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监测英国孕期新冠疫苗接种的安全性:一项利用英国产科监测系统(UKOSS)、英国致畸信息服务(UKTIS)和孕期疫苗接种(VIP)安全监测系统开展的全国性研究。

Monitoring the safety of COVID-19 vaccination in pregnancy in the UK: A national study using the UK Obstetric Surveillance System (UKOSS), UK Teratology Information Service (UKTIS) and Vaccination in Pregnancy (VIP) safety monitoring systems.

作者信息

Richardson Jonathan L, Stephens Sally, Chappell Lucy C, Campbell Helen, Amirthalingam Gayatri, O'Boyle Shennae, Bukasa Antoaneta, Knight Marian, Hodson Kenneth K

机构信息

UK Teratology Information Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

School of Life Course Sciences, King's College London, London, UK.

出版信息

Obstet Med. 2023 Mar;16(1):40-47. doi: 10.1177/1753495X221076713. Epub 2022 Feb 8.

DOI:10.1177/1753495X221076713
PMID:37124763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10126751/
Abstract

BACKGROUND

COVID-19 vaccines are protective against disease. Pregnant women benefit from vaccination as they are at higher risk of poor maternal and neonatal outcomes following infection.

METHODS

Following regulatory approval of two COVID-19 vaccines in the United Kingdom, a rapid national study of vaccination in pregnancy was instituted using three existing safety surveillance platforms: UKOSS, UKTIS and VIP. This preliminary report describes the data collected up to the 15 June 2021.

RESULTS

There were 971 reports of COVID-19 vaccination in the UKOSS/UKTIS ( = 493) and VIP ( = 478) monitoring systems describing 908 individual pregnancies. Pfizer-BioNTech mRNA vaccination was most common ( = 501, 55.2%), most women were vaccinated in their second or third trimester ( = 566, 62.3%), and were mainly vaccinated due to occupational infection risk ( = 577, 63.5%).

CONCLUSION

Obstetric outcome data will be obtained by December 2021. However, women should not delay vaccination whilst awaiting further safety data to emerge.

摘要

背景

新冠病毒疫苗可预防疾病。孕妇接种疫苗有益,因为她们感染后出现不良孕产妇和新生儿结局的风险更高。

方法

在英国两种新冠病毒疫苗获得监管批准后,利用三个现有的安全监测平台(英国产科监测系统、英国药品和医疗产品监管局药品不良反应监测系统和疫苗影响计划)开展了一项全国性的孕妇疫苗接种快速研究。本初步报告描述了截至2021年6月15日收集的数据。

结果

在英国产科监测系统/英国药品和医疗产品监管局药品不良反应监测系统(n = 493)和疫苗影响计划(n = 478)监测系统中有971例新冠病毒疫苗接种报告,涉及908例单胎妊娠。辉瑞-BioNTech信使核糖核酸疫苗接种最为常见(n = 501,55.2%),大多数女性在孕中期或孕晚期接种(n = 566,62.3%),主要是由于职业感染风险而接种(n = 577,63.5%)。

结论

产科结局数据将于2021年12月获得。然而,女性不应在等待更多安全数据出现时推迟接种疫苗。

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Covid-19 Vaccination during Pregnancy and First-Trimester Miscarriage.孕期新冠病毒疫苗接种与孕早期流产
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Spontaneous Abortion Following COVID-19 Vaccination During Pregnancy.妊娠期间接种 COVID-19 疫苗后发生自然流产。
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