Factors affecting the acceptability of COVID-19 vaccine in the postpartum period

Oluklu, Deniz; Ayhan, Şule Göncü; Beşer, Dilek Menekşe; Hendem, Derya Uyan; Tokalıoğlu, Eda Özden; Turgut, Ezgi; Şahın, Dilek

doi:10.1080/21645515.2021.1972710

Cited by 19 publications

(34 citation statements)

References 16 publications

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“…Lactating/postpartum women were found to have similar safety concerns to pregnant women 27 30 32 45 50. One of the reasons for refusing the vaccine or being hesitant about getting it is the lack of reliable data on the administration and effectiveness of a COVID-19 vaccine during lactation 30 50. Additionally, there were concerns in this target group that the COVID-19 vaccine could cause infertility 27…”

Section: Resultsmentioning

confidence: 99%

Influence of the COVID-19 pandemic and social media on the behaviour of pregnant and lactating women towards vaccination: a scoping review

et al. 2023

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BackgroundPregnant women, foetuses and infants are at risk of infectious disease-related complications. Maternal vaccination is a strategy developed to better protect pregnant women and their offspring against infectious disease-related morbidity and mortality. Vaccines against influenza, pertussis and recently also COVID-19 are widely recommended for pregnant women. Yet, there is still a significant amount of hesitation towards maternal vaccination policies. Furthermore, contradictory messages circulating social media impact vaccine confidence.ObjectivesThis scoping review aims to reveal how COVID-19 and COVID-19 vaccination impacted vaccine confidence in pregnant and lactating women. Additionally, this review studied the role social media plays in creating opinions towards vaccination in these target groups.Eligibility criteriaArticles published between 23 November 2018 and 18 July 2022 that are linked to the objectives of this review were included. Reviews, articles not focusing on the target group, abstracts, articles describing outcomes of COVID-19 infection/COVID-19 vaccination were excluded.Sources of evidenceThe PubMed database was searched to select articles. Search terms used were linked to pregnancy, lactation, vaccination, vaccine hesitancy, COVID-19 and social media.Charting methodsIncluded articles were abstracted and synthesised by one reviewer. Verification was done by a second reviewer. Disagreements were addressed through discussion between reviewers and other researchers.ResultsPregnant and lactating women are generally less likely to accept a COVID-19 vaccine compared with non-pregnant and non-nursing women. The main reason to refuse maternal vaccination is safety concerns. A positive link was detected between COVID-19 vaccine willingness and acceptance of other vaccines during pregnancy. The internet and social media are identified as important information sources for maternal vaccination.Discussion and conclusionVaccine hesitancy in pregnant and lactating women remains an important issue, expressing the need for effective interventions to increase vaccine confidence and coverage. The role social media plays in vaccine uptake remains unclear.

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Section: Resultsmentioning

confidence: 99%

Influence of the COVID-19 pandemic and social media on the behaviour of pregnant and lactating women towards vaccination: a scoping review

et al. 2023

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“…Many other studies examining vaccine attitudes among pregnant/postpartum women have been published [ 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ], and several meta-analyses/systematic reviews on this topic have also been conducted [ 10 , 20 , 21 , 22 , 23 , 24 , 25 , 28 ]. Among the meta-analyses, which used partially overlapping studies, COVID-19 vaccine acceptance rates among pregnant/postpartum women ranged from 47 to 62% [ 20 , 21 , 22 , 23 , 24 , 25 ], lower than the 67% observed in the current study.…”

Section: Discussionmentioning

confidence: 99%

Global Cross-Sectional Study Evaluating the Attitudes towards a COVID-19 Vaccine in Pregnant and Postpartum Women

Hernandez

Pairman

Fisher³

et al. 2023

Vaccines

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Pregnant and postpartum women have an increased risk of severe complications from COVID-19. Many clinical guidelines recommend vaccination of these populations, and it is therefore critical to understand their attitudes toward COVID-19 vaccines. We conducted a cross-sectional online survey in November 2020 of currently pregnant and ≤1-year postpartum women in Brazil, India, the United Kingdom (UK), and the United States (US) that assessed their openness to COVID-19 vaccines and reasons for vaccine hesitancy. Logistic regression analyses were conducted to evaluate openness to receiving a vaccine. Out of 2010 respondents, 67% were open to receiving a COVID-19 vaccine themselves. Among pregnant and postpartum participants, 72% and 57% were willing to receive a vaccine, respectively. Vaccine openness varied significantly by country: India (87%), Brazil (71%), UK (59%), and US (52%). Across all participants, among the 33% who were unsure/not open to receiving a COVID-19 vaccine, the most common reason cited was safety/side effect concerns (51%). Participants were similarly open to their children/other family members receiving a COVID-19 vaccine. Presence of a comorbidity, a positive COVID-19 test result, and pregnancy were all significantly associated with positive vaccine acceptance. Targeted outreach to address pregnant and postpartum women’s concerns about the COVID-19 vaccine is needed.

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“…Low maternal COVID-19 vaccine coverage may not resolve after birth. Postpartum women also report lower rates of intention to accept the COVID-19 vaccine than nonpregnant women (Sutton et al, 2021), citing similar reasons for COVID-19 vaccine refusal as those reported during pregnancy, such as concerns over safety and efficacy Oluklu et al, 2021). With the significant risk of severe COVID-19 in both pregnant and recently postpartum individuals, as well as the maternal-infant benefits of vaccination, it is crucial to understand psychological contributors to perinatal COVID vaccine uptake.…”

Section: Perinatal Covid-19 Infection Risk and Vaccinationmentioning

confidence: 96%

COVID-19 Vaccine Hesitancy during the Perinatal Period: Understanding Psychological and Cultural Factors to Improve Care and Address Racial/Ethnic Health Inequities

Anderson

Hardy

Battle

2022

Women's Health Issues

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Factors affecting the acceptability of COVID-19 vaccine in the postpartum period

Cited by 19 publications

References 16 publications

Influence of the COVID-19 pandemic and social media on the behaviour of pregnant and lactating women towards vaccination: a scoping review

Influence of the COVID-19 pandemic and social media on the behaviour of pregnant and lactating women towards vaccination: a scoping review

Global Cross-Sectional Study Evaluating the Attitudes towards a COVID-19 Vaccine in Pregnant and Postpartum Women

COVID-19 Vaccine Hesitancy during the Perinatal Period: Understanding Psychological and Cultural Factors to Improve Care and Address Racial/Ethnic Health Inequities

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