COVID-19 vaccination hesitancy in pregnant and breastfeeding women and strategies to increase vaccination compliance: a systematic review and meta-analysis

Bianchi, Francesco Paolo; Stefanizzi, Pasquale; Gioia, Maria Cristina Di; Brescia, Nazario; Lattanzio, Sabrina; Tafuri, Silvio

doi:10.1080/14760584.2022.2100766

Cited by 44 publications

(59 citation statements)

References 93 publications

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“…The side effects of the COVID-19 vaccine are the most important barrier to vaccine acceptance [ 12 ]. The rates of vaccine hesitancy in pregnant and breastfeeding women across high-income countries or regions ranged from 7% to 77.9%, with an average of 48% [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Uptake and Hesitancy among Pregnant and Lactating Women in Saudi Arabia

et al. 2023

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Introduction: Pregnant and breastfeeding women comprise a high-risk group for the development of severe COVID-19. Therefore, vaccination is highly recommended for perinatal women; however, vaccination levels for this group remain inadequate. This study explores the percentage of COVID-19 vaccination among Saudi pregnant and lactating women, as well as their attitudes toward it. Methods: We conducted a cross-sectional questionnaire-based survey on a sample of Saudi pregnant and breastfeeding women. The study included pregnant and lactating women. Results: The percentage of COVID-19 vaccine uptake was 78.2%. A total of 45 (21.8%) out of 206 women did not receive the vaccine. The overall vaccine hesitancy was 21.8%. Breastfeeding women were 2.86 more likely not to receive the vaccine as compared to pregnant women. Being a mother of over five children increased the vaccine uptake among our participating women (n = 20, 90%; p < 0.01). The majority of the subjects had taken the Pfizer vaccine (81.98%, 132/161). The availability of the COVID-19 vaccine was the most common factor for choosing a particular vaccine. Protection from infection (60.2%, 97/161) was reported as the main driver for vaccine uptake. The most common reason perceived for delaying COVID-19 vaccination was being worried about the side effects (176, 85.44%) on one’s own body and the effects on the unborn child (130, 63.1%). Conclusion: We uncovered high levels of hesitancy, primarily induced by concerns about adverse effects and social media-related misinformation. These high levels of vaccine uptake are likely due to the large-scale obligatory vaccination program provided in Saudi Arabia, which was well-structured and far reaching. Our results provide further support for the so-called “protection motivation theory” in boosting vaccine acceptance. Counseling and educating pregnant and breastfeeding women about COVID-19 vaccination is the need of the hour.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Uptake and Hesitancy among Pregnant and Lactating Women in Saudi Arabia

et al. 2023

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“…These findings are also consistent with the existing literature on vaccine hesitancy, where only 45.2% of women accepted vaccination compared with 54.8% of men [ 125 ]. Pregnant and breastfeeding women are among the sub-groups attributed to women’s higher percentage of vaccine hesitancy [ 126 ]. Saitoh et al reported that pregnant women were hesitant to receive the vaccine because of safety and efficacy concerns and were more likely to fear adverse effects [ 127 ].…”

Section: Vaccinesmentioning

confidence: 99%

Prerequisite for COVID-19 Prediction: A Review on Factors Affecting the Infection Rate

Tang

Hadi

Arsad

et al. 2022

IJERPH

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Since the year 2020, coronavirus disease 2019 (COVID-19) has emerged as the dominant topic of discussion in the public and research domains. Intensive research has been carried out on several aspects of COVID-19, including vaccines, its transmission mechanism, detection of COVID-19 infection, and its infection rate and factors. The awareness of the public related to the COVID-19 infection factors enables the public to adhere to the standard operating procedures, while a full elucidation on the correlation of different factors to the infection rate facilitates effective measures to minimize the risk of COVID-19 infection by policy makers and enforcers. Hence, this paper aims to provide a comprehensive and analytical review of different factors affecting the COVID-19 infection rate. Furthermore, this review analyses factors which directly and indirectly affect the COVID-19 infection risk, such as physical distance, ventilation, face masks, meteorological factor, socioeconomic factor, vaccination, host factor, SARS-CoV-2 variants, and the availability of COVID-19 testing. Critical analysis was performed for the different factors by providing quantitative and qualitative studies. Lastly, the challenges of correlating each infection risk factor to the predicted risk of COVID-19 infection are discussed, and recommendations for further research works and interventions are outlined.

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“…The vaccine hesitation rate among pregnant and breastfeeding women was 48.4 % (95 % CI = 43.4–53.4 %). [6] There was strong resistance to vaccination among some lactating mothers in 2020 [5] , [7] . In 2021, the Centers for Disease Control and Prevention [8] , the European Medicines Agency [9] , and the Royal College of Obstetricians and Gynecologists recommended COVID-19 vaccination for breastfeeding women [5] , [7] , [8] .…”

Section: Introductionmentioning

confidence: 99%

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

Chawanpaiboon¹,

Anuwutnawin²,

Kanjanapongporn³

et al. 2023

Vaccine

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COVID-19 vaccination hesitancy in pregnant and breastfeeding women and strategies to increase vaccination compliance: a systematic review and meta-analysis

Cited by 44 publications

References 93 publications

COVID-19 Vaccine Uptake and Hesitancy among Pregnant and Lactating Women in Saudi Arabia

COVID-19 Vaccine Uptake and Hesitancy among Pregnant and Lactating Women in Saudi Arabia

Prerequisite for COVID-19 Prediction: A Review on Factors Affecting the Infection Rate

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

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