Determinants of Tetanus Toxoid Vaccination Use among Pregnant Women | ||
| Tanta Scientific Nursing Journal | ||
| Volume 27, Issue 4, November 2022, Pages 30-52 PDF (763.31 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2022.274217 | ||
| Authors | ||
| Azza Fouad El-Adham1; Anaam Ebrahim El-Nagar2; Shimaa Mohamed Hashem2 | ||
| 1Assistant professor of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Tanta, Egypt | ||
| 2Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Tanta, Egypt | ||
| Abstract | ||
| Abstract: Tetanus or trismus is an infection triggered by Clostridium tetani. Socio demographic characteristics, obstetric history, as well as knowledge and attitudes of pregnant women can be determinants of tetanus toxoid vaccination use among pregnant women. Despite widespread availability and safety of tetanus toxoid vaccine, little is known about determinants of its use among pregnant women. Aim of the study: was to identify determinants of tetanus toxoid vaccination use among pregnant women. Subjects and Method: Design: A cross sectional study design was used to implement this study. Setting: This study was conducted at out-patients' clinics of obstetrics departments of: Tanta University Hospitals, El-Menshawy General Hospital, El-Mogamaa El-Teby Hospital, Doctor Mohamed Mashally Medical Center at Said and Medical Center at Segar. Subjects: A purposive sample of 300 pregnant women was selected from the previously mentioned settings. Tools of data collection: Three tools were used for data collection: Tool I: Pregnant women's socio demographic characteristics and obstetrics’ history questionnaire, Tool II: Pregnant women's knowledge regarding tetanus and tetanus toxoid vaccination questionnaire, and Tool (III): Pregnant women’s attitudes regarding tetanus toxoid vaccination questionnaire. Results: The study proved that nearly two thirds of the studied pregnant women had low level of knowledge regarding tetanus and tetanus toxoid vaccination with negative attitudes among more than one half of them and three quarter had no information about benefits of tetanus toxoid vaccination. The studied pregnant women who were more careful to take the vaccine aged less than 25 years to less than 35 years old, and those who were still pregnant or primipara. Conclusion: Age, gravidity, parity, as well as knowledge, and attitudes were determinants of tetanus toxoid vaccination use among pregnant women. Recommendations: Knowledge, attitudes, age, gravidity, and parity should be carefully assessed especially by maternity nurses. Educational programs during pregnancy should focus on enhancing knowledge and attitude of pregnant women regarding tetanus toxoid vaccination use to reduce maternal and neonatal mortality and morbidity rates. | ||
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