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Table 2 Themes of perceived facilitators and barriers to Tdap and influenza vaccines

From: Pertussis and influenza immunization: perceived attitude and decision of postpartum patients

Tdap Vaccine

Facilitators

Barriers

Theme 1: Recommendation by healthcare provider

Theme 1: Not offered by healthcare provider

“Doctor recommended it to them, knew it was important”

“Not offered by her OB. Didn’t know anything about pertussis or what the shot was”

“She works in a daycare and her doctor recommended that she get it so she was following the recommendation”

“It wasn't offered to her. She had never heard of it before at all.”

Theme 2: For infant’s protection

Theme 2: Vaccine unnecessary

“I'm a nurse so they may not have given me information or explained to me why I needed it. I decided to get it because it's to protect the baby”

“Not offered to her. She said she was familiar with the vaccine and didn't think she needed it.”

“She got it for prevention for the baby. She had also seen some commercials on TV talking about pertussis and how it's important to protect the baby”

“At first she couldn't remember why she hadn't had it but then she said it's because she didn't think it was necessary for her to get.”

Theme 3: For self-protection

Theme 3: Risk to the baby

“Protect me and the baby”

“It was offered. She didn't get it because it was optional and she considered it to be high risk for the baby.”

 

“She was scared of vaccines because she said she heard some knowledge and research that vaccinations were bad. She didn't want to hurt baby or herself.”

Influenza Vaccine

Facilitators

Barriers

Theme 1: For infant’s protection

Theme 1: Not offered by healthcare provider

“They said that the flu could be especially dangerous for the baby because they are more vulnerable.”

“Not offered. Has gotten it in the past but didn't realize she needed to get it.”

Theme 2: For self-protection

Theme 2: Become sick from influenza vaccine

“The vaccine will help you not get sick, especially since it's the flu season”

“She had gotten it in the past and felt funny afterwards. She was scared that her or her kids would get sick.”

Theme 3: Required for work

Theme 3: Risk to the baby

“Got it before pregnancy. Required for work every year.”

“She was scared since it is a virus and she was worried it would risk hurting the baby”

“Had the shot at work because it was required”

“She was afraid it would hurt baby. She said she was trying to be a protective mom”