Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Katherine Harper Campbell, MD, MPH


Influenza is a contagious respiratory illness caused by influenza viruses. Influenza infection during pregnancy poses unique risks to pregnant women and infants, including severe symptoms and adverse pregnancy outcomes. However, many pregnant women do not receive the influenza vaccination. Reasons for low vaccine uptake are multifactorial, with the lack of a healthcare provider’s recommendation being a critical barrier. In this cluster-randomized controlled trial, we will examine the effect of a structured vaccine recommendation program for obstetric providers on the mean proportion of pregnant women who receive the influenza vaccination. Specifically, this trial will use a custom provider education program based on resources used in pediatric settings. A recommendation program that effectively increases influenza vaccine uptake could decrease morbidity and mortality among pregnant woman and infants. Additionally, this vaccine recommendation program could be extended across patient populations and applied to other high-burden infectious diseases to increase vaccine uptake.

Open Access

This Article is Open Access