Effectiveness and safety of COVID-19 vaccines on maternal and perinatal outcomes: a systematic review and meta-analysis
BMJ Global Health,
Год журнала:
2024,
Номер
9(4), С. e014247 - e014247
Опубликована: Апрель 1, 2024
Objective
To
assess
the
effects
of
COVID-19
vaccines
in
women
before
or
during
pregnancy
on
SARS-CoV-2
infection-related,
pregnancy,
offspring
and
reactogenicity
outcomes.
Design
Systematic
review
meta-analysis.
Data
sources
Major
databases
between
December
2019
January
2023.
Study
selection
Nine
pairs
reviewers
contributed
to
study
selection.
We
included
test-negative
designs,
comparative
cohorts
randomised
trials
infection-related
Non-comparative
cohort
studies
reporting
outcomes
were
also
included.
Quality
assessment,
data
extraction
analysis
Two
independently
assessed
quality
extracted
data.
undertook
random-effects
meta-analysis
reported
findings
as
HRs,
risk
ratios
(RRs),
ORs
rates
with
95%
CIs.
Results
Sixty-seven
(1
813
947
women)
Overall,
design
studies,
pregnant
fully
vaccinated
any
vaccine
had
61%
reduced
odds
infection
(OR
0.39,
CI
0.21
0.75;
4
23
927
women;
I
2
=87.2%)
94%
hospital
admission
0.06,
0.01
0.71;
868
=92%).
In
adjusted
hypertensive
disorders
was
by
12%
(RR
0.88,
0.82
0.92;
studies;
115
085
women),
while
caesarean
section
9%
0.91,
0.85
0.98;
6
30
192
women).
observed
an
8%
reduction
neonatal
intensive
care
unit
0.92,
0.87
0.97;
54
569
babies
born
versus
not
women.
general,
vaccination
associated
increased
adverse
perinatal
Pain
at
injection
site
most
common
side
effect
(77%,
52%
94%;
11
27
195
Conclusion
are
effective
preventing
related
complications
PROSPERO
registration
number
CRD42020178076.
Язык: Английский
A scoping review of global COVID-19 vaccine hesitancy among pregnant persons
npj Vaccines,
Год журнала:
2024,
Номер
9(1)
Опубликована: Июль 20, 2024
Abstract
Uptake
of
the
COVID-19
vaccine
among
pregnant
persons
is
lower
than
general
population.
This
scoping
review
explored
people’s
attitudes
towards
vaccine,
reasons
for
hesitancy,
and
whether
about
vaccines
differ
by
country
origin.
A
was
conducted
across
PubMed,
Embase,
CINHAL,
Scopus.
Inclusion
criteria
were
articles
published
in
English
from
2019–2022
focused
on
vaccination
persons.
Data
analysis
done
via
5Cs
framework
hesitancy:
Constraints,
Complacency,
Calculation,
Confidence,
Collective
Responsibility.
44
extracted.
lack
confidence
safety
most
prevalent
theme
hesitancy
largely
driven
a
access
to
information
as
well
mistrust
medical
professionals.
Meanwhile,
acceptance
mostly
desire
protect
themselves
their
loved
ones.
Overall,
continues
be
high.
Vaccine
primarily
fear
unknown
side
effects
fetuses
along
with
mistrust.
Some
differences
can
seen
between
high
income
low-
middle-income
countries
regarding
showing
that
single
solution
cannot
applied
all
who
are
hesitant.
General
strategies,
however,
utilized
reduce
including
advocating
inclusion
clinical
trials
incorporating
consistent
counseling
during
prenatal
appointments.
Язык: Английский
Maternal Vaccination and Neonatal Feeding Strategies Among Polish Women
Vaccines,
Год журнала:
2025,
Номер
13(4), С. 376 - 376
Опубликована: Март 31, 2025
Background/Objectives:
Maternal
vaccination
and
breastfeeding
are
important
aspects
of
public
health
that
should
be
recommended
by
medical
staff
caring
for
pregnant
postpartum
women.
We
aimed
to
analyze
factors
affecting
women’s
likelihood
dual
during
pregnancy
their
infant
feeding
strategies.
Methods:
A
cross-sectional
study
was
conducted
with
953
Polish
mothers.
An
online
questionnaire
used
included
questions
on
sociodemographic
obstetric
variables,
attitudes
towards
COVID-19
influenza
vaccination,
practices.
Results:
reported
66.0%,
18.2%,
15.6%
Increasing
willingness
receive
vaccines
significantly
associated
older
maternal
age,
lower
BMI,
living
in
urban
areas
>100,000
residents,
high
levels
knowledge
regarding
vaccination.
No
significant
association
between
neonatal
strategy
detected.
