Clinical and Experimental Vaccine Research

The Korean Vaccine Society (대한백신학회)
권호 표지
DOI QR코드

DOI QR Code

Pregnant women's knowledge about and beliefs toward COVID-19 vaccine: a cross-sectional study

  • Osman Samet Gunkaya (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Arzu Bilge Tekin (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Murat Yassa (Clinic of Obstetrics and Gynecology, VM Medical Park Maltepe Hospital) ;
  • Oguz Arslan (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Kubra Karakoc (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Nesibe Demirtas (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Canberk Usta (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Cigdem Kunt Isguder (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey) ;
  • Niyazi Tug (Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey)
  • Received : 2022.12.24
  • Accepted : 2023.02.05
  • Published : 2023.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to determine the scope of knowledge, attitudes, and behaviors of pregnant women about the coronavirus disease 2019 (COVID-19) vaccine. Materials and Methods: A total of 886 pregnant women were recruited for the study. A cross-sectional questionnaire was conducted on these selected participants. Data about past infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), SARS-CoV-2 infection of closely related people, and deaths due to COVID-19 among their relatives were questioned. Results: The rate of vaccination was higher (64.1%) in pregnant women with higher education levels. Informing about the vaccine, especially by health professionals, showed that the rates of vaccination (25%) increased (p<0.001). In addition, a significant increase was observed in vaccination rates with increasing age and financial income (p<0.001). Conclusion: The main limitation of our study is that the vaccine, which was approved for "emergency use", was just started to be administered to pregnant women during the study. Our findings show that our target audience, low-income, low-education, younger pregnant women should be given more attention than those who apply to the doctor for routine follow-up.

