Causes and Effects of COVID-19 Vaccine Hesitancy Among Pregnant Women and its Association with Adverse Maternal, Placental, and Perinatal Outcomes.

IF 2.5 3区工程技术 Q2 BIOLOGY

Yale Journal of Biology and Medicine Pub Date : 2024-03-29 eCollection Date: 2024-03-01 DOI:10.59249/LPOQ5146

Kristen Lee Moriarty, Roselyn O Oyenuga, Olatoyosi Olafuyi, David A Schwartz

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Abstract

Populations identified to be severely affected by COVID-19, such as pregnant patients, require special consideration in vaccine counseling, access, and provider education. Maternal infection with COVID-19 poses a significant risk to the maternal-fetal dyad with known adverse placenta destruction [1-5]. Despite the widespread access and availability of vaccinations, vaccine hesitancy continues to persist and is highly prevalent in pregnant populations [6-9]. Addressing the multitude of social ecological factors surrounding vaccine hesitancy can aid in providing holistic counseling [10]. However, such factors are foremost shaped by maternal concern over possible fetal effects from vaccination. While changes in policy can help foster vaccine access and acceptance, increasing global provider education and incorporation of motivational interviewing skills are the first steps towards increasing maternal acceptance.

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孕妇不接种 COVID-19 疫苗的原因和影响及其与孕产妇、胎盘和围产期不良结果的关联。

已确定会受到 COVID-19 严重影响的人群（如孕妇）需要在疫苗咨询、接种和提供者教育方面给予特别考虑。孕产妇感染 COVID-19 会给母婴双方带来巨大风险，已知会对胎盘造成不良破坏 [1-5]。尽管疫苗接种已经普及，但在怀孕人群中，疫苗接种犹豫不决的现象依然存在，而且非常普遍 [6-9]。解决围绕疫苗接种犹豫不决的多种社会生态因素有助于提供全面的咨询[10]。然而，这些因素主要是由孕产妇对接种疫苗可能对胎儿造成影响的担忧所决定的。虽然政策的改变有助于促进疫苗的接种和接受，但加强对全球提供者的教育并融入动机访谈技能是提高孕产妇接受度的第一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology

CiteScore

5.00

自引率

0.00%

发文量

期刊介绍： The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.