[Efficacy of systematic information and prescription of vaccine to implement the recommendations to prevent post-partum pertussis: A limited impact].
OBJECTIVE
Despite official recommendations in 2004, antipertussis vaccine coverage in post-partum remains low. Measures used to date to improve the appliance of these recommendations were not implemented. The purpose of this study was to evaluate the effectiveness of a strategy of education and systematic prescription of antipertussis vaccine, on immunization coverage of mothers in the post-partum.


METHODS
This was an analytical, interventional, monocentric study conducted on delivered patients, hospitalized between July 10th and 31st, 2009 in our establishment. Oral (twice: midwife and doctor) and written information about pertussis and order of vaccine were delivered in post-partum.


RESULTS
No patient had reliable information on her vaccination status during hospitalization. According to the patients, information by midwife was provided in 70% of cases. At 6 weeks, the immunization coverage was 16% (10/61 patients), including 8% related to the intervention (vaccinated during postpartum) and 11% for fathers (7/61 fathers) with 7% newly vaccinated. Lack of time, omission in proliferation of information context in puerperium and low socio-economic backgrounds may have influenced the non-vaccination. However medical information is so far still perfectible as evidenced by the rate of patients actually sensitized and postponement vaccination after breastfeeding despite official recommendations.


CONCLUSIONS
Antipertussis vaccination care should also involve physicians before, during and after pregnancy, and pediatricians.
Bonneau
C
C
UPMC, université Paris, France.
Seror
J
J
Seror
E
E
Hervé
F
F
Lardy
L
L
Rouzier
R
R
D000328:Adult; D001428:Bacterial Vaccines / Q000008:administration & dosage*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007231:Infant, Newborn; D010353:Patient Education as Topic / Q000379:methods*; D049590:Postpartum Period; D014917:Whooping Cough / Q000517:prevention & control* / Q000635:transmission
D001428:Bacterial Vaccines