Cartão da gestante: avaliação da cobertura vacinal e compreensão sobre imunização em parturientes de uma maternidade pública terciária de referência em São Paulo, Brasil

Abstract

There is a lack of data on vaccination coverage for pregnant women in the Brazilian literature. Our objective was to evaluate the vaccination data in the completion of the pregnant card and their knowledge about the importance of vaccination of women admitted for labor in a reference public tertiary maternity hospital in Presidente Prudente, São Paulo, Brazil. Vaccination data prescribed by the National Immunization Program (NIP) were obtained from the prenatal cards of parturients from the 45 municipalities in the western region of São Paulo state. A questionnaire related to knowledge about the types and importance of vaccination during pregnancy was applied. Only 68.75% of the prenatal cards contained at least one of the vaccines indicated by the NIP and in 31.25% none of the vaccines was registered. Anti-Tetanus and COVID-19 were the most prevalent vaccines that patients have heard about during prenatal care. In addition, cities with a population greater than 40,000 inhabitants had higher vaccination coverage when compared to smaller ones. In the municipalities of western São Paulo, there was low vaccination coverage noted on the cards, suggesting the lack of attention and unpreparedness of professionals working in primary care. Our study has national and international relevance and can be applied mainly in Latin American countries that face similar difficulties and limitations, with low vaccination rates during pregnancy