GrippeFranceV1, Main, Exploration, bibRecord, 000045

Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?

Identifieur interne : 000045 ( Main/Exploration ); précédent : 000044; suivant : 000046

Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?

Auteurs : Vivien Alessandrini [France] ; Olivia Anselem [France] ; Aude Girault [France] ; Laurent Mandelbrot [France] ; Dominique Luton [France] ; Odile Launay [France] ; François Goffinet [France]

Source :

PloS one [ 1932-6203 ] ; 2019.

RBID : pubmed:31369626

Descripteurs français

KwdFr :
- Adulte (MeSH), Complications infectieuses de la grossesse (prévention et contrôle), Couverture vaccinale (méthodes), Couverture vaccinale (statistiques et données numériques), Enquêtes et questionnaires (MeSH), Femelle (MeSH), France (MeSH), Grippe humaine (complications), Grippe humaine (prévention et contrôle), Grossesse (MeSH), Humains (MeSH), Prise en charge prénatale (méthodes), Prise en charge prénatale (statistiques et données numériques), Vaccins antigrippaux (ressources et distribution), Vaccins antigrippaux (usage thérapeutique).
MESH :
- méthodes : Couverture vaccinale, Prise en charge prénatale.
- prévention et contrôle : Complications infectieuses de la grossesse, Grippe humaine.
- ressources et distribution : Grippe humaine, Vaccins antigrippaux.
- statistiques et données numériques : Couverture vaccinale, Prise en charge prénatale.
- usage thérapeutique : Vaccins antigrippaux.
- Adulte, Enquêtes et questionnaires, Femelle, France, Grossesse, Humains.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Adult (MeSH), Female (MeSH), France (MeSH), Humans (MeSH), Influenza Vaccines (supply & distribution), Influenza Vaccines (therapeutic use), Influenza, Human (complications), Influenza, Human (prevention & control), Pregnancy (MeSH), Pregnancy Complications, Infectious (prevention & control), Prenatal Care (methods), Prenatal Care (statistics & numerical data), Surveys and Questionnaires (MeSH), Vaccination Coverage (methods), Vaccination Coverage (statistics & numerical data).
MESH :
- chemical , supply & distribution : Influenza Vaccines.
- chemical , therapeutic use : Influenza Vaccines.
- geographic : France.
- complications : Influenza, Human.
- methods : Prenatal Care, Vaccination Coverage.
- prevention & control : Influenza, Human, Pregnancy Complications, Infectious.
- statistics & numerical data : Prenatal Care, Vaccination Coverage.
- Adult, Female, Humans, Pregnancy, Surveys and Questionnaires.

Abstract

INTRODUCTION

Although vaccination against influenza is recommended for pregnant women in France because it exposes them to a risk of death and severe respiratory complications, their vaccination coverage in 2016 was estimated at 7%. This study's principal objective was to assess the association between the availability of influenza vaccination at prenatal care visits and vaccination coverage.

MATERIAL AND METHODS

This multicenter survey took place in 3 Paris-area public hospital (AP-HP) maternity wards (A, B, and C). Only maternity ward A offered the vaccine and vaccination without charge at prenatal visits. Data were collected from parturients during 10 days in January 2017 by a self-administered anonymous questionnaire.

RESULTS

Data from 248 women showed overall vaccination coverage of 19.4% (48/248): 35.4% (46/130) in maternity unit A, 2.7% (2/75) in B, and 0% (0/43) in C (P<0.01). After adjustment for socio-demographic characteristics, women at maternity ward A were significantly more likely to be vaccinated than those at B and C (aOR 25.52, 95%CI [5.76-113.10]). Other factors significantly associated with higher vaccination coverage were the mother's French birth (aOR 2.37 CI [1.03-5.46]) and previous influenza vaccination (aOR 3.13, 95%CI [1.25-7.86]). Vaccinated women generally considered they had received adequate information (aOR 4.15 CI [2.10-8.22]), principally from the professional providing their prenatal care. Nonvaccination was attributed to the absence of an offer of vaccination (81.5%), fear of fetal side effects (59.5%), and inadequate information (51.4%).

CONCLUSION

Our results show that availability of influenza vaccination, free of charge, at prenatal consultations at the maternity ward increases vaccination coverage significantly.

