1468. Provider Attitudes and Practices Regarding Maternal Vaccination Among Obstetrician-Gynecologists: A National Survey
Session: Poster Abstract Session: Maternal/Infant Immunization
Friday, October 6, 2017
Room: Poster Hall CD

Background: Obstetrician-gynecologists (ob-gyns) play a crucial role as vaccinators of pregnant women, yet little is known about their attitudes and practices in this role. Our objectives were to describe, among a nationally representative sample of ob-gyns: 1) practices and attitudes regarding vaccination of pregnant women; and 2) barriers to the use of standing orders.

Methods: An e-mail and mail survey among ob-gyns conducted March-June 2016.

Results: The response rate was 69% (331/477). Overall, 90% reported administering ≥1 vaccines to pregnant women. Almost all (97% and 95%, respectively), strongly recommend influenza (flu) and tetanus-diphtheria-acellular pertussis (Tdap) vaccines; 60% use standing orders for flu vaccination and 56% for Tdap vaccination. More (68%) always recommend Tdap vaccines to household contacts of pregnant women than flu vaccines (53%). Physician attitudes are shown in the figure.

The most significant barriers to the use of standing orders included provider concern that patients prefer to speak to them first (12% major barrier, 25% somewhat), provider belief that they should be the one to recommend vaccines (11% major, 12% somewhat), and staff discomfort because of having to answer vaccine-related questions (7% major, 17% somewhat).

Conclusion: Ob-gyn attitudinal barriers to maternal vaccination are rare, whereas barriers to use of standing orders, a highly effective strategy for increasing vaccination uptake, are common, and less than 2/3 of providers currently use them.


Sean O'Leary, MD, MPH1, Laura Riley, MD2, Megan C. Lindley, MPH3, Mandy Allison, MD, MSPH4, Lori Crane, PhD, MPH5, Laura Hurley, MD, MPH6, Brenda Beaty, MSPH7, Michaela Brtnikova, PhD, MPH8, Alison Albert, MPH CHES9, Alison Fisher, MPH3, Angela Jiles, MPH9 and Allison Kempe, MD, MPH10, (1)Pediatric Infectious Diseases, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, (2)The American Congress of Obstetricians and Gynecologists, Washington, DC, (3)Centers for Disease Control and Prevention, Atlanta, GA, (4)Pediatrics, University of Colorado, Aurora, CO, (5)Colorado School of Public Health, Aurora, CO, (6)Denver Health, Denver, CO, (7)University of Colorado Anschutz Medical Campus, Aurora, CO, (8)University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, (9)CDC, Atlanta, GA, (10)Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO


S. O'Leary, None

L. Riley, None

M. C. Lindley, None

M. Allison, None

L. Crane, None

L. Hurley, None

B. Beaty, None

M. Brtnikova, None

A. Albert, None

A. Fisher, None

A. Jiles, None

A. Kempe, None

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