Vaccination status in pregnant and puerperal women in a public general hospital

Abstract

Introduction: Knowing the status of vaccination during pregnancy aims at the protection of mother and child.
Objectives: Epidemiologically characterize the population. To determine the vaccination status of pregnant/postpartum women. Analyze the indication of influenza vaccine according to the season.
Materials and Methods: analytical study. Survey in two stages: pre-winter period (group 1, 13/2/13-13/3/13) and during winter time (Group 2, 5/7/13-15/8/13) in pregnant/postpartum women admitted.
Variables: demographic, adults double coverage (dT)/acellular bacterial triple (DTaP), hepatitis B and influenza.
Results: Total 437 patients, 47 pregnant and 390 postpartum women.
Average age 25 years (r=14-48). Argentine 89.5%. Controlled pregnancies 76%. Schooling: Secondary full 21.5%, 52.6% incomplete. Cohabitants 68%. Unplanned pregnancy 60.2%. dT vaccine: current 81%. DTaP: placed 59.5% (93% during pregnancy).
Hepatitis B: 50.3 % had the vaccine (91.8% complete scheme). Total influenza coverage: 54.2%. Group 1:29% vs Group 2, 86 % (p<0.001). 99% placed the vaccine during pregnancy. Hedges as controlled/uncontrolled pregnancy: dT 81.5 %/73 % (p=0.28), DTaP 61.8% / 23% (p =0.0001), hepatitis B 46.2 %/46.1% (p=0.99) and influenza 57%/11.5 % (p= 0.0000).
Conclusion: Young women predominated, with incomplete secondary, unplanned pregnancy and deficiencies in their vaccination status.
Coverage for DTaP and flu vaccine was higher in controlled pregnancies statistically significant relationship. The flu vaccine had greater indication winter.
Ignorance about their immunization status is concerned. Intervention is important to the health team to motivate controls during pregnancy, evaluate vaccination and education on preventable diseases.