Evaluation of antenatal vaccination in secondary care

  • Research type

    Research Study

  • Full title

    An evaluation of pertussis vaccination in pregnancy in secondary care: attitudes towards and satisfaction with a new service

  • IRAS ID

    247553

  • Contact name

    Chrissie Jones

  • Contact email

    c.e.jones@soton.ac.uk

  • Sponsor organisation

    University of Southampton

  • Clinicaltrials.gov Identifier

    41185, ERGO reference number

  • Duration of Study in the UK

    0 years, 6 months, 1 days

  • Research summary

    Pertussis, commonly known as whooping cough, is an acute bacterial infection caused by Bordetella pertussis. Infants are the most vulnerable group for pertussis infection with the highest rates of severe complications, hospitalisations and mortality. A vaccine is given to pregnant women from 16-32 week’s gestation to pass protection on to their unborn child. This provides protection to the infant in the first few months of life when they are most vulnerable and before they are vaccinated as part of the childhood immunisation programme. In practice the maternal pertussis vaccination typically takes place after the 20-week anomaly scan via primary care.

    Uptake of the maternal pertussis vaccine in the UK is around 70%, which is suboptimal. In 2017, a new service, lead by midwives trained in vaccination, was initiated to provide influenza vaccination in pregnancy at the same time as the 20-week anomaly scan at the Princess Anne Hospital in Southampton. This service is being extended in May 2018 to include pertussis vaccination. The aim of the service is to reduce the barriers to receiving vaccines in pregnancy by improving convenience and access, therefore improving uptake of the vaccine. There is some evidence that suggests that the need to organise a separate appointment in primary care for the vaccination is a logistical barrier to uptake, and previous studies have indicated that vaccinating in secondary care may indeed improve uptake.

    This questionnaire based research study aims to explore the attitudes of pregnant women and healthcare professionals towards pertussis vaccination in pregnancy. It also will assess levels of satisfaction with the new service providing vaccination at the same time as the 20-week anomaly scan. An increased understanding of these attitudes will help optimise this service with the aim of further improving uptake of this vital vaccination.

  • REC name

    East of England - Essex Research Ethics Committee

  • REC reference

    18/EE/0294

  • Date of REC Opinion

    13 Sep 2018

  • REC opinion

    Favourable Opinion