COVID-19 vaccination in pregnancy and postpartum

Brillo, Eleonora; Tosto, Valentina; Gerli, Sandro; Buonomo, E

doi:10.1080/14767058.2021.1920916

Cited by 20 publications

(30 citation statements)

References 31 publications

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“…While not statistically significant, our finding that 36% of women from small cities or towns or rural areas and 24% of women from large cities or suburbs near large cities would probably not or definitely not get a COVID-19 vaccine is similar to rates of vaccine hesitancy in previous research that found differences by urbanicity/rurality of residence among US adults generally (Khubchandani et al, 2021 ; Nguyen et al, 2021 ). Despite a lack of clinical trial data about vaccine safety and efficacy in pregnant persons and misinformation circulating online about fertility-related vaccine side effects, leading to uncertainty and concerns about vaccination during pregnancy (Brillo, et al, 2021 ), vaccine hesitancy did not differ by pregnancy status in the current study (33% vs 27%), consistent with a global study of pregnant women and non-pregnant mothers in fall 2020 (Skjefte et al, 2021 ). In early 2021, an observational study showed similar immunogenicity and reactogenicity to a mRNA COVID-19 vaccine in pregnant and non-pregnant women (Gray et al, 2021 ), and the American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine recommend vaccination for pregnant women (ACOG, 2020 ; SMFM, 2020 ).…”

Section: Discussionsupporting

confidence: 85%

Factors associated with mothers’ hesitancy to receive a COVID-19 vaccine

et al. 2022

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Vaccine hesitancy can impact maternal and child vaccination rates. We examined factors associated with mothers’ hesitancy to receive a COVID-19 vaccine using data from an online survey conducted from mid-February to mid-March 2021. Among unvaccinated participants (N = 203), 28% reported that they would probably not or definitely not get a COVID-19 vaccine. Mothers with high school/GED/trade/technical education (38% hesitant, aOR = 4.0, 95% CI: 1.2–13.2), Associate’s degree (43%, aOR = 6.8, 95% CI: 2.4–19.5), and Bachelor’s degree (30%, aOR = 3.1, 95% CI: 1.1–8.4) were more likely to report vaccine hesitancy compared to mothers with a graduate degree (19%). Non-Hispanic Black mothers (40% hesitant, aOR = 2.8, 95% CI: 1.0–7.6) were more likely to be vaccine hesitant compared to non-Hispanic white mothers (19%). Mothers with low pandemic-related anxiety were more likely to report vaccine hesitancy than mothers with high pandemic-related anxiety (56% vs 23% hesitant; aOR = 4.8, 95% CI: 1.7–14.1). Research is needed to understand informational, emotional, and attitudinal factors contributing to COVID-19 vaccine hesitancy among mothers to develop and test effective public health messaging to increase vaccination rates.

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Section: Discussionsupporting

confidence: 85%

Factors associated with mothers’ hesitancy to receive a COVID-19 vaccine

et al. 2022

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“…The questionnaire was adapted from different literature. 14 , 15 , 16 , 17 The questionnaire was prepared in English and translated to Amharic and retranslated into English to keep consistency. The study tool was assessed by a group of researchers to check the clarity and completeness.…”

Section: Methodsmentioning

confidence: 99%

COVID-19 vaccine acceptance and associated factors among women attending antenatal and postnatal cares in Central Gondar Zone public hospitals, Northwest Ethiopia

Taye

Taye²,

Muche

et al. 2022

Clinical Epidemiology and Global Health

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Introduction The Coronavirus disease 2019 pandemic is a public health problem, which caused a major impact on morbidity and mortality around the world. Even though an effective vaccine is the most awaited resolution for the pandemic, little is known about COVID-19 vaccine acceptance in Ethiopia. This study aimed to assess vaccine acceptance and its associated factors among pregnant and postnatal mothers. Method Institution-based cross-sectional study was conducted on 527 pregnant and postnatal mothers from August 15 to September 15, 2021. Data were collected using an interviewer-administered structured questionnaire. A systematic random sampling technique was used to select the study participants. Epi-Data version 4.6 and Stata 16 software were used for data entry and analysis respectively. Participant characteristics and rate of vaccine acceptance were presented using descriptive statistics. Multi-variable logistic regression was performed to identify statistically significant variables. Adjusted odds ratio with 95% confidence interval was used to declare statistical significance based on p < 0.05 in the multivariable logistic regression model. Result The overall prevalence of intent to accept COVID-19 vaccine was 62.04% (95% CI: 57.65, 66.25). Of those 40.08% were pregnant mothers and 21.97% of them were postpartum mothers. Urban residence (AOR = 2.03, 95% CI: 1.09–3.77), respondents who were worry about COVID-19 disease (AOR = 3.46, 95% CI: 2.16–5.52), and participants who had favorable attitude towards vaccine (AOR = 8.54, 95% CI: 5.18–14.08) were significantly associated with COVID-19 vaccine acceptance. Conclusion Our findings showed that the willingness to accept COVID-19 vaccination was low. Residence, worry about COVID-19 disease, and attitudes towards vaccine were factors significantly associated with COVID-19 vaccine acceptance. Evidence-based and clear information on COVID-19 vaccines should be provided to pregnant and postnatal mothers for both rural and urban residences to improve attitude towards the COVID-19 vaccine and increase vaccination rates.

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“…Although a few authors recommended expressed breast milk in case of symptomatic mothers or even separation of the infant, many international authorities, including the WHO, the International Federation of Gynecology and Obstetrics, and the Royal College of Obstetricians and Gynecologists, are in favor of direct breastfeeding (along with hygiene precautions) except for mothers who are too sick and unable to care for their offspring [44,45]. The latter approach is further supported by emerging evidence on the presence of neutralization antibodies in human milk from COVID-19-infected mothers [46,47].…”

Section: Breastfeeding During a Sars-cov-2 Infectionmentioning

confidence: 99%

Breastfeeding during a Pandemic

et al. 2022

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Background: The current pandemic and the concerns of vertical transmission of SARS-CoV-2 have contributed to increasing the rate of breastfeeding interruption. This tendency has been associated with negative effects on the well-being of lactating mothers and their infants. The aim of this review is to summarize the evidence on the strategies to support breastfeeding during the COVID-19 pandemic and on the safety of breastfeeding during a SARS-CoV-2 infection or after COVID-19 vaccination. Summary: Available data show that the lack of support of lactating mothers during the pandemic has contributed to breastfeeding cessation worldwide. However, a few strategies have been proposed to overcome this issue. The risk of SARS-CoV-2 transmission from infected mothers to their offspring is extremely low. Furthermore, vaccination of lactating mothers is not associated with side effects in their infants. Key Messages: Increasing effort should be made to support breastfeeding during the COVID-19 pandemic. Mothers who are able to take care of their offspring and to adopt basic hygiene measures should not interrupt breastfeeding during a SARS-CoV-2 infection. Vaccination of lactating mothers might further strengthen the protective effect of breastfeeding against infections.

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COVID-19 vaccination in pregnancy and postpartum

Cited by 20 publications

References 31 publications

Factors associated with mothers’ hesitancy to receive a COVID-19 vaccine

Factors associated with mothers’ hesitancy to receive a COVID-19 vaccine

COVID-19 vaccine acceptance and associated factors among women attending antenatal and postnatal cares in Central Gondar Zone public hospitals, Northwest Ethiopia

Breastfeeding during a Pandemic

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