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Original Investigation
March 24, 2022
Association of SARS-CoV-2 Vaccination During Pregnancy With Pregnancy Outcomes
Maria C. Magnus, PhD1; Anne K. Örtqvist, MD, PhD2,3; Elisabeth Dahlqwist, PhD2; et alRickard Ljung, MD, PhD4,5; Fredrik Skår, MD6; Laura Oakley, PhD1,7; Ferenc Macsali, MD, PhD8,9; Björn Pasternak, MD, PhD2,10; Håkon K. Gjessing, PhD1,11; Siri E. Håberg, MD, PhD1; Olof Stephansson, MD, PhD2,12
Author AffiliationsArticle Information
JAMA. 2022;327(15):1469-1477. doi:10.1001/jama.2022.3271
Key Points
Questions Is SARS-CoV-2 vaccination during pregnancy associated with adverse pregnancy outcomes?
Findings In this population-based retrospective cohort study that included 157 521 deliveries in Sweden and Norway, SARS-CoV-2 vaccination during pregnancy, compared with no SARS-CoV-2 vaccination during pregnancy, was not significantly associated with risk of preterm birth (adjusted hazard ratio [aHR], 0.98), stillbirth (aHR, 0.86), small for gestational age (adjusted odds ratio [aOR], 0.97), low Apgar score (aOR, 0.97), or neonatal care admission (aOR, 0.97).
Meaning In this population-based study conducted in Sweden and Norway, vaccination against SARS-CoV-2 during pregnancy was not associated with an increased risk of adverse pregnancy outcomes.
Abstract
Importance Data about the safety of vaccines against SARS-CoV-2 during pregnancy are limited.
Objective To examine the risk of adverse pregnancy outcomes after vaccination against SARS-CoV-2 during pregnancy.
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Conclusions and Relevance In this population-based study conducted in Sweden and Norway, vaccination against SARS-CoV-2 during pregnancy, compared with no SARS-CoV-2 vaccination during pregnancy, was not significantly associated with an increased risk of adverse pregnancy outcomes. The majority of the vaccinations were with mRNA vaccines during the second and third trimesters of pregnancy, which should be considered in interpreting the findings.
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In this population-based study conducted in Sweden and Norway, vaccination against SARS-CoV-2 during pregnancy, compared with no SARS-CoV-2 vaccination during pregnancy, was not significantly associated with an increased risk of adverse pregnancy outcomes. The majority of the vaccinations were with mRNA vaccines during the second and third trimesters of pregnancy, which should be considered in interpreting the findings.
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