Trends of vaccination against COVID-19 among pregnant women in Siberia

N. Artymuk, Y. Parfenova, O. A. Tachkova
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Abstract

Aim. To evaluate the trends of vaccination against COVID-19 among pregnant women in Siberia for the period from October 29, 2021 to November 26, 2021.Materials and Methods. The vaccination data have been collected from official records from October 29, 2021 (86,859 pregnant women) and November 26, 2021 (85,600 pregnant women) in 10 regions of Siberia.Results. Before the pregnancy onset, as of October 29, 2021, only 4,056 (4.7%) women had past medical history of COVID-19. These numbers have significantly increased to November 26, 2021 (5,656, 6.6%, p < 0.001). The number of vaccinated pregnant women increased from 4,185 (4.8%) to 8,318 (9.7%) (p < 0.001). As of November 26, 2021, we registered a reduced proportion of women vaccinated at the preconception stage (from 4.6% to 4.0%, p < 0.001), yet the number of vaccinated pregnant women raised both before (from 0.7% to 1.3 %, p < 0.001) and after 22 weeks of pregnancy (from 1.6% to 2.3%, p < 0.001). The highest proportion of pregnant women was documented in the Tyva Republic and the Irkutsk Region (p < 0.01). Major vaccination-associated adverse events have not been reported.Conclusions. The proportion of pregnant women recovered or vaccinated from COVID-19 increased from October 29, 2021 (16.4%) to November 26, 2021 (23.9%); however, this rate is clearly insufficient to reach herd immunity and reduce maternal mortality from COVID-19.
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西伯利亚孕妇COVID-19疫苗接种趋势
的目标。评估2021年10月29日至2021年11月26日西伯利亚孕妇COVID-19疫苗接种趋势。材料与方法。疫苗接种数据收集自2021年10月29日(86,859名孕妇)和2021年11月26日(85,600名孕妇)在西伯利亚10个地区的官方记录。在怀孕前,截至2021年10月29日,只有4056名(4.7%)妇女有COVID-19病史。到2021年11月26日,这一数字显著增加(5656人,6.6%,p < 0.001)。接种疫苗的孕妇人数从4185人(4.8%)增加到8318人(9.7%)(p < 0.001)。截至2021年11月26日,我们登记到在孕前阶段接种疫苗的妇女比例有所下降(从4.6%降至4.0%,p < 0.001),但接种疫苗的孕妇人数在怀孕前(从0.7%升至1.3%,p < 0.001)和怀孕22周后(从1.6%升至2.3%,p < 0.001)均有所增加。怀孕妇女比例最高的是在特瓦共和国和伊尔库茨克地区(p < 0.01)。主要的疫苗相关不良事件尚未报道。从2021年10月29日(16.4%)到2021年11月26日(23.9%),恢复或接种新冠肺炎疫苗的孕妇比例有所上升;然而,这一比率显然不足以实现群体免疫并降低COVID-19的孕产妇死亡率。
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