Impact of clinic interventions on the rate of influenza vaccination in pregnant women

Tony Ogburn, Eve L. Espey, Valeria Contreras, Patricia Arroyo

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


OBJECTIVE: To assess the impact of interventions in a prenatal clinic on the influenza vaccination rate in pregnant women. STUDY DESIGN: This retrospective study of women receiving care in a university prenatal clinic examined the impact of several interventions to increase immunization rates implemented over 2 years. Influenza vaccination rates were assessed before and after the interventions, which included provider and staff education, stocking of the vaccine in the clinic and implementation of standing orders. RESULTS: Influenza vaccination rates in pregnant women increased from <1% to 37%. Standing orders were the most important intervention for increasing immunization rates. Patients who received care in the certified nurse midwife clinic were more likely to be vaccinated, while those who received care in a high-risk obstetric clinic were less likely. CONCLUSION: Interventions to improve influenza vaccination rates among pregnant women, particularly standing orders, are effective. These interventions should be implemented nationally in all prenatal care clinics.

Original languageEnglish (US)
Pages (from-to)753-756
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Issue number9
StatePublished - Sep 2007
Externally publishedYes


  • Influenza vaccine
  • Pregnancy
  • Standing order

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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