Ressenti des femmes enceintes sur la vaccination obligatoire de leur futur enfant en 2018

Abstract : Introduction: Vaccination adherence is a public health issue. Because of insufficient vaccine coverage, the French government added 8 compulsory vaccines to the calendar, which already contained three. We decided to evaluate pregnant women’s representations about vaccination for their future child in the frame of the compulsory vaccination, in order to show the reasons for vaccine hesitation or refusal. The main objective of this study is to highlight the obstacles to vaccination, and secondarily to assess the women’s intention to respect the new immunization schedule and to identify the profile of patients who are unfavourable to vaccination. Method: Pregnant women aged 18 to 45 attending pregnancy consultation in the obstetrics and gynaecology department of the North Hospital and conception in Marseilles and in general medical consultation are included in February 2018. They are asked to answer a questionnaire in order to know their profile, their knowledge and their opinions on vaccination. Results: 115 women were included, 43 were hesitant or against vaccination (37%). Within the limits of our study, one of the first fears that emerges is the fear of the side effects of vaccines. The other barriers identified were often misleading media sources (p = 0.02), lack of confidence in the general practitioner of hesitant patients or against vaccination (p = 0.0001), loss of confidence in conventional medicine of women who prefer alternative medicine (p = 0.00005), nulliparity (p = 0.04) and ignorance of the solidarity of vaccination (p = 0.04). Women hesitating or against vaccination mostly associated vaccination with a negative theme such as side effects, sting, adjuvants or pharmaceutical companies (p = 0.03). We did not find any significant difference between the group of women hesitating or against vaccination and the group of women favouring vaccination with regard to age, employment, level of education, place of residence, intention to breastfeed, the mother's current or non-current vaccination schedule, and consulting a homeopath. Among the 115 women only 9 were aware of the 11 mandatory vaccines. 15% of the women surveyed will not comply with the new vaccination schedule, most of them because they are afraid of the side effects of vaccines (53%). They are mainly nulliparous (p = 0.006), women hesitant or against vaccination, (p <0.001) and women who have already had fears about vaccination for their other children (p = 0.01). Conclusion: Therefore, it seems essential to improve information for pregnant women and more widely for future parents in order to promote vaccination and counteract hesitation or refusal of vaccination. The general practitioner and the paediatrician play an important role in this process. So we created an informative brochure using the results of the study and the literature facts to accompany and help future parents in their vaccination decision.
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Submitted on : Monday, December 10, 2018 - 4:21:38 PM
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Marie Fady. Ressenti des femmes enceintes sur la vaccination obligatoire de leur futur enfant en 2018. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01950260⟩

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