Vaccination in pregnancy: Challenges and evidence-based solutions

Eliana Castillo, Andrea Patey, Noni MacDonald

Research output: Contribution to journalReview articlepeer-review

19 Citations (Scopus)

Abstract

Vaccination in pregnancy (VIP) is dually beneficial – it protects the mother and the baby from tetanus, influenza, and pertussis. VIP uptake is low in many countries. Vaccine hesitancy, defined by the World Health Organization (WHO) as a “delay in acceptance or refusal of vaccination despite the availability of vaccination services” is one of WHO's ten threats to global health per 2019. According to extensive research, mostly from high-income countries (HIC) and limited to tetanus, influenza and pertussis vaccines, lack of provider recommendations, safety concerns, and limitations in access are the main barriers to VIP. Health care provider recommendation is the leading facilitator for VIP across various socioeconomic status groups. Data on strategies to overcome patient, provider, and system barriers to VIP are inconsistent, contradictory, or lacking. Patient-focused research on evidence-based strategies to overcome provider and system barriers is needed. Furthermore, VIP programs require embedded continuous quality improvement to ensure sustainability.

Original languageEnglish
Pages (from-to)83-95
Number of pages13
JournalBest Practice and Research in Clinical Obstetrics and Gynaecology
Volume76
DOIs
Publication statusPublished - Oct 2021

Bibliographical note

Funding Information:
People and sources of funding: Funding support was provided by the University of Calgary Academic Alternate Relationship Plan.

Publisher Copyright:
© 2021

ASJC Scopus Subject Areas

  • Obstetrics and Gynaecology

PubMed: MeSH publication types

  • Journal Article
  • Review

Fingerprint

Dive into the research topics of 'Vaccination in pregnancy: Challenges and evidence-based solutions'. Together they form a unique fingerprint.

Cite this

Castillo, E., Patey, A., & MacDonald, N. (2021). Vaccination in pregnancy: Challenges and evidence-based solutions. Best Practice and Research in Clinical Obstetrics and Gynaecology, 76, 83-95. https://doi.org/10.1016/j.bpobgyn.2021.03.008