School of Medicine & Dentistry, University of Rochester Medical Center, Rochester, NY, USA.
Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.
Matern Child Health J. 2023 Oct;27(10):1855-1863. doi: 10.1007/s10995-023-03752-y. Epub 2023 Jul 24.
To explore beliefs and attitudes toward the COVID-19 vaccine among vaccinated and unvaccinated pregnant persons in order to identify reasons for both vaccine hesitancy and vaccine uptake.
From June-August 2021, we conducted a qualitative study consisting of semi-structured interviews with pregnant persons (n = 30). Participants were recruited from university-owned obstetric practices during prenatal and ultrasound appointments. Interviews were audio recorded and transcribed; transcripts were coded and analyzed to identify themes and subthemes.
Of the participants, one-third (n = 10) had received the COVID-19 vaccine, while two-thirds (n = 20) were unvaccinated. Primary themes for unvaccinated participants were concern about the paucity of research on the vaccine in pregnancy and potential impact of the vaccine on both fetal development and maternal health. For vaccinated participants, main themes included potential maternal and fetal protection from COVID-19 and anticipated health complications from contracting COVID-19 as their motivations to get vaccinated. While most participants cited healthcare providers as the most trusted source of vaccine information, a majority reported that the internet was their primary source of vaccine information. Many participants wanted to learn more about the COVID-19 vaccine from their obstetric providers, and notably, most vaccinated participants reported the importance of their obstetrician in their vaccine decision-making process.
COVID-19 vaccine hesitancy is prevalent among pregnant persons, with concerns for vaccine safety for their fetus, as well as for themselves, being common. Obstetric providers must therefore be prepared to address common concerns with patients during prenatal appointments, taking the time to actively recommend vaccination.
探索已接种和未接种 COVID-19 疫苗的孕妇对疫苗的信念和态度，以确定疫苗犹豫和疫苗接种的原因。
2021 年 6 月至 8 月，我们进行了一项定性研究，对 30 名孕妇进行了半结构式访谈。参与者是在产前和超声检查期间从大学拥有的妇产科诊所招募的。对访谈进行了录音和转录；对转录本进行编码和分析，以确定主题和子主题。
在参与者中，有三分之一（n=10）已接种 COVID-19 疫苗，而三分之二（n=20）未接种疫苗。未接种疫苗的参与者的主要主题是担心疫苗在妊娠期间的研究不足，以及疫苗对胎儿发育和产妇健康的潜在影响。对于已接种疫苗的参与者，主要主题包括 COVID-19 对母亲和胎儿的潜在保护作用，以及预期感染 COVID-19 会带来健康并发症，这是他们接种疫苗的动机。虽然大多数参与者表示医疗保健提供者是疫苗信息最可信的来源，但大多数人表示互联网是他们获取疫苗信息的主要来源。许多参与者希望从他们的妇产科医生那里了解更多关于 COVID-19 疫苗的信息，值得注意的是，大多数已接种疫苗的参与者报告说，他们的妇产科医生在他们的疫苗决策过程中非常重要。
COVID-19 疫苗犹豫在孕妇中很普遍，对胎儿疫苗安全性的担忧以及对自身安全的担忧很常见。因此，妇产科医生在产前预约期间必须准备好与患者解决常见问题，花时间积极推荐接种疫苗。
