless, this rate remains low and better strategies have to be implemented.
Le texte complet de cet article est disponible en PDF.Abbreviation : dTpa-IPV
Keywords : Vaccination, Pertussis, Pregnancy, Postpartum, Prescription, Cocooning strategy
Plan
Vol 50 - N° 4
Article 102050- avril 2021 Retour au numéro
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