The
group
exclusively
mothers,
comparison
formula-
mixed-feeding
women,
characterized
having
pre-pregnancy
BMI
previous
experience.
Conclusions:
Rates
against
seasonal
(influenza
COVID-19)
remain
low
among
promotion
antenatal
reliable
information
about
short-
long-term
advantages
related
crucial
perinatal
care
the
mother–infant
dyad.
Young,
primiparous
women
who
overweight
or
obese
targets
preventive
programs
focused
Язык: Английский
Vaccination during pregnancy: A golden opportunity to embrace
International Journal of Gynecology & Obstetrics,
Год журнала:
2023,
Номер
163(2), С. 476 - 483
Опубликована: Июль 7, 2023
Язык: Английский
COVID-19 Vaccine Acceptance Among Pregnant, Lactating, and Nonpregnant Women of Reproductive Age in Turkey: A Cross-Sectional Analytical Study
Disaster Medicine and Public Health Preparedness,
Год журнала:
2023,
Номер
17
Опубликована: Янв. 1, 2023
This
study
aims
to
identify
the
rates
of
coronavirus
disease
2019
(COVID-19)
vaccine
acceptance,
reasons
for
receiving
and
not
vaccine,
associated
factors
among
pregnant,
lactating,
nonpregnant
women
reproductive
age.This
cross-sectional
analytical
was
conducted
online
in
Turkey,
at
end
fourth
wave
COVID-19
pandemic,
between
February
May
2022.
A
total
658
(230;
35%
pregnant)
(187;
28.4%
lactating)
(241;
36.6%
nonpregnant)
age
participated
study.Vaccine
acceptance
were
found
be
91.7%
age,
77%
lactating
women,
59%
pregnant
(P
<
0.05).
The
highest
rate
hesitancy
observed
(31.3%),
rejection
(10.2%).
Pregnancy
(odds
ratio
[OR]
=
3.98;
confidence
interval
[CI]
1.13-14.10),
breastfeeding
period
(OR
3.84;
CI
1.15-12.78),
increased
approximately
four
times.Lack
knowledge
about
is
still
one
barriers
today.
Health-care
providers
(HCPs)
should
provide
effective
counseling
reproductive-aged
based
on
current
information
guidelines.
Язык: Английский
A Scoping Review on Gender/Sex Differences in COVID-19 Vaccine Intentions and Uptake in the United States
American Journal of Health Promotion,
Год журнала:
2023,
Номер
38(2), С. 242 - 274
Опубликована: Окт. 17, 2023
Objective
To
explore
the
empirical
literature
on
gender/sex
differences
in
vaccine
acceptance
among
U.S.-based
adults
and
adolescents
approximately
first
2
years
of
pandemic.
Data
source
Embase,
Medline,
PsycINFO,
EBSCO,
CINAHL,
Web
Science
Study
inclusion
exclusion
criteria
Peer-reviewed
studies
conducted
U.S.
with
those
aged
12
older,
published
English
before
January
12,
2022,
examining
relationship
between
COVID-19
intentions
and/or
uptake.
extraction
Three
authors
screened
extracted
data.
Synthesis
Univariate
multivariate
results
are
summarized.
Results
A
total
53
met
(48
intentions,
7
uptake),
using
mostly
cross-sectional
designs
(92.5%)
non-random
sampling
(83.0%).
The
majority
supported
men’s
greater
to
vaccinate
compared
women,
uptake
univariate
analyses,
but
most
analyses
no
gender
Few
examined
beyond
binary
categories
(women/men),
highlighting
a
gap
inclusive
transgender
or
gender-diverse
populations
analyses.
Conclusion
Women
may
have
been
more
hesitant
get
than
men
early
pandemic,
these
not
translate
actual
behavior.
Future
research
should
include
non-binary/transgender
populations,
gender-specific
reasons
for
hesitancy
by
sub-populations,
utilize
rigorous
designs,
test
gender-sensitive
public
health
campaigns
mitigate
concerns.
Язык: Английский
Maternal Vaccination in Pregnancy: An Assessment of Influenza, Pertussis, and COVID-19 Vaccination Rates in Cracow, Poland
Medical Science Monitor,
Год журнала:
2024,
Номер
30
Опубликована: Янв. 22, 2024
BACKGROUND:Maternal
vaccination
during
pregnancy
reduces
the
risk
of
severe
course
and
complications
from
infections
both
for
mother
her
child.
As
information
regarding
immunization
status
pregnant
women
with
recommended
vaccines
in
Poland
is
scarce,
this
questionnaire-based
study
aimed
to
identify
influenza,
pertussis
(whooping
cough),
COVID-19
205
Cracow,
Poland,
between
February
April
2023.
