☆ 4.8 Review

Systematic review and meta-analysis of the effectiveness and perinatal outcomes of COVID-19 vaccination in pregnancy

NATURE COMMUNICATIONS (2022)

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Editorial Material Obstetrics & Gynecology

Countering COVID-19 Vaccine Hesitancy in Pregnancy: the 4 Cs

Lydia L. Shook et al.

Summary: Despite evidence and recommendations supporting COVID-19 vaccination during pregnancy, vaccine hesitancy remains a significant issue. The emergence of highly transmissible variants among unvaccinated individuals highlights the risks of hesitancy. Solutions to overcome vaccine hesitancy in pregnancy are explored in this commentary.

AMERICAN JOURNAL OF PERINATOLOGY (2022)

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Article Obstetrics & Gynecology

Pregnant and breastfeeding women's attitudes and fears regarding the COVID-19 vaccination

Nora K. Schaal et al.

Summary: The survey revealed that during pregnancy, the majority of women (57.4%) are not in favor of receiving the COVID-19 vaccine, while breastfeeding women show higher willingness (39.5% are in favor). The willingness to be vaccinated is significantly related to the women's anxiety levels of getting infected and developing disease symptoms, with main reasons for vaccination hesitancy including limited vaccine-specific information and scientific evidence on vaccine safety, as well as fear of harming the fetus or infant.

ARCHIVES OF GYNECOLOGY AND OBSTETRICS (2022)

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Letter Medicine, General & Internal

COVID-19 booster doses in pregnancy and global vaccine equity

Erkan Kalafat et al.

LANCET (2022)

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Article Biochemistry & Molecular Biology

SARS-CoV-2 infection and COVID-19 vaccination rates in pregnant women in Scotland

Sarah J. Stock et al.

Summary: Population-level data on COVID-19 vaccine uptake in pregnancy and SARS-CoV-2 infection outcomes are lacking. However, this study reveals low levels of vaccination uptake by pregnant women compared to women in the general population and that not being vaccinated is associated with increased risk of severe complications of COVID-19 in pregnancy, including perinatal mortality.

NATURE MEDICINE (2022)

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Article Obstetrics & Gynecology

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients

John A. Morgan et al.

OBSTETRICS AND GYNECOLOGY (2022)

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Article Public, Environmental & Occupational Health

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

Heather S. Lipkind et al.

MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT (2022)

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Article Obstetrics & Gynecology

COVID-19 vaccination during pregnancy: coverage and safety

Helena Blakeway et al.

Summary: This study investigates the uptake and safety of COVID-19 vaccination among pregnant women. The results show that the proportion of vaccinated pregnant women is low, and those who received the vaccine experienced similar pregnancy outcomes compared to unvaccinated pregnant women. There is lower uptake among younger women, non-White ethnicity, and lower socioeconomic background. This study contributes to the evidence on the safety of COVID-19 vaccination in pregnancy and emphasizes the importance of improving awareness among pregnant women and healthcare professionals on vaccine safety.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

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Article Obstetrics & Gynecology

Covid-19 vaccination during the third trimester of pregnancy: rate of vaccination and maternal and neonatal outcomes, a multicentre retrospective cohort study

M. Rottenstreich et al.

Summary: This study aimed to evaluate the impact of Covid-19 vaccination during the third trimester of pregnancy on maternal and neonatal outcomes. The results showed a vaccination rate of 40.2% in a population covered by a National Health Insurance Plan, which was not associated with adverse maternal outcomes and even decreased the risk for neonatal adverse outcomes.

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY (2022)

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Article Medicine, General & Internal

Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK

Merryn Voysey et al.

Summary: The ChAdOx1 nCoV-19 vaccine has been shown to have an acceptable safety profile and effectiveness against symptomatic COVID-19, with higher efficacy observed in the group that received a low dose followed by a standard dose.

LANCET (2021)

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Letter Medicine, General & Internal

Fertility rates and birth outcomes after ChAdOx1 nCoV-19 (AZD1222) vaccination

Kushalinii Hillson et al.

LANCET (2021)

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News Item Medicine, General & Internal

No link between COVID-19 vaccines and early pregnancy loss

[Anonymous]

MEDICAL JOURNAL OF AUSTRALIA (2021)

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Article Immunology

Early exploration of COVID-19 vaccination safety and effectiveness during pregnancy: interim descriptive data from a prospective observational study

Inna Bleicher et al.

Summary: The study found that receiving mRNA vaccine during pregnancy does not increase the risk of pregnancy complications and is effective in preventing COVID-19 infection.

VACCINE (2021)

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Article Immunology

Prenatal maternal COVID-19 vaccination and pregnancy outcomes

Tamar Wainstock et al.

