Worldwide beliefs among pregnant women on SARS-CoV-2 vaccine: a systematic review.
COVID-19 in pregnancy
Infection during pregnancy
Prevention
SARS-CoV-2
Vaccine
Journal
European journal of obstetrics, gynecology, and reproductive biology
ISSN: 1872-7654
Titre abrégé: Eur J Obstet Gynecol Reprod Biol
Pays: Ireland
ID NLM: 0375672
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
13
09
2021
revised:
22
11
2021
accepted:
01
12
2021
pubmed:
18
12
2021
medline:
12
1
2022
entrez:
17
12
2021
Statut:
ppublish
Résumé
SARS-CoV-2 vaccine has been recommended to pregnant women, but survey studies showed contrasting findings worldwide in relation to the willingness to accept vaccination during pregnancy. To evaluate the evidence from the literature regarding the acceptance rate of the SARS-CoV-2 vaccine in pregnant and breastfeeding women. We performed a systematic review on the main databases (MEDLINE (PubMed), Scopus, ISI Web of Science) searching for all the peer-reviewed survey studies analyzing the eventual acceptance rate of the SARS-CoV-2 vaccine among pregnant and breastfeeding women. To combine data meta-analyses of proportions and pooled proportions with their 95% confidence intervals (CI) were calculated. 15 studies including 25,839 women were included in the analysis. The proportion of women actually willing to be vaccinated during pregnancy is 49.1% (95% CI, 42.3-56.0), and the proportion of breastfeeding women is 61.6% (95% CI, 50.0-75.0). The cumulative SARS-CoV-2 vaccine acceptance rate among pregnant women appears still low. Vaccinal campaign are urgently needed to drive more confidence into the vaccine to help reducing the spread of the infection and the possible consequences during pregnancy.
Sections du résumé
BACKGROUND
BACKGROUND
SARS-CoV-2 vaccine has been recommended to pregnant women, but survey studies showed contrasting findings worldwide in relation to the willingness to accept vaccination during pregnancy.
OBJECTIVE
OBJECTIVE
To evaluate the evidence from the literature regarding the acceptance rate of the SARS-CoV-2 vaccine in pregnant and breastfeeding women.
STUDY DESIGN
METHODS
We performed a systematic review on the main databases (MEDLINE (PubMed), Scopus, ISI Web of Science) searching for all the peer-reviewed survey studies analyzing the eventual acceptance rate of the SARS-CoV-2 vaccine among pregnant and breastfeeding women. To combine data meta-analyses of proportions and pooled proportions with their 95% confidence intervals (CI) were calculated.
RESULTS
RESULTS
15 studies including 25,839 women were included in the analysis. The proportion of women actually willing to be vaccinated during pregnancy is 49.1% (95% CI, 42.3-56.0), and the proportion of breastfeeding women is 61.6% (95% CI, 50.0-75.0).
CONCLUSION
CONCLUSIONS
The cumulative SARS-CoV-2 vaccine acceptance rate among pregnant women appears still low. Vaccinal campaign are urgently needed to drive more confidence into the vaccine to help reducing the spread of the infection and the possible consequences during pregnancy.
Identifiants
pubmed: 34920272
pii: S0301-2115(21)00999-4
doi: 10.1016/j.ejogrb.2021.12.003
pmc: PMC8648617
pii:
doi:
Substances chimiques
COVID-19 Vaccines
0
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
144-164Informations de copyright
Copyright © 2021 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Références
Vaccine. 2021 Feb 5;39(6):868-870
pubmed: 33446385
Arch Gynecol Obstet. 2022 Apr;305(4):859-867
pubmed: 34455467
Am J Obstet Gynecol MFM. 2021 Nov;3(6):100464
pubmed: 34411758
