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Ob.gyns. criticized for failure to immunize. (Michigan Survey Cited).
DENVER -- Ob.gyns. have really dropped the ball in terms of immunizing women against vaccine-preventable diseases, Dr. Stanley Gall said at the National Immunization Conference sponsored by the Centers for Disease Control and Prevention.
He characterized as "pathetic" the practice patterns of most ob.gyns. in this regard, citing a survey of 313 Michigan ob.gyns. by Dr. Bernard Gonik of Wayne State University Detroit, and his associates.
While only 15% of responding physicians indicated they considered screening for vaccine-preventable diseases to be outside the realm of routine ob.gyn. care, the 2-year-old survey documented a major disconnect between belief and action. Only 10% of respondents assessed their obstetric patients for all nine major adult vaccine-preventable diseases listed in the survey, and 19% didn't assess for any. Moreover, nearly 40% of the physicians didn't assess their gynecologic patients for any of the vaccine-preventable diseases.
When the need for a vaccine was identified, the Michigan ob.gyns.' responses were even more pathetic" than their screening practices, yet the responses were typical of what happens in ob.gyn. practices throughout the country, said Dr. Gall, professor of ob.gyn. at the University of Louisville (Ky.).
A total of 25% of the ob.gyns. administered no vaccines to obstetric patients in their office, not even in the postpartum period. Seventeen percent administered one vaccine, 15% gave two vaccines, and 17% gave three. For their gynecologic patients, 56% of ob.gyns. gave no vaccines in the office (Obstet. Gynecol. 96[1]:81-84, 2000).
Only 31% of ob.gyns. gave hepatitis B vaccine to obstetric patients in their office; 20% gave it to their gynecologic patients. And only 39% of physicians gave influenza vaccine, in accord with CDC recommendations, to patients ...
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