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Master Thesis

Étude SAGEVAX : l’opinion des sages-femmes et des étudiant-e-s sages-femmes concernant les vaccinations dirigées contre la grippe et la coqueluche : étude observationnelle déclarative

Abstract : Background : Midwives have been recently habilitated in France to perform various vaccines to women, newborns, and the entourages of a pregnant woman, leading to hope for a better immunization coverage. However, the high level of vaccine defiance in France is also encountered in some healthcare workers. We aimed to determine the perceptions of French midwives concerning vaccines, especially those against influenza and pertussis. Materials/methods : We diffused by various means an online anonymous questionnaire targeting midwives, either still in formation or working in public or private structures, between September and december 2017. Results : 914 questionnaires were analyzed (age 31±11 years). 43,3% participants were students. The others had received their diploma 15±12 years before. On a scale 0-100, the perception of the usefulness, safety and trust concerning vaccination were respectively 88,3± 15, 74,5±20, and 80,0±19. Student mean level was significantly higher for each perception (p<0.001). Moreover, in the graduated midwives, age and each perception were negatively correlated (p<0,05 for usefulness, and <0,0001 for safety and trust). They were really/mostly favorable to the anti-pertussis vaccine (88,6%), and to the antiinfluenza vaccine during pregnancy for 51,5%. Midwives and students less than 40 years old were more frequently favorable than older (94,3% vs 80,2%, p=0,001 for pertussis and 53,9% vs 42,5%, p<0,001 for influenza). Students express less hurdles than graduates (negative score equal to 21,2±5 vs 23,2±6, p=0,0001). The same thing was observed for graduates less than 40 years old (21,0±5 vs 22,1±5, p=0,0112). Conclusion : These results suggest that the recent habilitation of midwives concerning vaccination will result in a better vaccine coverage of pregnant women and their entourages. The more positive perceptions of younger participants are encouraging. However, the level of trust in the vaccination (only 80,0/100), the low level favorable to anti-influenza vaccine during pregnancy and difficulties faced by midwives, suggest that initial and continuous training should be reinforced in this field and tools should be establish to fight the hurdles.
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https://dumas.ccsd.cnrs.fr/dumas-01882252
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Submitted on : Wednesday, September 26, 2018 - 5:02:33 PM
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Estelle Massot. Étude SAGEVAX : l’opinion des sages-femmes et des étudiant-e-s sages-femmes concernant les vaccinations dirigées contre la grippe et la coqueluche : étude observationnelle déclarative. Gynécologie et obstétrique. 2018. ⟨dumas-01882252⟩

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