2009 H1N1 vaccination by pregnant women during the 2009-10 H1N1 influenza pandemic

• Published in: American journal of obstetrics and gynecology Vol. 206; no. 4; pp. 339.e1 - 339.e8
• Main Authors: Dlugacz, Yosef, PhD, Fleischer, Adiel, MD, Carney, Maria Torroella, MD, Copperman, Nancy, MS, RD, Ahmed, Imran, MBBS, MPH, Ross, Zev, MS, Buchman, Tavora, PhD, Fried, Anne Marie, DNP, RN, Cabello, Celina, MPH, De Geronimo, Marcella, MS, Sweetapple, Carolyn, RN, MBA, Besthoff, Catherine M., RN, MHA, Silverman, Robert A., MD, MS
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01.04.2012
• Subjects: 2009 H1N1 virus; Adult; Female; Health Care Surveys; Humans; Influenza A Virus, H1N1 Subtype - immunology; Influenza Vaccines - immunology; Influenza, Human - immunology; Influenza, Human - prevention & control; Influenza, Human - psychology; Obstetrics and Gynecology; Patient Acceptance of Health Care - psychology; Pregnancy; Pregnancy Complications, Infectious - prevention & control; Pregnancy Complications, Infectious - psychology; vaccination; Vaccination - psychology; Young Adult; 2009 H1N1 virus; pregnancy; vaccination
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1016/j.ajog.2011.12.027

Objective Pregnant women were identified at greater risk and given priority for 2009 H1N1 vaccination during the 2009 through 2010 H1N1 pandemic. We identified factors associated with acceptance or refusal of 2009 H1N1 vaccination during pregnancy. Study Design We conducted an in-person survey of postpartum women on the labor and delivery service from June 17 through Aug. 13, 2010, at 4 New York hospitals. Results Of 1325 survey respondents, 34.2% received 2009 H1N1 vaccination during pregnancy. A provider recommendation was most strongly associated with vaccine acceptance (odds ratio [OR], 19.4; 95% confidence interval [CI], 12.7–31.1). Also more likely to take vaccine were women indicating the vaccine was safe for the fetus (OR, 12.4; 95% CI, 8.3–19.0) and those who previously took seasonal flu vaccination (OR, 7.9; 95% CI, 5.8–10.7). Race, education, income, and age were less important in accepting vaccine. Conclusion Greater emphasis on vaccine safety and provider recommendation is needed to increase the number of women vaccinated during pregnancy.