Summary: The study found that prenatal administration of the Pfizer-BioNTech COVID-19 vaccine has no adverse effects on pregnancy course and outcomes. Women who received the vaccine during pregnancy were typically older, more likely to conceive following fertility treatments, and received more prenatal care, but there were no significant differences in pregnancy, delivery, or newborn complications compared to unvaccinated women.

VACCINE (2021)

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Article Medicine, General & Internal

COVID-19 Vaccine Acceptability Among Women Who are Pregnant or Planning for Pregnancy in Saudi Arabia: A Cross-Sectional Study

Mohammed Samannodi

Summary: This study found that pregnant women and those planning for pregnancy in Saudi Arabia have moderate levels of perception, hesitancy, perceived benefits, and causes of action regarding the COVID-19 vaccine. More public health awareness is needed to increase public trust in the safety of the COVID-19 vaccine.

PATIENT PREFERENCE AND ADHERENCE (2021)

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News Item Medicine, General & Internal

Covid-19 and pregnancy: vaccine hesitancy and how to overcome it

Gareth Iacobucci

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Obstetrics & Gynecology

Coronavirus disease 2019 vaccine response in pregnant and lactating women: a cohort study

Kathryn J. Gray et al.

Summary: The study found that pregnant and lactating women had equivalent antibody titers after receiving the coronavirus disease 2019 mRNA vaccine compared to nonpregnant women, and these titers were higher than those induced by natural infection. Vaccine-induced antibodies were present in umbilical cord blood and breastmilk samples, transferring immunity to neonates through placenta and breastmilk.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2021)

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Article Public, Environmental & Occupational Health

Risk for Stillbirth Among Women With and Without COVID-19 at Delivery Hospitalization — United States, March 2020–September 2021

Carla L. DeSisto et al.

MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT (2021)

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Article Medicine, General & Internal

Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons

Tom T. Shimabukuro et al.

Summary: Preliminary data indicates that there are no obvious safety signals among pregnant women who received mRNA Covid-19 vaccines, but more data is needed for further confirmation. Adverse reactions such as injection-site pain were reported more frequently in pregnant women, but most pregnancies resulted in live births with some cases of preterm birth and small size for gestational age.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Pediatrics

Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection The INTERCOVID Multinational Cohort Study

Jose Villar et al.

Summary: This study evaluated the risks associated with COVID-19 in pregnancy on maternal and neonatal outcomes compared with pregnant individuals without COVID-19, finding that pregnant individuals with COVID-19 were at higher risk for various complications such as preeclampsia, severe infections, and preterm birth. The findings emphasize the importance for pregnant individuals and clinicians to strictly implement recommended COVID-19 preventive measures.

JAMA PEDIATRICS (2021)

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Article Medicine, General & Internal

Thrombocytopenia and Intracranial Venous Sinus Thrombosis after COVID-19 Vaccine AstraZeneca Exposure

Marc E. Wolf et al.

Summary: The study focused on clinical manifestations and management of patients with cranial venous sinus thrombosis following exposure to the COVID-19 vaccine AstraZeneca, showing that these patients shared similarities in diagnosis and treatment processes.

JOURNAL OF CLINICAL MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Myocarditis With COVID-19 mRNA Vaccines

Biykem Bozkurt et al.

Summary: Myocarditis is a rare complication of COVID-19 mRNA vaccines, predominantly affecting young adult and adolescent males, with most patients showing improvement in symptoms. Possible mechanisms include molecular mimicry between viral proteins and self-antigens, dysregulated immune pathways, immune response to mRNA, and dysregulated cytokine expression.

CIRCULATION (2021)

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Editorial Material Hematology

Intracerebral hemorrhage associated with vaccine-induced thrombotic thrombocytopenia following ChAdOx1 nCOVID-19 vaccine in a pregnant woman

Daniela P. Mendes-de-Almeida et al.

HAEMATOLOGICA (2021)

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Article Medicine, General & Internal

Association Between BNT162b2 Vaccination and Incidence of SARS-CoV-2 Infection in Pregnant Women

Inbal Goldshtein et al.

Summary: The retrospective cohort study found that BNT162b2 mRNA vaccination in pregnant women was associated with a significantly reduced risk of SARS-CoV-2 infection compared to no vaccination. However, interpretation of the study findings is limited by the observational design.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Letter Medicine, General & Internal

Spontaneous Abortion Following COVID-19 Vaccination During Pregnancy

Elyse O. Kharbanda et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Article Biochemistry & Molecular Biology

Effectiveness of the BNT162b2 mRNA COVID-19 vaccine in pregnancy

Noa Dagan et al.

Summary: The BNT162b2 COVID-19 vaccine showed high effectiveness in pregnant women in an observational cohort study in Israel, similar to the effectiveness seen in the general population.

