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基于数据的 SARS-CoV-2 感染、疫苗接种和生育评论。

Data-driven commentary on SARS-CoV-2 infection, vaccination, and fertility.

机构信息

Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, Illinois; InVia Fertility Specialists, Hoffman Estates, Illinois.

Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

出版信息

Fertil Steril. 2022 Aug;118(2):262-265. doi: 10.1016/j.fertnstert.2022.06.018. Epub 2022 Jun 29.

DOI:10.1016/j.fertnstert.2022.06.018
PMID:35779971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9240985/
Abstract

A recent study by Wesselink et al. (Am J Epidemiol. 2022 Jan 20;kwac011. doi: 10.1093/aje/kwac011. Online ahead of print) adds to the growing body of research finding that vaccination for coronavirus disease 2019 (COVID-19) is safe for individuals either seeking pregnancy or who are pregnant. The study's authors found no effect of COVID-19 vaccination on fecundity in a population of individuals with no known infertility who were attempting conception. The finding reinforces the messaging of the American Society for Reproductive Medicine COVID-19 Task Force, the aim of which is to provide data-driven recommendations to individuals contemplating pregnancy in the face of the COVID-19 pandemic. As safe and effective COVID-19 vaccines became available, and with an increasing number of studies showing a heightened risk of severe disease during pregnancy, an important role of the Task Force is to encourage vaccination during the preconceptual window and in early pregnancy. The Task Force supports ongoing research to address gaps in knowledge about safe and effective therapies and preventive measures for individuals contemplating pregnancy and during pregnancy. Such research will help optimize care for reproductive-age individuals in the face of current and future health crises.

摘要

威塞尔克等人最近的一项研究(Am J Epidemiol. 2022 Jan 20;kwac011. doi: 10.1093/aje/kwac011. Online ahead of print)增加了越来越多的研究发现,对于寻求怀孕或已经怀孕的个人,接种 2019 年冠状病毒病(COVID-19)疫苗是安全的。该研究的作者在试图怀孕的人群中发现,COVID-19 疫苗接种对生育能力没有影响,这些人没有已知的不孕不育症。这一发现加强了美国生殖医学学会 COVID-19 工作组的信息传递,其目的是为面临 COVID-19 大流行的考虑怀孕的个人提供基于数据的建议。随着安全有效的 COVID-19 疫苗的出现,并且越来越多的研究表明,孕妇患重病的风险增加,工作组的一个重要作用是鼓励在孕前和孕早期接种疫苗。工作组支持正在进行的研究,以解决有关安全有效疗法和预防措施的知识空白,这些措施适用于考虑怀孕和怀孕期间的个人。此类研究将有助于在当前和未来的健康危机中为生殖年龄的个人提供最佳护理。

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PLoS Biol. 2022 May 24;20(5):e3001506. doi: 10.1371/journal.pbio.3001506. eCollection 2022 May.
2
Association of BNT162b2 COVID-19 Vaccination During Pregnancy With Neonatal and Early Infant Outcomes.孕期接种 BNT162b2 COVID-19 疫苗与新生儿和婴儿早期结局的关系。
JAMA Pediatr. 2022 May 1;176(5):470-477. doi: 10.1001/jamapediatrics.2022.0001.
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Sources of Vaccine Hesitancy: Pregnancy, Infertility, Minority Concerns, and General Skepticism.疫苗犹豫的根源:怀孕、不孕、少数群体担忧及普遍怀疑态度。
Open Forum Infect Dis. 2021 Aug 18;9(3):ofab433. doi: 10.1093/ofid/ofab433. eCollection 2022 Mar.
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Association of SARS-CoV-2 Infection With Serious Maternal Morbidity and Mortality From Obstetric Complications.SARS-CoV-2 感染与产科并发症严重孕产妇发病率和死亡率的关联。
JAMA. 2022 Feb 22;327(8):748-759. doi: 10.1001/jama.2022.1190.
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Durability of Anti-Spike Antibodies in Infants After Maternal COVID-19 Vaccination or Natural Infection.母亲接种 COVID-19 疫苗或自然感染后婴儿体内抗刺突抗体的持久性。
JAMA. 2022 Mar 15;327(11):1087-1089. doi: 10.1001/jama.2022.1206.
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A Prospective Cohort Study of COVID-19 Vaccination, SARS-CoV-2 Infection, and Fertility.一项关于 COVID-19 疫苗接种、SARS-CoV-2 感染和生育能力的前瞻性队列研究。
Am J Epidemiol. 2022 Jul 23;191(8):1383-1395. doi: 10.1093/aje/kwac011.
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