Keywords

References

  1. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: experience from Poland. Nutrients 2020;12:1657. 
  2. Prati G, Mancini AD. The psychological impact of COVID-19 pandemic lockdowns: a review and meta-analysis of longitudinal studies and natural experiments. Psychol Med 2021;51:201-11. 
  3. Lenzen M, Li M, Malik A, et al. Global socio-economic losses and environmental gains from the coronavirus pandemic. PLoS One 2020;15:e0235654. 
  4. Betancourt JA, Rosenberg MA, Zevallos A, Brown JR, Mileski M. The impact of COVID-19 on telemedicine utilization across multiple service lines in the United States. Healthcare (Basel) 2020;8:380. 
  5. Taylor MW. Vaccines against viral infections. In: Taylor MW, editor. Viruses and man: a history of interactions. Cham: Springer; 2014. p. 355-77. 
  6. Bloom BR, Nowak GJ, Orenstein W. "When will we have a vaccine?": understanding questions and answers about COVID-19 vaccination. N Engl J Med 2020;383:2202-4. 
  7. World Health Organization. Ten threats to global health in 2019 [Internet]. Geneva: World Health Organization; 2019 [cited 2023 Mar 10]. Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 
  8. Wiysonge CS, Ndwandwe D, Ryan J, et al. Vaccine hesitancy in the era of COVID-19: could lessons from the past help in divining the future? Hum Vaccin Immunother 2022;18:1-3. 
  9. Favre G, Pomar L, Baud D. Coronavirus disease 2019 during pregnancy: do not underestimate the risk of maternal adverse outcomes. Am J Obstet Gynecol MFM 2020;2:100160. 
  10. Jering KS, Claggett BL, Cunningham JW, et al. Clinical characteristics and outcomes of hospitalized women giving birth with and without COVID-19. JAMA Intern Med 2021;181:714-7. 
  11. Allotey J, Stallings E, Bonet M, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020;370:m3320. 
  12. Khalil A, Kalafat E, Benlioglu C, et al. SARS-CoV-2 infection in pregnancy: a systematic review and meta-analysis of clinical features and pregnancy outcomes. EClinicalMedicine 2020;25:100446.
  13. Martinez-Perez O, Vouga M, Cruz Melguizo S, et al. Association between mode of delivery among pregnant women with COVID-19 and maternal and neonatal outcomes in Spain. JAMA 2020;324:296-9. 
  14. Baud D, Greub G, Favre G, et al. Second-trimester miscarriage in a pregnant woman with SARS-CoV-2 infection. JAMA 2020;323:2198-200. 
  15. Shimabukuro TT, Kim SY, Myers TR, et al. Preliminary findings of mRNA COVID-19 vaccine safety in pregnant persons. N Engl J Med 2021;384:2273-82. 
  16. Dagan N, Barda N, Biron-Shental T, et al. Effectiveness of the BNT162b2 mRNA COVID-19 vaccine in pregnancy. Nat Med 2021;27:1693-5. 
  17. Januszek SM, Faryniak-Zuzak A, Barnas E, et al. The approach of pregnant women to vaccination based on a COVID-19 systematic review. Medicina (Kaunas) 2021;57:977. 
  18. Pulatoglu C, Turan G. Women's knowledge and beliefs towards vaccination for influenza during pregnancy in Turkey and underlying factors of misinformation: a single-centre cross-sectional study. Cent Eur J Public Health 2020;28:124-9. 
  19. Cunningham RM, Minard CG, Guffey D, Swaim LS, Opel DJ, Boom JA. Prevalence of vaccine hesitancy among expectant mothers in Houston, Texas. Acad Pediatr 2018;18:154-60. 
  20. Mohd Azizi FS, Kew Y, Moy FM. Vaccine hesitancy among parents in a multi-ethnic country, Malaysia. Vaccine 2017;35:2955-61. 
  21. Sumbuloglu V, Sumbuloglu K. Sampling methods and sampling size in clinical and field research. Ankara: Hatiboglu Yayinevi; 2005. 
  22. Oliver SE, Gargano JW, Marin M, et al. The Advisory Committee on Immunization Practices' interim recommendation for use of Pfizer-BioNTech COVID-19 vaccine: United States, December 2020. MMWR Morb Mortal Wkly Rep 2020;69:1922-4. 
  23. LaCourse S, John-Stewart G, Adams Waldorf KM. Importance of inclusion of pregnant and breastfeeding women in COVID-19 therapeutic trials. Clin Infect Dis 2020;71:879-81. 
  24. Volkov S; World Health Organization. Ten threats to global health in 2019: vaccine hesitancy [Internet]. Geneva: World Health Organization; 2019 [cited 2023 Mar 10]. Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 
  25. Riley LE, Beigi R, Jamieson DJ, et al. COVID-19 vaccination considerations for obstetric-gynecologic care [Internet]. Washington (DC): American College of Obstetricians and Gynecologists; 2020 [cited 2023 Mar 10]. Available from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19 
  26. Society for Maternal-Fetal Medicine. Society for Maternal-Fetal Medicine (SMFM) statement: SARS-CoV-2 vaccination in pregnancy [Internet]. Washington (DC): Society for Maternal-Fetal Medicine; 2020 [cited 2023 Mar 10]. Available from: https://s3.amazonaws.com/cdn.smfm.org/media/2591/SMFM_Vaccine_Statement_12-1-20_(final).pdf 
  27. Lazarus JV, Ratzan SC, Palayew A, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med 2021;27:225-8. 
  28. Skirrow H, Barnett S, Bell S, et al. Women's views on accepting COVID-19 vaccination during and after pregnancy, and for their babies: a multi-methods study in the UK. BMC Pregnancy Childbirth 2022;22:33. 
  29. Harrison EA, Wu JW. Vaccine confidence in the time of COVID-19. Eur J Epidemiol 2020;35:325-30. 
  30. Tsai FJ, Yang HW, Lin CP, Liu JZ. Acceptability of COVID-19 vaccines and protective behavior among adults in taiwan: associations between risk perception and willingness to vaccinate against COVID-19. Int J Environ Res Public Health 2021;18:5579. 
  31. Hosokawa Y, Okawa S, Hori A, et al. The prevalence of COVID-19 vaccination and vaccine hesitancy in pregnant women: an internet-based cross-sectional study in Japan. J Epidemiol 2022;32:188-94.