PMID- 31006130
OWN - NLM
STAT- MEDLINE
DCOM- 20200113
LR  - 20200113
IS  - 1326-5377 (Electronic)
IS  - 0025-729X (Linking)
VI  - 210
IP  - 10
DP  - 2019 Jun
TI  - Influenza and pertussis vaccination of women during pregnancy in Victoria, 
      2015-2017.
PG  - 454-462
LID - 10.5694/mja2.50125 [doi]
AB  - OBJECTIVES: To assess variations by time of year and hospital in the uptake of 
      influenza and pertussis vaccinations by pregnant women in Victoria; to identify 
      factors associated with vaccination uptake. DESIGN, SETTING: Retrospective 
      analysis of data in the Victorian Perinatal Data Collection (VPDC), a population 
      surveillance system for obstetric conditions, procedures, and pregnancy and birth 
      outcomes. PARTICIPANTS: Women whose pregnancies ended in a live or stillbirth 
      during July 2015 - June 2017. MAIN OUTCOME MEASURES: Influenza and pertussis 
      vaccinations during pregnancy. RESULTS: 153 980 pregnancies in 67 hospitals ended 
      during July 2015 - June 2017; 59 968 pregnant women (39.0%) were vaccinated 
      against influenza and 98 583 (64.0%) against pertussis. Coverage varied by 
      pregnancy end date, rising for influenza during winter and spring, but for 
      pertussis rising continuously across the two years from 37.5% to 82.2%. 
      Differences between hospitals in coverage were marked. Factors associated with 
      vaccination included greater maternal age, primigravidity, early antenatal care, 
      and GP-led care. The odds of vaccination were statistically significantly lower 
      for women born overseas and those who smoked during pregnancy; the odds of 
      vaccination were also lower for Aboriginal and Torres Strait Islander women. 
      CONCLUSIONS: Pertussis vaccination of pregnant women in Victoria has increased, 
      but influenza vaccination rates remain moderate and variable. Structural changes 
      at the system level may improve maternal vaccination rates. Embedding the 
      delivery of maternal vaccination programs in antenatal care pathways should be a 
      priority.
CI  - (c) 2019 AMPCo Pty Ltd.
FAU - Rowe, Stacey L
AU  - Rowe SL
AD  - Monash University, Melbourne, VIC.
AD  - Department of Health and Human Services (Victoria), Melbourne, VIC.
FAU - Perrett, Kirsten P
AU  - Perrett KP
AD  - Murdoch Children's Research Institute, Melbourne, VIC.
FAU - Morey, Rosemary
AU  - Morey R
AD  - Department of Health and Human Services (Victoria), Melbourne, VIC.
FAU - Stephens, Nicola
AU  - Stephens N
AD  - University of Tasmania, Hobart, TAS.
FAU - Cowie, Benjamin C
AU  - Cowie BC
AD  - WHO Collaborating Centre for Viral Hepatitis, the Peter Doherty Institute for 
      Infection and Immunity, Melbourne, VIC.
AD  - Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC.
FAU - Nolan, Terry M
AU  - Nolan TM
AD  - Murdoch Children's Research Institute, Melbourne, VIC.
AD  - University of Melbourne, Melbourne, VIC.
FAU - Leder, Karin
AU  - Leder K
AD  - Monash University, Melbourne, VIC.
AD  - Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC.
FAU - Pitcher, Helen
AU  - Pitcher H
AD  - Department of Health and Human Services (Victoria), Melbourne, VIC.
FAU - Sutton, Brett
AU  - Sutton B
AD  - Department of Health and Human Services (Victoria), Melbourne, VIC.
FAU - Cheng, Allen C
AU  - Cheng AC
AD  - Monash University, Melbourne, VIC.
LA  - eng
PT  - Journal Article
DEP - 20190421
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
CIN - Med J Aust. 2019 Jun;210(10):445-446. PMID: 31111493
CIN - Med J Aust. 2019 Nov;211(10):474-474.e1. PMID: 31680252
CIN - Med J Aust. 2019 Nov;211(10):474-474.e1. PMID: 31680257
CIN - Med J Aust. 2020 Jan;212(1):45-45.e1. PMID: 31763697
MH  - Adult
MH  - Female
MH  - Humans
MH  - Influenza, Human/epidemiology/*prevention & control
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/epidemiology/*prevention & control
MH  - Prenatal Care/methods
MH  - Vaccination/*statistics & numerical data
MH  - Victoria
MH  - Whooping Cough/epidemiology/*prevention & control
MH  - Young Adult
OTO - NOTNLM
OT  - Influenza
OT  - Pertussis
OT  - Population policy
OT  - Pregnancy
OT  - Vaccination
OT  - Vaccines
EDAT- 2019/04/22 06:00
MHDA- 2020/01/14 06:00
CRDT- 2019/04/22 06:00
PHST- 2018/11/05 00:00 [received]
PHST- 2019/01/24 00:00 [accepted]
PHST- 2019/04/22 06:00 [pubmed]
PHST- 2020/01/14 06:00 [medline]
PHST- 2019/04/22 06:00 [entrez]
AID - 10.5694/mja2.50125 [doi]
PST - ppublish
SO  - Med J Aust. 2019 Jun;210(10):454-462. doi: 10.5694/mja2.50125. Epub 2019 Apr 21.