---
title: "Maternal pertussis vaccination uptake and reasons for non-vaccination in the Netherlands"
id: "pubmed-42743752"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42743752"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42743752/"
doi: "10.1016/j.vaccine.2026.129101"
published_at: "2026-10-24T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Maternal pertussis vaccination uptake and reasons for non-vaccination in the Netherlands
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42743752
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42743752/)
- **DOI:** [10.1016/j.vaccine.2026.129101](https://doi.org/10.1016%2Fj.vaccine.2026.129101)
- **Published At:** 2026-10-24T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- The retrospective cohort drew on preventive Youth Health Care Center records and included **17,513** biological mothers of children born January 2020–March 2025. - Maternal pertussis vaccination (**MPV**) was introduced in the Netherlands at the end of 2019; uptake and reasons for decline were analyzed across five years. - Since late 2023 the study team began recording reasons for declining MPV; they also used retroactive recall from January 2023, producing **768 reasons** reported by **728 mothers**. - Higher uptake correlated with older maternal age (reported odds ratios ranged from **1.78 to 2.70**) and with maternal employment (OR 2.55). - Lower uptake correlated with lower education (OR 0.41), higher parity (OR 0.61), and being born outside the Netherlands (odds ratios varied by country/region). - Most stated reasons for declining vaccination did not show associations with measured sociodemographic factors; exceptions included age and native language. - Mothers aged ≥41 more often declined MPV citing concerns about vaccination during pregnancy (OR 2.61). - Mothers whose native language was not Dutch or English more frequently reported not receiving the right information on time from healthcare workers (ORs ranged **2.19–2.96**). - Logistic regression was used to examine associations; the abstract did not provide full model specifications, covariates list, or other analytic details. - The authors noted that findings can inform targeted interventions to increase **MPV** uptake and protect newborns; the abstract did not detail specific intervention strategies or implementation plans.
## Clinical Analysis & Structured Key Points
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Epub 2026 Sep 15. # Maternal pertussis vaccination uptake and reasons for non-vaccination among pregnant women in the Netherlands: a 5-year retrospective cohort study [Lisa van Vreeswijk-van Donselaar](https://pubmed.ncbi.nlm.nih.gov/?term=van+Vreeswijk-van+Donselaar+L&cauthor_id=42743752)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#full-view-affiliation-1 "Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands."), [Libertje Bosma](https://pubmed.ncbi.nlm.nih.gov/?term=Bosma+L&cauthor_id=42743752)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#full-view-affiliation-2 "JGZ Kennemerland, Velserbroek, The Netherlands."), [Charifa Zemouri](https://pubmed.ncbi.nlm.nih.gov/?term=Zemouri+C&cauthor_id=42743752)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#full-view-affiliation-3 "Zemouri et al, Amsterdam, The Netherlands."), [Mariëtte Hoogsteder](https://pubmed.ncbi.nlm.nih.gov/?term=Hoogsteder+M&cauthor_id=42743752)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#full-view-affiliation-4 "Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Quality of Care, Amsterdam, The Netherlands. Electronic address: m.hoogsteder@amsterdamumc.nl.") Affiliations Expand ### Affiliations * 1 Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands. * 2 JGZ Kennemerland, Velserbroek, The Netherlands. * 3 Zemouri et al, Amsterdam, The Netherlands. * 4 Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Quality of Care, Amsterdam, The Netherlands. Electronic address: m.hoogsteder@amsterdamumc.nl. * PMID: **42743752** * DOI: [ 10.1016/j.vaccine.2026.129101 ](https://doi.org/10.1016/j.vaccine.2026.129101) Free article Item in Clipboard # Maternal pertussis vaccination uptake and reasons for non-vaccination among pregnant women in the Netherlands: a 5-year retrospective cohort study Lisa van Vreeswijk-van Donselaar et al. Vaccine. 2026. Free article Show details Display options Display options Format Abstract PubMed PMID Vaccine Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Vaccine%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Vaccine%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42743752/) . 