Despite awareness of recommendations, why do health care workers not immunize pregnant women?

Am J Infect Control. 2017 Apr 1;45(4):436-439. doi: 10.1016/j.ajic.2016.11.025. Epub 2017 Jan 4.


Studies indicate uncertainty surrounding vaccination safety and efficacy for pregnant women, causing a central problem for health authorities. In this study, approximately 26% of participants do not recommend the tetanus, diphtheria, and acellular pertussis and influenza vaccines to their patients, although being aware of the health ministry recommendations. We found significant statistical discrepancies between the knowledge about the recommendations and their actual implementation, revealing the concerns of health care workers regarding vaccine safety.

Keywords: Health care workers; Influenza vaccination; Pregnant women; Risk communication; Tdap vaccination.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / administration & dosage
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Humans
  • Influenza Vaccines / administration & dosage
  • Male
  • Pregnancy
  • Pregnancy Complications, Infectious / prevention & control*
  • Surveys and Questionnaires
  • Vaccination / statistics & numerical data*


  • Diphtheria-Tetanus-acellular Pertussis Vaccines
  • Influenza Vaccines