COVID-19 Vaccination Coverage Among Pregnant Women During Pregnancy — Eight Integrated Health Care Organizations, United States, December 14, 2020–May 8, 2021

Razzaghi, Hilda; Meghani, Mehreen; Pingali, Cassandra; Crane, Bradley; Naleway, Allison L.; Weintraub, Eric; Kenigsberg, Tat'Yana A.; Lamias, Mark J.; Irving, Stephanie A.; Kauffman, Tia L.; Vesco, Kimberly K.; Daley, Matthew F.; DeSilva, Malini B.; Donahue, James G.; Getahun, Darios; Glenn, Sungching; Hambidge, Simon J.; Jackson, Lisa A.; Lipkind, Heather S.; Nelson, Jennifer C.; Zerbo, Ousseny; Oduyebo, Titilope; Singleton, James A.; Patel, Suchita A.

doi:10.15585/mmwr.mm7024e2

Cited by 153 publications

(156 citation statements)

References 9 publications

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“…While this number is higher than the global and United States national reported rates of COVID-19 vaccination in pregnancy, it is lower than the Massachusetts adult vaccination rate of 63.6% at the time of this survey distribution and lower than this group's selfreported acceptance of influenza vaccination (74.7%). 20,26 These findings add to the growing body of evidence pointing towards suboptimal COVID-19 vaccination rates in pregnant individuals. Our findings are similar to the survey results by Sutton et al in New York City, which showed that pregnant respondents were less likely to accept vaccination compared with non-pregnant female respondents.…”

Section: Discussionmentioning

confidence: 86%

Perceptions and Attitudes Towards COVID-19 Vaccination Amongst Pregnant and Postpartum Individuals

Siegel

James

McBay

et al. 2021

Preprint

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IntroductionThis study aims to characterize attitudes towards COVID-19 vaccination and to evaluate factors associated with vaccine uptake amongst pregnant individuals.MethodsAn anonymous survey was distributed to a convenience sample of pregnant individuals receiving prenatal care at two large urban academic hospitals in a single healthcare network in Massachusetts. Individual demographic variables were included in the survey along with questions assessing attitudes towards COVID-19 and vaccination in pregnancy.ResultsOf 477 respondents, 233 (49.3%) had received or were scheduled to receive a COVID-19 vaccine. Age, White race, non-Hispanic/LatinX ethnicity, working from home, and typical receipt of the influenza vaccine were associated with COVID-19 vaccination. 276 respondents (58.4%) reported that their provider recommended the COVID-19 vaccine in pregnancy; these participants were more likely to have received a vaccine (OR 5.82, 95% confidence interval [CI] 3.68-9.26). Vaccinated individuals were less likely to be worried about the effects of the vaccine on themselves (OR 0.18, 95% CI 0.12-0.27) or their developing babies (OR 0.17, 95% CI 0.11-0.26). Unvaccinated individuals were less likely to report that it is easy to schedule a COVID-19 vaccine (OR 0.56, 95% CI 0.34-0.93), to travel to receive a vaccine (OR 0.19, 95% CI 0.10-0.36), and to miss work to receive a vaccine (OR 0.30, 95% CI 0.18-0.48).ConclusionsStrategies are needed to improve patient education regarding vaccine side effects and safety in pregnancy and to change policy to make it feasible for pregnant patients to schedule and miss work without loss of pay to get vaccinated.Key PointsThere were racial and ethnic disparities in COVID-19 vaccination.Unvaccinated respondents were more likely to be concerned about vaccine effects for themselves or their growing babies.Unvaccinated respondents cited work and scheduling-related barriers to vaccination, indicating areas for advocacy

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Section: Discussionmentioning

confidence: 86%

Perceptions and Attitudes Towards COVID-19 Vaccination Amongst Pregnant and Postpartum Individuals

Siegel

James

McBay

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Recent data suggests only 16.3% of pregnant women have been vaccinated despite evidence of prenatal vaccine safety. 8 Most guidance on the importance on vaccination during pregnancy stems from concern for pregnancy as a risk factor for severe COVID illness in the mother. Our findings add to a growing list of important reasons why women should be advised to receive the COVID vaccine during pregnancy, indicating neonatal benefit and potential protection from COVID illness in the first days of life.…”

Section: Discussionmentioning

confidence: 99%

High antibody levels in cord blood from pregnant women vaccinated against COVID-19

Trostle

Agüero-Rosenfeld

Roman

et al. 2021

American Journal of Obstetrics & Gynecology MFM

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“…COVID-19 vaccines are recommended during pregnancy to prevent severe maternal morbidity and adverse birth outcomes; however, vaccination coverage among pregnant women has been low (1). Concerns among pregnant women regarding vaccine safety are a persistent barrier to vaccine acceptance during pregnancy.…”

mentioning

confidence: 99%

Receipt of COVID-19 Vaccine During Pregnancy and Preterm or Small-for-Gestational-Age at Birth — Eight Integrated Health Care Organizations, United States, December 15, 2020–July 22, 2021

Lipkind¹,

Vazquez‐Benitez²,

DeSilva³

et al. 2022

MMWR Morb. Mortal. Wkly. Rep.

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COVID-19 Vaccination Coverage Among Pregnant Women During Pregnancy — Eight Integrated Health Care Organizations, United States, December 14, 2020–May 8, 2021

Cited by 153 publications

References 9 publications

Perceptions and Attitudes Towards COVID-19 Vaccination Amongst Pregnant and Postpartum Individuals

Perceptions and Attitudes Towards COVID-19 Vaccination Amongst Pregnant and Postpartum Individuals

High antibody levels in cord blood from pregnant women vaccinated against COVID-19

Receipt of COVID-19 Vaccine During Pregnancy and Preterm or Small-for-Gestational-Age at Birth — Eight Integrated Health Care Organizations, United States, December 15, 2020–July 22, 2021

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