Knowledge, Perceptions, Attitudes and Practices of Midwives Regarding Maternal Influenza and Pertussis Vaccination: A Qualitative Study

Antonia Arreciado Marañon, María Isabel Fernández-Cano*, Laura Montero-Pons, Maria Feijoo-Cid, Azahara Reyes-Lacalle, Rosa Maria Cabedo-Ferreiro, Josep Maria Manresa Dominguez, Gemma Falguera-Puig

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review


The coverage of maternal vaccination against pertussis and, particularly, influenza is lower than expected. The lack of recommendation from healthcare providers conditions non-vaccination in pregnant women. The purpose was to determine the knowledge, perceptions, attitudes and practices of midwives regarding maternal influenza and pertussis vaccination. A qualitative descriptive study based on semi-structured, face-to-face interviews with seventeen midwives was conducted, including purposive sampling and thematic analyses. Midwives had disparate knowledge and perceptions about the severity of influenza and pertussis in pregnant women, and influenza was not considered very serious. The vaccines were generally considered safe. However, because midwives did not have enough information about the safety of the influenza vaccine, there was a tendency not to recommend it. While most midwives had a positive attitude toward vaccination, their advocation for vaccination against influenza was not as clear as it was for pertussis. Not wanting to influence the decision and assuming an informative-facilitating role also led providers to recommend the influenza vaccine less frequently. Midwives are among the main sources of professional advice for pregnant women. Addressing their understanding and professional practices regarding maternal vaccination is key to change the attitude of pregnant women and thus increase vaccine uptake among them, particularly for influenza.

Original languageEnglish
Article number8391
Pages (from-to)1-17
Number of pages17
JournalInternational journal of environmental research and public health (Online)
Issue number14
Publication statusPublished - 9 Jul 2022


  • immunization
  • influenza
  • midwives
  • pertussis
  • pregnancy
  • vaccination


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