Pregnant and Postpartum Patients' Views of COVID-19 Vaccination.

Pregnant and Postpartum Patients' Views of COVID-19 Vaccination.
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DOI:
10.1007/s10900-022-01118-z
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发表时间:
2022-10
影响因子:
5.9
通讯作者:
Allyse, Megan A.
Allyse, Megan A.
中科院分区:
医学4区
文献类型:
--
作者:
Huang, Lily;Riggan, Kirsten A.;Ashby, Grayson B.;Rivera-Chiauzzi, Enid Y.;Allyse, Megan A.

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围产期患者面临接受COVID-19疫苗接种的决定,因为缺乏关于COVID-19疫苗在孕妇和哺乳期患者中的安全性和有效性的临床试验数据。我们使用冠状病毒围产期经历影响调查来探讨COVID-19大流行对围产期患者生活的影响。这项混合方法调查分发给了中西部北部一个大型学术卫生系统中2020年1月1日至2021年4月28日期间所有≥ 18岁怀孕的患者。开放式的答复进行了定性分析。在完成调查的1182名受访者中,647人回答了至少一个开放式问题。在这647名参与者中,85人讨论了COVID-19疫苗接种并进行了二次分析。这些回复表明了对COVID-19疫苗接种的广泛观点,其中许多人提到了对母亲接种疫苗对孩子的影响的担忧。其他人则强调缺乏关于围产期妇女接种COVID-19疫苗的信息。受访者还讨论了与医疗保健提供者讨论其疫苗接种状况的挑战,以及家庭成员的疫苗接种决定对产后支持和儿童保育的影响。对COVID-19疫苗接种问题的自发讨论表明,这一决定给许多与会者带来了压力,特别是在大流行早期缺乏信息的情况下。我们的研究结果支持围产期患者在怀孕和产后期间与其提供者就COVID-19疫苗接种进行公开讨论的必要性。
Perinatal patients were faced with the decision to receive a COVID-19 vaccination in the absence of clinical trial data on COVID-19 vaccine safety and efficacy in pregnant and lactating patients. We used the Coronavirus Perinatal Experiences Impact Survey to explore the impact of the COVID-19 pandemic on the lives of perinatal patients. The mixed-method survey was distributed to all patients ≥ 18 years old who were pregnant between January 1st, 2020 – April 28, 2021 at a large academic health system in the upper Midwest. Open-ended responses were qualitatively analyzed. Of the 1182 respondents who completed the survey, 647 answered at least one open-ended question. Among these 647 participants, 85 discussed COVID-19 vaccination and were secondarily analyzed. The responses illustrated a wide range of perspectives regarding COVID-19 vaccination, with many citing concerns over the consequences of maternal vaccination on their child. Others highlighted the lack of information surrounding COVID-19 vaccination in perinatal women. Respondents also discussed challenges discussing their vaccination status with their healthcare provider and the impact of family member’s vaccination decisions on postpartum support and childcare. The unprompted discussion of concerns about COVID-19 vaccination suggests this decision weighed on many participants, especially in the context of lack of information early in the pandemic. Our findings support the need for open discussion of perinatal patients with their providers on COVID-19 vaccination during the pregnancy and postpartum period.
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