Another
objective
was
assess
whether
any
maternal
factors
might
influence
women's
decision
inoculate
pregnancy.
MATERIAL
AND
METHODS:An
anonymous
self-reported
questionnaire
developed
specifically
disseminated
among
postpartum
women,
who
gave
birth
were
hospitalized
at
Department
Obstetrics
Perinatology
University
Hospital
Study
participants
asked
about
their
basic
sociodemographic
obstetric
data,
as
well
pertussis,
most
recent
RESULTS:Only
12.2%
23.4%
received
influenza
vaccinations,
respectively,
pregnancy,
while
61.5%
reported
least
2
doses
mRNA
vaccine.
Features
including
type
occupation,
place
residence,
gravidity,
parity
statistically
significant
(P<0.05)
influencing
likelihood
vaccination.
CONCLUSIONS:Influenza
coverage
suboptimal
lower
than
observed
other
countries,
rates
are
on
par
global
trends.
Язык: Английский
COVID-19 Vaccine Acceptance during Pregnancy: Lessons Learned and How to Design the Best Strategy to Increase Vaccination Acceptance in the Future
Archives of Obstetrics and Gynaecology,
Год журнала:
2023,
Номер
4(1), С. 18 - 27
Опубликована: Март 6, 2023
Objective:
The
present
study
aimed
to
the
vaccination
acceptance
of
COVID-19
vaccine
in
Hellenic
pregnant
population
and
make
a
high
relative
analysis
factors
that
contribute
decision-making
concerning
during
pregnancy.
Findings
could
be
leveraged
for
improving
communication
strategy
women
increase
rate.
Study
design:
is
prospective
cross-sectional
conducted
from
October
1,
2021
until
March
2022
800
receiving
prenatal
care
at
tertiary
University
Hospital.
Data
was
gathered
through
face-to-face
questionnaire
documented
via
official
certificate.
Results:
coverage
rate
53.9%.
Employment,
older
age,
higher
monthly
income
were
significantly
positively
associated
with
(p<0.001).
Information
provided
by
health
professionals
(p=0.004)
scientific
sites
(p=0.028);
sufficient
knowledge
vaccines
also
related
(p<0.001);
pediatric
their
children
family
(p=0.003);
against
influenza
pregnancy
(past:
p<0.001
pregnancy:
p<0.001);
pertussis
(present
p<0.001)
vaccination.
Intention
vaccinate
future
all
recommended
vaccines;
belief
safety
protects
serious
diseases
acceptance.
Reduced
hesitancy
due
pandemic;
fear
severity
infection
(p<0.001
each
case)
Conclusion:
In
conclusion
we
need
improve
women,
focusing
more
on
effectiveness
data,
sharing
information
about
surveillance
programs,
using
clinical
experience
other
maternal
vaccination,
presenting
benefits
mother
offspring.
Язык: Английский
COVID‐19 vaccination in pregnancy: A quantitative and qualitative analysis of the effect of strong public health messaging in an Australian cohort
Australian and New Zealand Journal of Obstetrics and Gynaecology,
Год журнала:
2024,
Номер
64(6), С. 580 - 587
Опубликована: Май 22, 2024
SARS-CoV-2
infection
in
pregnancy
predisposes
women
and
their
offspring
to
adverse
health
outcomes,
while
internationally
reported
rates
of
vaccination
uptake
remain
low.
Our
study
objective
was
quantify
the
COVID-19
pregnant
women,
assess
attitudes
toward
with
both
quantitative
qualitative
analyses.
Язык: Английский
An investigation of the relationship between the general vaccination attitudes of pregnant women and their attitudes toward the COVID-19 vaccine
Women & Health,
Год журнала:
2023,
Номер
63(10), С. 787 - 796
Опубликована: Окт. 23, 2023
This
study
aimed
to
investigate
the
relationship
between
attitudes
of
pregnant
women
toward
general
vaccines
based
on
Health
Belief
Model
and
their
COVID-19
vaccine.
The
study,
which
was
designed
as
a
descriptive,
cross-sectional,
correlational
conducted
with
348
in
three
public
hospitals
Northern
Cyprus
June
24
November
28,
2022.
Data
were
collected
using
"Participant
Information
Form,"
"Public
Attitude
Toward
Vaccination
Scale-Health
Model"
(PAVS-HBM),
"Attitudes
Vaccine"
(ATV-COVID-19).
vaccination
rate
among
quite
high.
Pregnant
have
high
perception
sensitivity,
importance,
benefit,
health
responsibility
for
routine
programs
HBM,
low
barriers
vaccination.
These
results
showed
that
determined
positive
attitude
acceptance
general.
On
other
hand,
vaccine
moderately
negative.
Despite
reservations
about
vaccine,
has
increased
Язык: Английский