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Knowledge and decisions about maternal immunisation by pregnant women in Aotearoa New Zealand

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Summary:

There is a lack of understanding about the benefits and risks of maternal immunisation among pregnant Māori and Pacific women, according to a study conducted in Dunedin and Gisborne. Māori and Pacific women from those areas were purposively sampled and interviewed between May and August 2021. A semi-structured interview guide was used, focusing on knowledge of pertussis and influenza vaccination during pregnancy and decision-making. Not all women had knowledge of maternal vaccine recommendations or the diseases they protected against. Many women did not realise how dangerous influenza and pertussis could be, and some were more concerned about potential harms of the vaccine. Women who decided to vaccinate felt well-informed, had vaccination recommended by their healthcare provider, and vaccinated to protect their own health and that of their infant. Reasons for deciding against vaccination included vaccine safety, lack of information, not being offered the vaccine, and not considering vaccination a priority.

Comment:
An important study as it does feel as though we’ve taken our eye off immunisations, including maternal, with everything else going on. One thing really stood out for me here though, which is the fact that many hapu wahine were still not even offered vaccines!
Reference: BMC Health Serv Res. 2022;22(1):779.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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