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Identifier

000454606

Title

Εμβολιαστική κάλυψη εγκύων στην εποχή της πανδημίας Covid-19

Alternative Title

Vaccine coverage of pregnant women during Covid-19 pandemic

Author

Παπαθανασίου, Γεωργία

Thesis advisor

Χατζηδάκη,Ελευθερία
Περδικογιάννη, Χρυσούλα
Βρεκούσης, Θωμάς

Abstract

Introduction: Vaccine coverage with vaccines that are recommended during pregnancy is very important for the enforcement of the public health system. This is because vaccines protect not only the mother but neonates and infants as well, decreasing morbidity and mortality rates. Especially in the middle of Covid-19 pandemic vaccination during pregnancy has a particular role since pregnant women belong to a risk group for severe disease. Thus, flu vaccination, vaccination against tetanus and pertussis and vaccination against Covid-19 are recommended in pregnancy. However, vaccination rates seem to be low worldwide. Consequently, it is important to determine vaccination coverage in pregnancy as well as its connection to demographic factors related to pregnant women. Methods: A cross-sectional study with questionnaires was conducted between 1/9/2022 and 30/11/2022 and it included all pregnant women and women who had recently given birth and were examined in the outpatient clinic of Venizeleio General Hospital of Heraklion, Crete. The recollection of answers took place via telephone. During the study vaccination rates for influenza vaccine, tetanus and pertussis vaccine and ≥1 dose of any vaccine against Covid-19 were registered. Furthermore, demographic factors concerning age, level of education and residence environment were registered and correlated to the vaccine coverage. The statistical analysis was conducted on Microsoft Excel and SPSS (IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.). Results: n=297 (73,9%) women out of the N=402 who had visited the outpatient clinic during the reference time period answered the questionnaire. n=2 women (0,67%) were fully vaccinated while n=113 (38%) were not vaccinated at all. n=11 women (3.7%) were vaccinated against influenza while n=7 women (2,35%) were vaccinated against tetanus and pertussis. According to the results n=183 women (61,61%) were vaccinated with ≥1 dose of any vaccine against Covid-19. According to the tests that were conducted between vaccine rates and demographic factors older mother age (p=0,041) and high education level (p=0,009) seem to be related to higher vaccination rates against tetanus and pertussis, while there was no relation between mother age, education level and residence environment and flu and Covid-19 vaccines, as well as residence environment and vaccination against tetanus and pertussis.Conclusions: Vaccine rates during pregnancy are extremely low and show a decreasing trend. The current study confirms these findings. The Covid-19 pandemic doesn’t seem to have modified the situation and it may be playing a negative role in the implementation of vaccine programs around the world. Demographic factors concerning the mother seem to play a role in vaccination with mother age and high educational level to be related to higher vaccination rates against tetanus and pertussis. Taking that into consideration it is crucial to search out and define the reasons for the low vaccination rates as well as the active role health professionals can play in reinforcing vaccination in pregnancy.

Language

Greek

Subject

Influenza

Pertussis

Pregnancy

Γρύπη

Εγκυμοσύνη

Κοκκύτης

Issue date

2023-04-05

Collection