COVID-19 Vaccination in Pregnant Women: A Review Study

N. Changizi, Nahid Farrokhzad, M. Vigeh, Raheleh Moradi, M. Bagheri, L. Sahebi
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Abstract

Background: After launching coronavirus disease 2019 (COVID-19) vaccination programs, healthcare workers and the general population were worried about the efficacy and safety of vaccines in mothers and fetuses due to insufficient data. During the phases of clinical trial and mass vaccinations, many unplanned pregnancies occurred in vaccinated women, which helped to investigate protection rates of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and their side effects. Objective: This review study had two main objectives, including finding original articles about vaccinated pregnant women and collecting suggestions/recommendations in published documents, including the effectiveness, benefits, side effects, and instructions for vaccination of pregnant women. Materials and Methods: The web-based literature was extensively searched to retrieve the related documents. Due to the emerging nature of evidence, rapid onset of the SARS-CoV-2 outbreak, and recent vaccination programs, no limitation was applied regarding inclusion criteria and the study type. Results: Sixteen documents were selected for full text reading. Due to the significant benefits of vaccines (mostly mRNA types), such as the reduced risk of disease severity, premature labor, and virus transmission, vaccination of pregnant women has been recommended by the Joint Committee on Vaccination and Immunization as well as several other organizations. Conclusion: the consequences of SARS-CoV-2 disease during pregnancy seem to outweigh the known side effects of the vaccination.
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孕妇COVID-19疫苗接种:一项综述研究
背景:在启动2019冠状病毒病(COVID-19)疫苗接种计划后,由于数据不足,医护人员和普通人群对疫苗在母亲和胎儿中的有效性和安全性感到担忧。在临床试验和大规模疫苗接种阶段,接种疫苗的妇女发生了许多意外怀孕,这有助于调查疫苗对严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的保护率及其副作用。目的:本综述研究有两个主要目的,一是寻找有关接种疫苗的孕妇的原创文章,二是收集已发表文献中的建议/建议,包括孕妇接种疫苗的有效性、益处、副作用和说明。材料与方法:广泛检索网络文献,检索相关文献。由于证据的新性质、SARS-CoV-2爆发的快速发作以及最近的疫苗接种计划,对纳入标准和研究类型没有限制。结果:选取16篇文献进行全文阅读。由于疫苗(主要是mRNA类型)的显著益处,例如降低疾病严重程度、早产和病毒传播的风险,疫苗接种和免疫联合委员会以及其他几个组织建议孕妇接种疫苗。结论:怀孕期间SARS-CoV-2疾病的后果似乎超过了疫苗接种的已知副作用。
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