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Vaccine Willingness and Impact of the COVID-19 Pandemic on Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic.
Int J Environ Res Public Health. 2021 03 24; 18(7)IJ

Abstract

The COVID-19 pandemic may be of particular concern for pregnant and breastfeeding women. We aimed to explore their beliefs about the coronavirus and COVID-19 vaccine willingness and to assess the impact of the pandemic on perinatal experiences and practices. A multinational, cross-sectional, web-based study was performed in six European countries between April and July 2020. The anonymous survey was promoted via social media. In total, 16,063 women participated (including 6661 pregnant and 9402 breastfeeding women). Most responses were collected from Belgium (44%), Norway (18%) and the Netherlands (16%), followed by Switzerland (11%), Ireland (10%) and the UK (3%). Despite differences between countries, COVID-19 vaccine hesitancy was identified among 40-50% of the respondents at the end of the first wave of the pandemic and was higher among pregnant women. Education level and employment status were associated with vaccine hesitancy. The first wave had an adverse impact on pregnancy experiences and disrupted access to health services and breastfeeding support for many women. In the future, access to health care and support should be maintained at all times. Evidence-based and tailored information on COVID-19 vaccines should also be provided to pregnant and breastfeeding women to avoid unfounded concerns about the vaccines and to support shared decision making in this population.

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Authors+Show Affiliations

Ceulemans M
Clinical Pharmacology and Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, 3000 Leuven, Belgium. Teratology Information Service, Pharmacovigilance Centre Lareb, 5237 MH 's Hertogenbosch, The Netherlands.
Foulon V
Clinical Pharmacology and Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, 3000 Leuven, Belgium.
Panchaud A
Service of Pharmacy, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland. Institute of Primary Health Care (BIHAM), University of Bern, 3012 Bern, Switzerland.
Winterfeld U
Swiss Teratogen Information Service, Service de Pharmacologie Clinique, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland.
Pomar L
Materno-Fetal and Obstetrics Research Unit, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Lambelet V
Materno-Fetal and Obstetrics Research Unit, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Cleary B
Rotunda Hospital, D01 P5W9 Dublin, Ireland. School of Pharmacy, Royal College of Surgeons Ireland, D02 VN51 Dublin, Ireland.
O'Shaughnessy F
Rotunda Hospital, D01 P5W9 Dublin, Ireland. School of Pharmacy, Royal College of Surgeons Ireland, D02 VN51 Dublin, Ireland.
Passier A
Teratology Information Service, Pharmacovigilance Centre Lareb, 5237 MH 's Hertogenbosch, The Netherlands.
Richardson JL
UK Teratology Information Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE2 4AB, UK.
Allegaert K
Clinical Pharmacology and Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, 3000 Leuven, Belgium. Woman and Child, Department of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium. Department of Clinical Pharmacy, Erasmus MC Sophia Children's Hospital, 3000 CA Rotterdam, The Netherlands.
Nordeng H
Pharmacoepidemiology and Drug Safety Research Group, Department of Pharmacy, and PharmaTox Strategic Initiative, Faculty of Mathematics and Natural Sciences, University of Oslo, 0316 Oslo, Norway. Department of Child Health and Development, Norwegian Institute of Public Health, 0213 Oslo, Norway.

MeSH

BelgiumCOVID-19COVID-19 VaccinesCross-Sectional StudiesEuropeFemaleHumansIrelandNetherlandsNorwayPandemicsPregnancySARS-CoV-2Switzerland

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33805097

Citation

Ceulemans, Michael, et al. "Vaccine Willingness and Impact of the COVID-19 Pandemic On Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic." International Journal of Environmental Research and Public Health, vol. 18, no. 7, 2021.
Ceulemans M, Foulon V, Panchaud A, et al. Vaccine Willingness and Impact of the COVID-19 Pandemic on Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic. Int J Environ Res Public Health. 2021;18(7).
Ceulemans, M., Foulon, V., Panchaud, A., Winterfeld, U., Pomar, L., Lambelet, V., Cleary, B., O'Shaughnessy, F., Passier, A., Richardson, J. L., Allegaert, K., & Nordeng, H. (2021). Vaccine Willingness and Impact of the COVID-19 Pandemic on Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic. International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/ijerph18073367
Ceulemans M, et al. Vaccine Willingness and Impact of the COVID-19 Pandemic On Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic. Int J Environ Res Public Health. 2021 03 24;18(7) PubMed PMID: 33805097.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaccine Willingness and Impact of the COVID-19 Pandemic on Women's Perinatal Experiences and Practices-A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic. AU - Ceulemans,Michael, AU - Foulon,Veerle, AU - Panchaud,Alice, AU - Winterfeld,Ursula, AU - Pomar,Léo, AU - Lambelet,Valentine, AU - Cleary,Brian, AU - O'Shaughnessy,Fergal, AU - Passier,Anneke, AU - Richardson,Jonathan Luke, AU - Allegaert,Karel, AU - Nordeng,Hedvig, Y1 - 2021/03/24/ PY - 2021/01/29/received PY - 2021/03/11/revised PY - 2021/03/22/accepted PY - 2021/4/3/entrez PY - 2021/4/4/pubmed PY - 2021/4/10/medline KW - COVID-19 KW - SARS-CoV-2 KW - breastfeeding KW - community health services KW - counseling KW - maternity care KW - pregnancy KW - primary health care KW - public health KW - vaccine hesitancy JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 18 IS - 7 N2 - The COVID-19 pandemic may be of particular concern for pregnant and breastfeeding women. We aimed to explore their beliefs about the coronavirus and COVID-19 vaccine willingness and to assess the impact of the pandemic on perinatal experiences and practices. A multinational, cross-sectional, web-based study was performed in six European countries between April and July 2020. The anonymous survey was promoted via social media. In total, 16,063 women participated (including 6661 pregnant and 9402 breastfeeding women). Most responses were collected from Belgium (44%), Norway (18%) and the Netherlands (16%), followed by Switzerland (11%), Ireland (10%) and the UK (3%). Despite differences between countries, COVID-19 vaccine hesitancy was identified among 40-50% of the respondents at the end of the first wave of the pandemic and was higher among pregnant women. Education level and employment status were associated with vaccine hesitancy. The first wave had an adverse impact on pregnancy experiences and disrupted access to health services and breastfeeding support for many women. In the future, access to health care and support should be maintained at all times. Evidence-based and tailored information on COVID-19 vaccines should also be provided to pregnant and breastfeeding women to avoid unfounded concerns about the vaccines and to support shared decision making in this population. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/33805097/Vaccine_Willingness_and_Impact_of_the_COVID_19_Pandemic_on_Women's_Perinatal_Experiences_and_Practices_A_Multinational_Cross_Sectional_Study_Covering_the_First_Wave_of_the_Pandemic_ DB - PRIME DP - Unbound Medicine ER -