Current practice and attitudes towards vaccination during pregnancy: a survey of Gs across England

摘要

Background Antenatal vaccines arf,-,. commonly de.live.red in primary care, yet the view,is of GPs regarding these programmes have been neglected in research to date. Aim lo establish the attitudes and current practice GPs towards antenatal vaccination and their views on the optimal location for delivery of this service. Design and setting A multicentre online sui-vey questionnaire. Method A questionnaire was sent to GPs across England between December MR and January '7019. Results The majority of 1586 responders considered antenatal vaccination safe 196'.!,. for influenza, bY% pertussisl. GPs were significantly less conf ident in their knowledge of 1/01-11/friSiiiiii C011ipar ei with influenza vaccination itlitt% versus 80% were confident, P 2 years since qualifying, discussed vaccination significantly more often odds ratio LORI 3.52, P<0.001; DR 2.34,1J- 0.001; OR 1.76, P= 0.01:13, respectivebil, regardless of whether they routinely frOW pregnant women. Most 183%1 repotted that antenatal vaccination was GP led in their region, yet only ?i,% thought it should be primarily GP based. GPs expressed disconnect from antenatal care, and many suggested that rrodwNres andior secondary care should take greater rBsponsibility for the delivery of antenatal vaccination. Conclusion There is support among GPs to embed vaccination pi ogrammes within routine antenatal care. Further educational resouiTes, specifically designed for the needs of GPs, are needed to facilitate opportunistic discussion with pregnant women about vaccination.