Knowledge, Perceptions, Attitudes and Practices of Midwives Regarding Maternal Influenza and Pertussis Vaccination: A Qualitative Study

Antonia Arreciado Marañón, María Isabel Fernández-Cano, Laura Montero-Pons, Maria Feijoo-Cid, Azahara Reyes-Lacalle, Rosa María Cabedo-Ferreiro, Josep Maria Manresa-Domínguez and Gemma Falguera-Puig
Additional contact information
Antonia Arreciado Marañón: Department of Nursing, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
María Isabel Fernández-Cano: Department of Nursing, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
Laura Montero-Pons: Atenció a la Salut Sexual i Reproductiva de Santa Coloma de Gramenet, Direcció d’Atenció Primària Metropolitana Nord, Institut Català de la Salut, 08921 Barcelona, Spain
Maria Feijoo-Cid: Department of Nursing, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
Azahara Reyes-Lacalle: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
Rosa María Cabedo-Ferreiro: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
Josep Maria Manresa-Domínguez: Department of Nursing, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
Gemma Falguera-Puig: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain

IJERPH, 2022, vol. 19, issue 14, 1-17

Abstract: The coverage of maternal vaccination against pertussis and, particularly, influenza is lower than expected. The lack of recommendation from healthcare providers conditions non-vaccination in pregnant women. The purpose was to determine the knowledge, perceptions, attitudes and practices of midwives regarding maternal influenza and pertussis vaccination. A qualitative descriptive study based on semi-structured, face-to-face interviews with seventeen midwives was conducted, including purposive sampling and thematic analyses. Midwives had disparate knowledge and perceptions about the severity of influenza and pertussis in pregnant women, and influenza was not considered very serious. The vaccines were generally considered safe. However, because midwives did not have enough information about the safety of the influenza vaccine, there was a tendency not to recommend it. While most midwives had a positive attitude toward vaccination, their advocation for vaccination against influenza was not as clear as it was for pertussis. Not wanting to influence the decision and assuming an informative–facilitating role also led providers to recommend the influenza vaccine less frequently. Midwives are among the main sources of professional advice for pregnant women. Addressing their understanding and professional practices regarding maternal vaccination is key to change the attitude of pregnant women and thus increase vaccine uptake among them, particularly for influenza.

Keywords: influenza; immunization; midwives; pertussis; pregnancy; vaccination (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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