2026 Oct 24:92:129101. doi: 10.1016/j.vaccine.2026.129101. Epub 2026 Sep 15. ### Authors [Lisa van Vreeswijk-van Donselaar](https://pubmed.ncbi.nlm.nih.gov/?term=van+Vreeswijk-van+Donselaar+L&cauthor_id=42743752)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#short-view-affiliation-1 "Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands."), [Libertje Bosma](https://pubmed.ncbi.nlm.nih.gov/?term=Bosma+L&cauthor_id=42743752)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#short-view-affiliation-2 "JGZ Kennemerland, Velserbroek, The Netherlands."), [Charifa Zemouri](https://pubmed.ncbi.nlm.nih.gov/?term=Zemouri+C&cauthor_id=42743752)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#short-view-affiliation-3 "Zemouri et al, Amsterdam, The Netherlands."), [Mariëtte Hoogsteder](https://pubmed.ncbi.nlm.nih.gov/?term=Hoogsteder+M&cauthor_id=42743752)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42743752/#short-view-affiliation-4 "Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Quality of Care, Amsterdam, The Netherlands. Electronic address: m.hoogsteder@amsterdamumc.nl.") ### Affiliations * 1 Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands. * 2 JGZ Kennemerland, Velserbroek, The Netherlands. * 3 Zemouri et al, Amsterdam, The Netherlands. * 4 Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Quality of Care, Amsterdam, The Netherlands. Electronic address: m.hoogsteder@amsterdamumc.nl. * PMID: **42743752** * DOI: [ 10.1016/j.vaccine.2026.129101 ](https://doi.org/10.1016/j.vaccine.2026.129101) Item in Clipboard Full text links Cite Display options Display options Format Abstract PubMed PMID Linked Discoveries ## Abstract **Introduction:** The maternal pertussis vaccination (MPV) was introduced in the Netherlands at the end of 2019. Despite its effectiveness, vaccine hesitancy remains, possibly influenced by factors such as age, education, employment, parity, native language, and country of birth. This study investigates associations between sociodemographic factors, MPV uptake, and reasons for declining the MPV among mothers of children born between January 2020 and March 2025. **Methods:** This retrospective cohort study used data from a preventive Youth Health Care Center, including 17.513 biological mothers. Since the end of 2023, reasons for declining MPV have been recorded, with retroactive recall from January 2023, yielding 768 reasons from 728 mothers. Logistic regression analyses were conducted to examine associations between sociodemographic factors, MPV uptake, and reasons for not receiving the MPV. **Results:** Higher MPV uptake was associated with higher maternal age (ORs ranges between 1.78 [95% CI 1.52-2.09] and 2.70 [95% CI 2.24-3.25]) and employed mothers (OR 2.55, 95% CI 2.26-2.87). Lower MPV uptake was associated with lower education (OR 0.41, 95% CI 0.37-0.46), parity (OR 0.61, 95% CI 0.55-0.68), and being born outside the Netherlands (varying ORs between countries/(parts of) continents). Most reasons were not associated with sociodemographic factors. However, mothers aged ≥41 years were more likely (OR 2.61, 95% CI 1.16-5.88) to decline MPV due to concerns about vaccination during pregnancy. Mothers whose native language was not Dutch or English more often cited that they did not receive (right) information (on time) from healthcare workers (ORs ranges between 2.19 [95% CI 1.10-4.34] and 2.96 [95% CI 1.19-7.37]). **Conclusion:** This study highlights not only how sociodemographic factors relate to MPV acceptance but also shows that reasons for MPV hesitancy cross through various sociodemographic groups. Findings offer new directions for targeted interventions to increase uptake and protect all newborns from pertussis. **Keywords:** Infection prevention; Maternal pertussis vaccination; Vaccination hesitancy. Copyright © 2026 The Authors. Published by Elsevier Ltd.. All rights reserved. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Conflict of interest statement Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. ## Similar articles * [ A cohort study to assess the safety and coverage of COVID-19, influenza, and pertussis vaccine in Australian pregnant women. ](https://pubmed.ncbi.nlm.nih.gov/42667899/) Mohammed H, Andraweera P, Marshall HS.Mohammed H, et al.Vaccine. 2026 Oct 3;91:129081. doi: 10.1016/j.vaccine.2026.129081. Epub 2026 Aug 29.Vaccine. 2026.PMID: 42667899 * [ Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake. ](https://pubmed.ncbi.nlm.nih.gov/28811050/) Danchin MH, Costa-Pinto J, Attwell K, Willaby H, Wiley K, Hoq M, Leask J, Perrett KP, O'Keefe J, Giles ML, Marshall H.Danchin MH, et al.Vaccine. 2018 Oct 22;36(44):6473-6479. doi: 10.1016/j.vaccine.2017.08.003. Epub 2017 Aug 12.Vaccine. 2018.PMID: 28811050 * [ Antenatal influenza and pertussis vaccination in Western Australia: a cross-sectional survey of vaccine uptake and influencing factors. ](https://pubmed.ncbi.nlm.nih.gov/30355329/) Mak DB, Regan AK, Vo DT, Effler PV.Mak DB, et al.BMC Pregnancy Childbirth. 2018 Oct 24;18(1):416. doi: 10.1186/s12884-018-2051-3.BMC Pregnancy Childbirth. 2018.PMID: 30355329Free PMC article. * [ Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas. ](https://pubmed.ncbi.nlm.nih.gov/36321557/) Crider K, Williams J, Qi YP, Gutman J, Yeung L, Mai C, Finkelstain J, Mehta S, Pons-Duran C, Menéndez C, Moraleda C, Rogers L, Daniels K, Green P.Crider K, et al.Cochrane Database Syst Rev. 2022 Feb 1;2(2022):CD014217. doi: 10.1002/14651858.CD014217.Cochrane Database Syst Rev. 2022.Update in: [Cochrane Database Syst Rev. 2026 Feb 18;2:CD014217. doi: 10.1002/14651858.CD014217.pub2.](https://pubmed.ncbi.nlm.nih.gov/41705996/)PMID: 36321557Free PMC article.Updated. * [ Factors associated with Tdap vaccination receipt during pregnancy: a cross-sectional study. ](https://pubmed.ncbi.nlm.nih.gov/31726399/) Wales DP, Khan S, Suresh D, Ata A, Morris B.Wales DP, et al.Public Health. 2020 Feb;179:38-44. doi: 10.1016/j.puhe.2019.10.001. Epub 2019 Nov 11.Public Health. 2020.PMID: 31726399Review. 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