Post-pandemic maternity care planning for vaccination: A qualitative study of the experiences of women, partners, health care professionals, and policy makers in the United Kingdom

Tisha Dasgupta, Abigail Easter, Harriet Boulding, Tania Sutedja, Asma Khalil, Hiten Mistry, Gillian Horgan, Aricca Van Citters, Eugene C. Nelson, Peter von Dadelszen, Emma Duncan, The RESILIENT Study Group, Sergio A. Silverio*, Laura Magee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Maternal vaccination during pregnancy, in general and against COVID-19 infection, offers protection to both mother and baby, but uptake remains suboptimal. This study aimed to explore the perceptions regarding COVID-19 vaccination in pregnancy, particularly for marginalised populations and those living with social or medical complexity. A total of 96 semi-structured in-depth interviews were conducted with 40 women, 15 partners, 21 HCPs, and 20 policy makers, across all four nations of the United Kingdom (UK), discussing their lived experience of utilising, delivering, or developing policy for COVID-19 vaccination in pregnancy during the pandemic. Three themes were derived: (1) historical and social context, (2) communication of information and guidance, and (3) appraisal and action. Together these captured the participants’ legacy of mistrust in drugs during pregnancy; prior positive experiences; concerns about missing information, conflicting information, or false information about COVID-19 vaccines; and confusing guidance for pregnant women. The final theme describes the participants’ behaviour and actions undertaken consequent to their experiences and the available information. The findings suggest efforts to improve COVID-19 vaccination in pregnancy may be best focused on personalised communication of information. A trusting relationship and prior positive experiences with other vaccines, both in and outside of pregnancy, positively influenced perceptions of COVID-19 vaccination.

Original languageEnglish
Article number1042
Pages (from-to)1-16
JournalVaccines
Volume12
Issue number9
DOIs
Publication statusPublished - 11 Sept 2024

Keywords

  • Maternity care
  • COVID-19
  • Vaccination
  • Qualitative research
  • Women
  • Partners
  • Healthcare professionals
  • Policy Makers
  • Women's Health

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