Breastfeeding women’s attitudes towards and acceptance and rejection of COVID-19 vaccination: Implementation research

Chawanpaiboon, Saifon; Anuwutnawin, Sanitra; Kanjanapongporn, Attapol; Pooliam, Julaporn; Titapant, Vitaya

doi:10.1016/j.vaccine.2023.01.014

Cited by 5 publications

(12 citation statements)

References 15 publications

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“…2023; 18(6): e140279. 5 lower education levels were more hesitant to receive the vaccine (35). Nonetheless, in our study, breastfeeding women's husbands' education levels were significantly different between the two groups.…”

Section: Discussioncontrasting

confidence: 64%

COVID-19 Vaccination Among Lactating Women: A Comparative Cross-Sectional Study

Jamshidimanesh,

Pouriyamehr

2023

Arch Clin Infect Dis

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Background: The pregnancy and lactation periods are special times when individuals are more susceptible to morbidity and mortality from COVID-19. Breastfeeding individuals like pregnant women are at a higher risk of experiencing symptoms and requiring hospitalization, including intensive care. Therefore, vaccination is considered the most effective approach to help pregnant and lactating women cope with COVID-19. Despite recommendations for COVID-19 vaccination, the coverage among lactating mothers has been insufficient. Objectives: This cross-sectional comparative study aimed to determine the chance of COVID-19 vaccination among lactating women with associated variables such as COVID-19 fear, breastfeeding self-efficacy, and some demographic characteristics. Methods: A total of 450 breastfeeding women were included in the study, divided into two groups: Those who received the COVID-19 vaccine (n = 225) and those who did not (n = 225). Individuals were 18-49 years old, had an infant aged under 6 months based on the birth card, a single pregnancy, a healthy newborn, and no contraindications to breastfeeding based on electronic health records. After receiving approval from the Ethics Committee of Iran University of Medical Sciences, the participants from health centers in Tehran, Iran, were selected using a multi-stage sampling method. Data were collected using demographic forms including mothers’, babies’, and husbands’ ages, mothers’ and husbands’ educational level and occupation, child number, household economic level, childbirth type, type of baby feeding, history of COVID-19 infection, COVID-19 questionnaires, and Dennis’ Breastfeeding Self-efficacy Scale. The data were analyzed using SPSS16 software, employing statistical methods such as independent t-tests, chi-squared tests, and logistic regression. Results: Two groups of breastfeeding women (225 vaccinated) and (225 unvaccinated) were compared regarding demographic characteristics, fear of COVID-19, and self-efficacy in breastfeeding. There were no differences in mothers’ ages, educational levels, baby’s age, childbirth type, husbands’ occupation, household economic level, history of COVID-19 infection, and husband’s age between the two groups. The variables that had a significance level lower than 0.2 were entered into the logistic regression model. The findings from 450 breastfeeding women showed that husbands’ education level (crude odds ratio [OR] = 95% confidence interval (CI)]: 0.44 [0.19-0.76], P = 0.04), having more than 4 children (OR = 0.56, CI: 0.31-0.89, P = 0.04), and lower fear level of the COVID-19 (OR = 0.90, CI: 0.87-0.94, P

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Section: Discussioncontrasting

confidence: 64%

COVID-19 Vaccination Among Lactating Women: A Comparative Cross-Sectional Study

Jamshidimanesh,

Pouriyamehr

2023

Arch Clin Infect Dis

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“…All the studies were performed in gynecological or maternal units at public or private hospitals. Recruitment was performed by inviting consecutive women attending the clinic in approximately half of the cases (n = 25/43) [2,20,[24][25][26]29,30,33,35,[37][38][39][40]42,44,46,47,49,[51][52][53][54]56,60,61], random sampling was employed in four studies (n = 4), antenatal care registry was used in three studies (n = 3) [21,36,59], convenience sampling was adopted in other three studies (n = 3) [27,28,32], multistage sampling approach was used in two studies (n = 2) [55,58], the snow-ball method was used in one study (n = 1) [22], and one study used data from an ongoing prospective longitudinal cohort study (n = 1) [50]. Four studies did not specify the recruitment method adopted [23,31,45,48].…”

