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

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 liv...

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Main Authors: Tisha Dasgupta, Harriet Boulding, Abigail Easter, Tania Sutedja, Asma Khalil, Hiten D. Mistry, Gillian Horgan, Aricca D. Van Citters, Eugene C. Nelson, Peter von Dadelszen, Emma L. Duncan, The RESILIENT Study Group, Sergio A. Silverio, Laura A. Magee
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/12/9/1042
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author Tisha Dasgupta
Harriet Boulding
Abigail Easter
Tania Sutedja
Asma Khalil
Hiten D. Mistry
Gillian Horgan
Aricca D. Van Citters
Eugene C. Nelson
Peter von Dadelszen
Emma L. Duncan
The RESILIENT Study Group
Sergio A. Silverio
Laura A. Magee
author_facet Tisha Dasgupta
Harriet Boulding
Abigail Easter
Tania Sutedja
Asma Khalil
Hiten D. Mistry
Gillian Horgan
Aricca D. Van Citters
Eugene C. Nelson
Peter von Dadelszen
Emma L. Duncan
The RESILIENT Study Group
Sergio A. Silverio
Laura A. Magee
author_sort Tisha Dasgupta
collection DOAJ
description 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.
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spelling doaj-art-505ebaa67e1c4be9a8e340bddf00ffc12025-08-20T01:55:57ZengMDPI AGVaccines2076-393X2024-09-01129104210.3390/vaccines12091042Post-Pandemic Maternity Care Planning for Vaccination: A Qualitative Study of the Experiences of Women, Partners, Health Care Professionals, and Policy Makers in the United KingdomTisha Dasgupta0Harriet Boulding1Abigail Easter2Tania Sutedja3Asma Khalil4Hiten D. Mistry5Gillian Horgan6Aricca D. Van Citters7Eugene C. Nelson8Peter von Dadelszen9Emma L. Duncan10The RESILIENT Study Group11Sergio A. Silverio12Laura A. Magee13Department of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKThe Policy Institute, Faculty of Social Science & Public Policy, King’s College London, London WC2B 6LE, UKDepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKThe RESILIENT Study Patient & Public Involvement & Engagement Advisory Group, UKFetal Medicine Unit, St. George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKDepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKDepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH 03756, USAThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH 03756, USADepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKDepartment of Twin Research & Genetic Epidemiology, School of Life Course & Population Sciences, King’s College London, London SE1 7EH, UKThe RESILIENT Study Group, UKDepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKDepartment of Women & Children’s Health, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKMaternal 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.https://www.mdpi.com/2076-393X/12/9/1042maternity careCOVID-19vaccinationqualitative researchwomenpartners
spellingShingle Tisha Dasgupta
Harriet Boulding
Abigail Easter
Tania Sutedja
Asma Khalil
Hiten D. Mistry
Gillian Horgan
Aricca D. Van Citters
Eugene C. Nelson
Peter von Dadelszen
Emma L. Duncan
The RESILIENT Study Group
Sergio A. Silverio
Laura A. Magee
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
Vaccines
maternity care
COVID-19
vaccination
qualitative research
women
partners
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic maternity care
COVID-19
vaccination
qualitative research
women
partners
url https://www.mdpi.com/2076-393X/12/9/1042
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