DOI: 10.1371/journal.pone.0220705
PubMed: 31369626
PubMed Central: PMC6675112

Affiliations:

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Le document en format XML

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<series><title level="j">PloS one</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2019" type="published">2019</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (supply & distribution)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pregnancy (MeSH)</term>
<term>Pregnancy Complications, Infectious (prevention & control)</term>
<term>Prenatal Care (methods)</term>
<term>Prenatal Care (statistics & numerical data)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Vaccination Coverage (methods)</term>
<term>Vaccination Coverage (statistics & numerical data)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Complications infectieuses de la grossesse (prévention et contrôle)</term>
<term>Couverture vaccinale (méthodes)</term>
<term>Couverture vaccinale (statistiques et données numériques)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Grippe humaine (complications)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Grossesse (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Prise en charge prénatale (méthodes)</term>
<term>Prise en charge prénatale (statistiques et données numériques)</term>
<term>Vaccins antigrippaux (ressources et distribution)</term>
<term>Vaccins antigrippaux (usage thérapeutique)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="supply & distribution" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Prenatal Care</term>
<term>Vaccination Coverage</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Couverture vaccinale</term>
<term>Prise en charge prénatale</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
<term>Pregnancy Complications, Infectious</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Complications infectieuses de la grossesse</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Grippe humaine</term>
<term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Prenatal Care</term>
<term>Vaccination Coverage</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Couverture vaccinale</term>
<term>Prise en charge prénatale</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Pregnancy</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>France</term>
<term>Grossesse</term>
<term>Humains</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Although vaccination against influenza is recommended for pregnant women in France because it exposes them to a risk of death and severe respiratory complications, their vaccination coverage in 2016 was estimated at 7%. This study's principal objective was to assess the association between the availability of influenza vaccination at prenatal care visits and vaccination coverage.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b>
</p>
<p>This multicenter survey took place in 3 Paris-area public hospital (AP-HP) maternity wards (A, B, and C). Only maternity ward A offered the vaccine and vaccination without charge at prenatal visits. Data were collected from parturients during 10 days in January 2017 by a self-administered anonymous questionnaire.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Data from 248 women showed overall vaccination coverage of 19.4% (48/248): 35.4% (46/130) in maternity unit A, 2.7% (2/75) in B, and 0% (0/43) in C (P<0.01). After adjustment for socio-demographic characteristics, women at maternity ward A were significantly more likely to be vaccinated than those at B and C (aOR 25.52, 95%CI [5.76-113.10]). Other factors significantly associated with higher vaccination coverage were the mother's French birth (aOR 2.37 CI [1.03-5.46]) and previous influenza vaccination (aOR 3.13, 95%CI [1.25-7.86]). Vaccinated women generally considered they had received adequate information (aOR 4.15 CI [2.10-8.22]), principally from the professional providing their prenatal care. Nonvaccination was attributed to the absence of an offer of vaccination (81.5%), fear of fetal side effects (59.5%), and inadequate information (51.4%).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Our results show that availability of influenza vaccination, free of charge, at prenatal consultations at the maternity ward increases vaccination coverage significantly.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31369626</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>14</Volume>
<Issue>8</Issue>
<PubDate><Year>2019</Year>
</PubDate>
</JournalIssue>
<Title>PloS one</Title>
<ISOAbbreviation>PLoS ONE</ISOAbbreviation>
</Journal>
<ArticleTitle>Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?</ArticleTitle>
<Pagination><MedlinePgn>e0220705</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0220705</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION">Although vaccination against influenza is recommended for pregnant women in France because it exposes them to a risk of death and severe respiratory complications, their vaccination coverage in 2016 was estimated at 7%. This study's principal objective was to assess the association between the availability of influenza vaccination at prenatal care visits and vaccination coverage.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS">This multicenter survey took place in 3 Paris-area public hospital (AP-HP) maternity wards (A, B, and C). Only maternity ward A offered the vaccine and vaccination without charge at prenatal visits. Data were collected from parturients during 10 days in January 2017 by a self-administered anonymous questionnaire.</AbstractText>
<AbstractText Label="RESULTS">Data from 248 women showed overall vaccination coverage of 19.4% (48/248): 35.4% (46/130) in maternity unit A, 2.7% (2/75) in B, and 0% (0/43) in C (P<0.01). After adjustment for socio-demographic characteristics, women at maternity ward A were significantly more likely to be vaccinated than those at B and C (aOR 25.52, 95%CI [5.76-113.10]). Other factors significantly associated with higher vaccination coverage were the mother's French birth (aOR 2.37 CI [1.03-5.46]) and previous influenza vaccination (aOR 3.13, 95%CI [1.25-7.86]). Vaccinated women generally considered they had received adequate information (aOR 4.15 CI [2.10-8.22]), principally from the professional providing their prenatal care. Nonvaccination was attributed to the absence of an offer of vaccination (81.5%), fear of fetal side effects (59.5%), and inadequate information (51.4%).</AbstractText>
