4 Simple Steps Ob-Gyns Can Take to Increase Flu Vaccination Rates Among Pregnant Women

Recently, the Centers for Disease Control and Prevention (CDC) released data indicating that about two-thirds of pregnant women have not been vaccinated against the flu this season. As clinicians, we know that the flu shot is safe, effective and the best protection our patients have against influenza. It is our job to communicate these messages to all of our patients, especially pregnant women.

The flu vaccine is safe and recommended during all trimesters of pregnancy, especially the second and third trimesters, when there is an increased risk of severe disease, hospitalization and even death as a result of contracting the flu. By getting vaccinated, pregnant women can protect themselves while also providing protection to their babies through placental antibody transfer until they are able to be vaccinated at six months of age.

Despite the benefits of vaccination, the latest CDC data shows us that low vaccination rates among pregnant women are pervasive. They are not just low among all age groups, but also among women of different races and ethnicities, across all education levels and regardless of whether women have health insurance or not. Among white, black and Hispanic women, the vaccination rate is 35.9, 31.5 and 35.4 percent, respectively. Also, while roughly 39.1 percent of pregnant women with a college degree were vaccinated, that is only 4.4 percent higher than women with a high school education or less.

However, one interesting data point indicates that flu vaccination is highest among women who reported that their doctor offered or recommended the vaccine. Among women who visited a health care provider at least once since July 2017, 52.4 percent received the flu vaccine from a provider who offered it. Also, according to the data, 50.1 percent of pregnant respondents received their vaccination at their ob-gyn’s office, which far surpassed other locations, including other doctor’s offices (29.2 percent); the drugstore, supermarket or pharmacy (10.3 percent); and work or school (5.9 percent).

This indicates that we, as ob-gyns, have a lot more influence over our patients than we think we do and that they trust us when we counsel them on their health and well-being. By simply educating women about the benefits and recommending the vaccine or offering them the opportunity to get vaccinated, we have the power to increase vaccination rates among pregnant women in this country.

Four steps you can take today:

1. Educate all pregnant women about the flu vaccine and the severity of influenza disease.

2. Strongly recommend and offer flu shots to all patients in your practice, particularly pregnant women. Flu shots can and should be given as soon as the vaccine is available.

3. Document flu conversations and flu vaccine administration in your patients’ chart and, when possible, your state’s immunization information system.

4. Lead by example—educate and vaccinate yourself and your staff against influenza.

For more information and updates on the 2017-18 flu season, visit http://immunizationforwomen.org/2017-2018-influenza-season and http://immunizationforwomen.org/fluseasonnewsletter.

This entry was posted in Women's Health and tagged , , , , by Haywood L. Brown, MD. Bookmark the permalink.

About Haywood L. Brown, MD

Dr. Haywood L. Brown is Professor in the Department of Obstetrics and Gynecology at Duke University Medical Center in Durham, NC. He received his undergraduate degree from North Carolina Agricultural and Technical State University in Greensboro, NC and his Medical Degree from Wake Forest University School of Medicine in Winston-Salem, NC. He completed his residency training in Obstetrics and Gynecology at the University of Tennessee Center for Health Sciences in Knoxville, TN, followed by subspecialty fellowship training in Maternal and Fetal Medicine at Emory University School of Medicine/Grady Memorial Hospital in Atlanta, GA. Dr. Brown has participated in ACOG activities in District IV, V and VII over his 30-year career in Obstetrics and Gynecology. This includes being the Scientific Program Chair and General Chair (2001-2002) for the Annual Clinical Meeting. He chaired the steering committee for the District of Columbia National Institutes of Health Initiative on Infant Mortality Reduction, the Perinatal and Patient Safety Health Disparities Collaborative for HRSA and serves as the Chief Evaluator for Indianapolis Healthy Start. Dr. Brown is especially committed to the care of women at high risk for adverse pregnancy outcome, particularly those disadvantaged. Dr. Brown has served as Chair of CREOG and has been on the Board of Directors for the Society for Maternal Fetal Medicine and is past President of the Society. He is past President of the American Gynecological Obstetrical Society (AGOS) and Chair of the Ob-Gyn Section of the National Medical Association. He also served as a Director of the American Board of Obstetrics and Gynecology. Dr. Brown is past president of the North Carolina Obstetrical and Gynecological Society and is immediate Past District IV Chair of ACOG.

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