Int J Gen Med. 2021 Jun 08;14:2385-2395
pubmed: 34135622
Eur J Obstet Gynecol Reprod Biol. 2021 Jan;256:505-507
pubmed: 33069506
Eur J Obstet Gynecol Reprod Biol. 2020 Nov;254:64-68
pubmed: 32942077
Eur J Epidemiol. 2021 Feb;36(2):197-211
pubmed: 33649879
Hum Vaccin Immunother. 2021 Oct 3;17(10):3371-3376
pubmed: 34009096
BMJ. 2009 Jul 21;339:b2700
pubmed: 19622552
J Matern Fetal Neonatal Med. 2022 Dec;35(25):6302-6305
pubmed: 33843419
Lancet Infect Dis. 2020 Sep;20(9):1007-1008
pubmed: 32795409
Am J Obstet Gynecol MFM. 2021 Nov;3(6):100478
pubmed: 34481996
Eur J Obstet Gynecol Reprod Biol. 2021 Jul;262:256-258
pubmed: 34020833
Am J Obstet Gynecol MFM. 2021 May;3(3):100324
pubmed: 33540139
Am J Obstet Gynecol MFM. 2021 Mar;3(2):100295
pubmed: 33516986
Am J Obstet Gynecol MFM. 2021 Jul;3(4):100352
pubmed: 33771762
Ultrasound Obstet Gynecol. 2021 May;57(5):687-697
pubmed: 33724545
Am J Obstet Gynecol MFM. 2021 Jul;3(4):100373
pubmed: 33831584
J Clin Med. 2021 Jun 29;10(13):
pubmed: 34209801
Am J Obstet Gynecol MFM. 2021 Jan;3(1):100290
pubmed: 33451606
Minerva Ginecol. 2020 Aug;72(4):185-186
pubmed: 32403912
Int J Environ Res Public Health. 2021 Mar 24;18(7):
pubmed: 33805097
Am J Obstet Gynecol. 2021 Sep;225(3):303.e1-303.e17
pubmed: 33775692
Lancet. 2020 May 23;395(10237):e92
pubmed: 32410758
Am J Obstet Gynecol MFM. 2020 Nov;2(4):100214
pubmed: 32838279
JAMA. 2021 Jun 15;325(23):2370-2380
pubmed: 33983379
Reprod Biomed Online. 2020 Jun;40(6):755-759
pubmed: 32354663
Am J Obstet Gynecol MFM. 2021 Sep;3(5):100399
pubmed: 34020098
Vaccine. 2021 Jan 8;39(2):171-172
pubmed: 33308888
J Perinat Med. 2021 Apr 28;49(6):678-685
pubmed: 33905622
Am J Obstet Gynecol. 2021 May;224(5):484-495
pubmed: 33529575
J Perinat Med. 2020 Jul 28;48(6):545-550
pubmed: 32598320
N Engl J Med. 2021 Jun 17;384(24):2273-2282
pubmed: 33882218
Int J Gynaecol Obstet. 2020 Jun;149(3):377-378
pubmed: 32267531
Am J Obstet Gynecol MFM. 2021 Nov;3(6):100467
pubmed: 34425297
Arch Gynecol Obstet. 2022 Mar;305(3):797-801
pubmed: 34618213
Eur J Obstet Gynecol Reprod Biol. 2020 Aug;251:266-267
pubmed: 32536467
Am J Obstet Gynecol. 2020 Aug;223(2):293-295
pubmed: 32387321
Int J Gynaecol Obstet. 2021 Aug;154(2):291-296
pubmed: 33872386
Am J Obstet Gynecol MFM. 2021 Sep;3(5):100403
pubmed: 34048965
Eur J Obstet Gynecol Reprod Biol. 2020 Jun;249:103-105
pubmed: 32402628
Ultrasound Obstet Gynecol. 2021 Feb;57(2):232-241
pubmed: 32926494
Minerva Ginecol. 2020 Jun;72(3):171-177
pubmed: 32403911
SAGE Open Med. 2021 Aug 19;9:20503121211038454
pubmed: 34434555
Am J Obstet Gynecol MFM. 2021 Jul;3(4):100329
pubmed: 33621713
Reprod Biol Endocrinol. 2020 May 13;18(1):45
pubmed: 32404170
Hum Vaccin Immunother. 2021 Aug 3;17(8):2378-2388
pubmed: 33989109
Am J Obstet Gynecol. 2022 Feb;226(2):236.e1-236.e14
pubmed: 34389291
Am J Obstet Gynecol. 2020 Aug;223(2):291-292
pubmed: 32407787
Am J Obstet Gynecol MFM. 2021 Nov;3(6):100468
pubmed: 34425296
Acta Obstet Gynecol Scand. 2021 Jun;100(6):1034-1039
pubmed: 33604901
Am J Obstet Gynecol. 2021 Nov;225(5):522.e1-522.e11
pubmed: 34023315
Obstet Gynecol. 2021 Mar 1;137(3):408-414
pubmed: 33370015
Minerva Obstet Gynecol. 2022 Feb;74(1):83-106
pubmed: 34137567
Viruses. 2021 Jun 22;13(7):
pubmed: 34206645
Best Pract Res Clin Obstet Gynaecol. 2021 Oct;76:13-22
pubmed: 33168428
Am J Obstet Gynecol. 2021 May;224(5):470-478
pubmed: 33539825
Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:148-153
pubmed: 32866858
J Matern Fetal Neonatal Med. 2022 Aug;35(15):3002-3003
pubmed: 32669006
Trop Med Int Health. 2021 Oct;26(10):1303-1313
pubmed: 34370375