<AbstractText Label="CONCLUSION">Our results show that availability of influenza vaccination, free of charge, at prenatal consultations at the maternity ward increases vaccination coverage significantly.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alessandrini</LastName>
<ForeName>Vivien</ForeName>
<Initials>V</Initials>
<Identifier Source="ORCID">0000-0002-5578-5568</Identifier>
<AffiliationInfo><Affiliation>Maternité Port-Royal, Université Paris Descartes, Groupe hospitalier Cochin Broca Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Anselem</LastName>
<ForeName>Olivia</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Maternité Port-Royal, Université Paris Descartes, Groupe hospitalier Cochin Broca Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Girault</LastName>
<ForeName>Aude</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Maternité Port-Royal, Université Paris Descartes, Groupe hospitalier Cochin Broca Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mandelbrot</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Maternité Louis-Mourier, Université Diderot Paris 7, Hôpitaux Universitaires Paris Nord Val-de-Seine, Assistance Publique Hôpitaux de Paris, Colombes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Luton</LastName>
<ForeName>Dominique</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Maternité Bichat-Claude Bernard, Université Diderot Paris 7, Hôpitaux Universitaires Paris Nord Val-de-Seine, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Launay</LastName>
<ForeName>Odile</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Université Paris Descartes, Sorbonne Paris Cité, Inserm, CIC 1417, AP-HP, Groupe Hospitalier Cochin-Broca-Hôtel-Dieu, Centre d'investigation Clinique Cochin-Pasteur,Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Goffinet</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Maternité Port-Royal, Université Paris Descartes, Groupe hospitalier Cochin Broca Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>DHU Risques et Grossesse, PRES Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Unité INSERM U953, Recherche épidémiologique en santé périnatale et santé des femmes et des enfants, UPMC, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>08</Month>
<Day>01</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>PLoS One</MedlineTA>
<NlmUniqueID>101285081</NlmUniqueID>
<ISSNLinking>1932-6203</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011295" MajorTopicYN="N">Prenatal Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
</MeshHeadingList>
<CoiStatement>The authors have declared that no competing interests exist.</CoiStatement>
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<Month>12</Month>
<Day>19</Day>
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<Month>07</Month>
<Day>22</Day>
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</ArticleIdList>
</Reference>
<Reference><Citation>PLoS One. 2018 Jun 14;13(6):e0197867</Citation>
<ArticleIdList><ArticleId IdType="pubmed">29902184</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Med Mal Infect. 2019 Feb;49(1):34-37</Citation>
<ArticleIdList><ArticleId IdType="pubmed">30409542</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Vaccine. 2019 Feb 8;37(7):984-990</Citation>
<ArticleIdList><ArticleId IdType="pubmed">30655175</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>PLoS One. 2019 Mar 28;14(3):e0214538</Citation>
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</ArticleIdList>
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<orgName><li>Université Paris-Descartes</li>
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<tree><country name="France"><region name="Île-de-France"><name sortKey="Alessandrini, Vivien" sort="Alessandrini, Vivien" uniqKey="Alessandrini V" first="Vivien" last="Alessandrini">Vivien Alessandrini</name>
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<name sortKey="Alessandrini, Vivien" sort="Alessandrini, Vivien" uniqKey="Alessandrini V" first="Vivien" last="Alessandrini">Vivien Alessandrini</name>
<name sortKey="Anselem, Olivia" sort="Anselem, Olivia" uniqKey="Anselem O" first="Olivia" last="Anselem">Olivia Anselem</name>
<name sortKey="Anselem, Olivia" sort="Anselem, Olivia" uniqKey="Anselem O" first="Olivia" last="Anselem">Olivia Anselem</name>
<name sortKey="Girault, Aude" sort="Girault, Aude" uniqKey="Girault A" first="Aude" last="Girault">Aude Girault</name>
<name sortKey="Girault, Aude" sort="Girault, Aude" uniqKey="Girault A" first="Aude" last="Girault">Aude Girault</name>
<name sortKey="Goffinet, Francois" sort="Goffinet, Francois" uniqKey="Goffinet F" first="François" last="Goffinet">François Goffinet</name>
<name sortKey="Goffinet, Francois" sort="Goffinet, Francois" uniqKey="Goffinet F" first="François" last="Goffinet">François Goffinet</name>
<name sortKey="Goffinet, Francois" sort="Goffinet, Francois" uniqKey="Goffinet F" first="François" last="Goffinet">François Goffinet</name>
<name sortKey="Launay, Odile" sort="Launay, Odile" uniqKey="Launay O" first="Odile" last="Launay">Odile Launay</name>
<name sortKey="Launay, Odile" sort="Launay, Odile" uniqKey="Launay O" first="Odile" last="Launay">Odile Launay</name>
<name sortKey="Luton, Dominique" sort="Luton, Dominique" uniqKey="Luton D" first="Dominique" last="Luton">Dominique Luton</name>
<name sortKey="Luton, Dominique" sort="Luton, Dominique" uniqKey="Luton D" first="Dominique" last="Luton">Dominique Luton</name>
<name sortKey="Mandelbrot, Laurent" sort="Mandelbrot, Laurent" uniqKey="Mandelbrot L" first="Laurent" last="Mandelbrot">Laurent Mandelbrot</name>
<name sortKey="Mandelbrot, Laurent" sort="Mandelbrot, Laurent" uniqKey="Mandelbrot L" first="Laurent" last="Mandelbrot">Laurent Mandelbrot</name>
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   |texte=   Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?
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Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?

Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women?

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