Table 3.

Strategies Used by Obstetrician-Gynecologists and Perceived Effectiveness of Strategies to Address Vaccine Refusal Among Pregnant Patients

	Frequency Reporting Use, %				Perceived Effectiveness, %
Strategy	Always	Often	Sometimes	Never/Rarely	Very effective	Somewhat effective	Not very effective	Not at all effective
State that you are confident that it is safe to receive the vaccine during pregnancy	74	22	2	2	19	61	17	4
Explain that not getting the vaccine puts the fetus/newborn’s health at risk	58	33	7	3	40	51	7	2
Explain that not getting the vaccine puts the patient’s own health at risk	46	38	13	3	12	64	20	4
Discuss recent outbreaks of vaccine preventable diseases	39	33	22	7	19	52	24	6
Inform the patient that not getting the vaccine is against your recommendation	37	27	24	13	8	47	36	9
State that you would immunize yourself or your family member if pregnant	22	32	27	20	19	61	14	6
Discuss your personal experiences observing mothers and/or babies with influenza*	20	25	30	26	16	54	22	8
Discuss your personal experiences observing mothers and/or babies with pertussis+	12	16	23	49	15	46	23	15

^*For perceived effectiveness, this response option had 5.3% missing answers

⁺For perceived effectiveness, this response option had 7.0% missing answers