Change increases postpartum pertussis vaccination

Change increases postpartum pertussis vaccination

(HealthDay)—Changing in-hospital ordering procedures increases the postpartum pertussis vaccination rate to 69 percent, according to a study published in the March issue of the American Journal of Obstetrics & Gynecology.

Sylvia Yeh, M.D., from the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical
Center in Torrance, and colleagues studied two hospitals. One hospital followed standard procedure, while the other implemented physician opt-in orders for tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) before discharge, followed by standing orders three months later.

The researchers found that the postpartum Tdap vaccination rate at both hospitals was zero at baseline. Implementing the opt-in order increased the rate to 18 percent, while implementing the standing order further increased the rate significantly to 69 percent. Vaccination rates were similar among different demographic groups. There were no postpartum Tdap vaccinations at the hospital following standard procedure.

"Our study demonstrated that -based procedures are effective for an increase in Tdap vaccination among previously unimmunized women after delivery, compared with relying on standard community practices," Yeh and colleagues conclude.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Pertussis reaches epidemic level in Washington state

Jul 20, 2012

(HealthDay) -- Pertussis rates may reach record levels this year in the United States, where Washington state is experiencing an ongoing epidemic, according to a report published in the July 20 issue of the ...

CDC: Most teen immunizations on the rise

Aug 30, 2013

(HealthDay)—Vaccination coverage in youths for tetanus, diphtheria, and acellular pertussis (Tdap) and meningococcal conjugate (MenACWY) has been increasing since 2009, but there is still a ways to go before ...

Recommended for you

Triglycerides significantly elevated in women with GDM

Jan 29, 2015

(HealthDay)—For women with gestational diabetes mellitus (GDM), triglycerides are significantly elevated throughout pregnancy, according to a review published online Jan. 22 in BJOG: An International Jo ...

Safer childbirth for women everywhere

Jan 29, 2015

Few women in developed countries die of blood loss in childbirth, but in remote areas and developing countries, an estimated 100,000 die every year from post-partum haemorrhage. 

10 tips to prepare for pregnancy

Jan 29, 2015

For women of childbearing age looking to become pregnant, it is never too early to engage in healthy habits to ensure that she has a healthy pregnancy and her child has a healthy first step.

AAFP advocates for planned vaginal birth after cesarean

Jan 28, 2015

(HealthDay)—A planned labor and vaginal birth after cesarean (LAC/VBAC) is an appropriate option for most women with a history of prior cesarean birth, according to a clinical practice guideline published ...

Women diagnosed with PCOS twice as likely to be hospitalized

Jan 27, 2015

Women diagnosed with polycystic ovary syndrome - the most common hormone disorder in women of reproductive age - face a heightened risk of developing heart disease, diabetes, mental health conditions, reproductive disorders ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.