title: Impact of clinic interventions on the rate of influenza vaccination in pregnant women.
abstract: OBJECTIVE
  To assess the impact of interventions in a prenatal clinic on the influenza vaccination rate in pregnant women.
  
  
  METHODS
  This retrospective study of women receiving care in a university prenatal clinic examined the impact of several interventions to increase immunization rates implemented over 2 years. Influenza vaccination rates were assessed before and after the interventions, which included provider and staff education, stocking of the vaccine in the clinic and implementation of standing orders.
  
  
  RESULTS
  Influenza vaccination rates in pregnant women increased from <1% to 37%. Standing orders were the most important intervention for increasing immunization rates. Patients who received care in the certified nurse midwife clinic were more likely to be vaccinated, while those who received care in a high-risk obstetric clinic were less likely.
  
  
  CONCLUSIONS
  Interventions to improve influenza vaccination rates among pregnant women, particularly standing orders, are effective. These interventions should be implemented nationally in all prenatal care clinics.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, University of New Mexico, Albuquerque 87131-0001, USA. jogburn@salud.unm.edu
authors.forename: Tony
authors.initials: T
authors.lastname: Ogburn
authors.forename: Eve L
authors.initials: EL
authors.lastname: Espey
authors.forename: Valeria
authors.initials: V
authors.lastname: Contreras
authors.forename: Patricia
authors.initials: P
authors.lastname: Arroyo
mesh_terms: D000046:Academic Medical Centers; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000627:therapeutic use*; D032541:Mass Vaccination / Q000706:statistics & numerical data*; D008485:Medical Audit; D009516:New Mexico; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D012189:Retrospective Studies
chemical_list: D007252:Influenza Vaccines