Efforts to Improve Immunization Coverage during Pregnancy among Ob-Gyns

Table 3

Statistically significant differences between pre- and postintervention study providers.

Variable	Preintervention study (%)	Postintervention study (%)	value
Received ACOG’s immunization toolkit mailings^†	67.0	84.5	<.001
Valuable immunization resources to include in future toolkit mailings
Clinical guidelines from ACOG^†	71.2	58.0	.001
Coding information and tips^†	30.7	18.0	<.001
Reimbursement information and tips^†	15.2	9.4	<.001
Barriers to offering immunizations
Cost^†	45.5	34.8	.006
Time	25.4	33.0	.036
Lack of access to patient records	7.5	3.7	.048
Lack of patient interest	29.9	37.5	.043
Use standing orders for immunizations	36.5	46.6	.011
Routinely offer Tdap to all pregnant patients^†	59.3	76.8	<.001
Common reasons patients decline vaccinations
They do not think they need vaccines^†	70.4	80.6	.003
Percentage of patients that decline vaccinations
Less than one-third^†	64.4	76.5	.001
Receive annual influenza vaccination themselves	90.7	96.1	.024
Require staff to receive annual influenza vaccination	78.1	86.2	.011

ACOG, American College of Obstetricians and Gynecologists; Tdap, tetanus-diphtheria-acellular pertussis.
, ^†.