Section: Main Characteristics Of Included Studiesmentioning

confidence: 99%

“…Seven studies used on-line administration [24,[27][28][29]33,54,60], five studies performed a self-administration (paperbased) [22,32,37,49,51] and two studies used a telephone administration [36,50]. Eight studies did not report information regarding administration methods [20,23,25,31,52,53,55,59].…”

Section: Main Characteristics Of Included Studiesmentioning

confidence: 99%

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

Gianfredi,

Berti,

Stefanizzi

et al. 2023

Vaccines

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The risk of unfavourable outcomes for SARS-CoV-2 infection is significant during pregnancy and breastfeeding. Vaccination is a safe and effective measure to lower this risk. This study aims at reviewing the literature concerning the anti-SARS-CoV-2 vaccine’s acceptance/hesitancy among pregnant and breastfeeding women attending hospital facilities. A systematic review of literature was carried out. Hospital-based observational studies related to vaccination acceptance, hesitancy, knowledge and attitude among pregnant and breastfeeding women were included. Determinants of acceptance and hesitancy were investigated in detail. Quality assessment was done via the Johann Briggs Institute quality assessment tools. After literature search, 43 studies were included, 30 of which only focused on pregnant women (total sample 25,862 subjects). Sample size ranged from 109 to 7017 people. Acceptance of the SARS-CoV-2 vaccine ranged from 16% to 78.52%; vaccine hesitancy ranged between 91.4% and 24.5%. Fear of adverse events for either the woman, the child, or both, was the main driver for hesitancy. Other determinants of hesitancy included religious concerns, socioeconomic factors, inadequate information regarding the vaccine and lack of trust towards institutions. SARS-CoV-2 vaccine hesitancy in hospitalized pregnant women appears to be significant, and efforts for a more effective communication to these subjects are required.

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“…Amid determining whether human milk-feeding was safe while the lactating parent was infected with SARS-CoV-2, researchers and the public simultaneously faced a second global crisis related to human milk-feeding and the COVID-19 pandemic: the novel COVID-19 vaccines were not evaluated for safety in the lactating population. As such, some countries recommended that these vaccines not be offered to lactating people, and there was and remains hesitation among this population globally regarding the safety of these vaccines for their infants [13, 14], even with the finding that particularly the mRNA-based vaccines induced a robust antibody response in human milk [15, 16] .…”

Section: Introductionmentioning

confidence: 99%

Associations between SARS-CoV-2 Infection or COVID-19 Vaccination and Human Milk Composition: A Multi-Omics Approach

Couvillion,

Nakayasu,

Webb-Robertson

et al. 2024

Preprint

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The risk of contracting SARS-CoV-2 via human milk-feeding is virtually non-existent. Adverse effects of COVID-19 vaccination for lactating individuals are not different from the general population, and no evidence has been found that their infants exhibit adverse effects. Yet, there remains substantial hesitation among this population globally regarding the safety of these vaccines. Herein we aimed to determine if compositional changes in milk occur following infection or vaccination, including any evidence of vaccine components. Using an extensive multi-omics approach, we found that compared to unvaccinated individuals SARS-CoV-2 infection was associated with significant compositional differences in 67 proteins, 385 lipids, and 13 metabolites. In contrast, COVID-19 vaccination was not associated with any changes in lipids or metabolites, although it was associated with changes in 13 or fewer proteins. Compositional changes in milk differed by vaccine. Changes following vaccination were greatest after 1-6 hours for the mRNA-based Moderna vaccine (8 changed proteins), 3 days for the mRNA-based Pfizer (4 changed proteins), and adenovirus-based Johnson and Johnson (13 changed proteins) vaccines. Proteins that changed after both natural infection and Johnson and Johnson vaccine were associated mainly with systemic inflammatory responses. In addition, no vaccine components were detected in any milk sample. Together, our data provide evidence of only minimal changes in milk composition due to COVID-19 vaccination, with much greater changes after natural SARS-CoV-2 infection.

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Breastfeeding women’s attitudes towards and acceptance and rejection of COVID-19 vaccination: Implementation research

Cited by 5 publications

References 15 publications

COVID-19 Vaccination Among Lactating Women: A Comparative Cross-Sectional Study

COVID-19 Vaccination Among Lactating Women: A Comparative Cross-Sectional Study

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

Associations between SARS-CoV-2 Infection or COVID-19 Vaccination and Human Milk Composition: A Multi-Omics Approach

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