NATURE MEDICINE (2021)

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Letter Medicine, General & Internal

Receipt of mRNA Covid-19 Vaccines and Risk of Spontaneous Abortion

Lauren H. Zauche et al.

Summary: The risk of spontaneous abortion in early pregnancy after receiving mRNA Covid-19 vaccination is consistent with historical data.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Reproductive Biology

Lack of effects on female fertility and prenatal and postnatal offspring development in rats with BNT162b2, a mRNA-based COVID-19 vaccine

Christopher J. Bowman et al.

Summary: The vaccine BNT162b2 was found to have no adverse effects on reproduction and development in rats, and its safety for both mothers and offspring was confirmed. This data supports further studies on BNT162b2 in women of childbearing potential, pregnant, and lactating women.

REPRODUCTIVE TOXICOLOGY (2021)

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Article Acoustics

Short-term outcome of pregnant women vaccinated with BNT162b2 mRNA COVID-19 vaccine

S. Bookstein Peretz et al.

Summary: This observational study compared the immunogenicity and reactogenicity of the Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine between pregnant and non-pregnant women. The study found that pregnant women experienced similar rates of adverse effects following vaccination as non-pregnant women, with lower levels of SARS-CoV-2 IgG. The vaccine was effective in generating a humoral immune response in pregnant women, with no safety concerns identified.

ULTRASOUND IN OBSTETRICS & GYNECOLOGY (2021)

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Article Multidisciplinary Sciences

Controlling the pandemic during the SARS-CoV-2 vaccination rollout

Joao Viana et al.

Summary: While there is a consensus that mass vaccination against SARS-CoV-2 will ultimately end the pandemic, it remains unclear when and which control measures can be relaxed during the rollout of vaccination programs. Research suggests that restarting socioeconomic activities urgently could trigger new pandemic waves, requiring substantial control efforts throughout 2021.

NATURE COMMUNICATIONS (2021)

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Letter Medicine, General & Internal

Short-term Reactions Among Pregnant and Lactating Individuals in the First Wave of the COVID-19 Vaccine Rollout

Alisa Kachikis et al.

Summary: This cohort study compared short-term reactions following COVID-19 vaccination between pregnant and lactating individuals and those who are not pregnant or lactating but planning pregnancy.

JAMA NETWORK OPEN (2021)

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Article Medicine, Research & Experimental

SARS-CoV-2 vaccine effectiveness in preventing confirmed infection in pregnant women

Adeel A. Butt et al.

Summary: The study found that mRNA vaccines provide a high level of protection against documented SARS-CoV-2 infection during pregnancy. This supports the inclusion of pregnant women in vaccination campaigns.

JOURNAL OF CLINICAL INVESTIGATION (2021)

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Letter Obstetrics & Gynecology

COVID-19 vaccination in pregnancy: early experience from a single institution

Megan E. Trostle et al.

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2021)

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Article Obstetrics & Gynecology

Pregnancy and birth outcomes after SARS-CoV-2 vaccination in pregnancy

Regan N. Theiler et al.

Summary: In this study, pregnant women who received COVID-19 vaccination were less likely to contract COVID-19 compared to those who did not receive the vaccine, and vaccination during pregnancy did not lead to increased risks of pregnancy or delivery complications. Factors such as older age, higher education level, non-smoking status, use of infertility treatment during current pregnancy, and lower gravidity were associated with a higher likelihood of vaccination.

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2021)

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Letter Medicine, General & Internal

Covid-19 Vaccination during Pregnancy and First-Trimester Miscarriage

Maria C. Magnus et al.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Recognizing COVID-19-related myocarditis: the possible pathophysiology and proposed guideline for diagnosis and management

Bhurint Siripanthong et al.

HEART RHYTHM (2020)

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Review Medicine, General & Internal

Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis

John Allotey et al.

BMJ-BRITISH MEDICAL JOURNAL (2020)

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Review Acoustics

Variation in outcome reporting in randomized controlled trials of interventions for prevention and treatment of fetal growth restriction

R. Townsend et al.

ULTRASOUND IN OBSTETRICS & GYNECOLOGY (2019)

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Review Immunology

Th1/Th2/Th17 and Regulatory T-Cell Paradigm in Pregnancy

Shigeru Saito et al.

AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY (2010)

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Article Mathematical & Computational Biology

Random effects meta-analysis of event outcome in the framework of the generalized linear mixed model with applications in sparse data

Theo Stijnen et al.

STATISTICS IN MEDICINE (2010)

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Article Demography

Unintended Pregnancy: Worldwide Levels, Trends, and Outcomes

Susheela Singh et al.

STUDIES IN FAMILY PLANNING (2010)

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Article Mathematical & Computational Biology

Quantifying heterogeneity in a meta-analysis

JPT Higgins et al.

STATISTICS IN MEDICINE (2002)

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