Exploring vaccination practices of midwives in British Columbia
Autor: | Devon Greyson, Monika Naus, Julie A. Bettinger, Sandra Weissinger, Clara Rubincam |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Hepatitis B vaccine Scope of practice Influenza vaccine Prenatal care Midwifery Rubella 03 medical and health sciences 0302 clinical medicine infant immunization Pregnancy Surveys and Questionnaires medicine Humans 030212 general & internal medicine Hepatitis 030219 obstetrics & reproductive medicine British Columbia business.industry Vaccination Infant Newborn Obstetrics and Gynecology Infant perinatal care Original Articles Hepatitis B medicine.disease Family medicine Maternal immunization Original Article Female prenatal care business |
Zdroj: | Birth (Berkeley, Calif.) |
ISSN: | 1523-536X 0730-7659 |
Popis: | Background Registered midwives in British Columbia (BC) are primary health care practitioners for healthy people throughout pregnancy and for approximately 6 weeks postpartum. BC registered midwives are authorized to prescribe and administer certain vaccines to adults under their care during the perinatal period and hepatitis B vaccine to high‐risk newborns. However, little has been documented about their recommendations for, and administration of, prenatal and infant vaccinations. This study surveyed midwives currently practicing in British Columbia to understand their vaccination practices. Methods An online survey was administered to the members of the Midwives Association of BC in spring 2018. Outcome measures were the proportion of midwives who discussed, recommended, and administered the following vaccines: influenza, varicella, rubella, and infant hepatitis B. The proportion of midwives who discussed and recommended infant vaccines was measured. Barriers to discussion, recommendation, and administration of vaccines were captured. Results Sixty‐three percent of 108 respondents administered vaccines to their clients. Hepatitis B and rubella were the most frequent vaccines administered. Logistical concerns were the greatest barrier to vaccine administration. This was followed by the perception that vaccine administration is not within the scope of practice of midwives, especially for influenza vaccine. Midwives who administered vaccines were significantly more likely to discuss and recommend vaccines to their clients and their infants. Conclusions The majority of BC midwives discuss, recommend, and administer vaccines to their clients. Our survey highlighted key areas to address to strengthen midwifery capacity to discuss, recommend, and provide prenatal and infant vaccines. |
Databáze: | OpenAIRE |
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