Vaccinated women well protected against severe COVID-19 symptoms, complications during pregnancy - News-Medical.Net

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The planetary web led by the Oxford Maternal and Perinatal Health Institute (OMPHI) astatine the University of Oxford has contiguous published, successful the Lancet, the results of the '2022 INTERCOVID Study' conducted successful 41 hospitals crossed 18 countries.

To measure the interaction of the COVID-19 Omicron variant connected maternal and neonatal outcomes the researchers studied 1,545 large women diagnosed with the variant and 3,073 non-diagnosed, concomitant large women arsenic controls. The survey was conducted betwixt 27 November, 2021, and 30 June, 2022, during which clip Omicron was the variant of concern. Vaccine effectiveness against the variant was besides assessed.

COVID-19 Omicron variant during gestation was associated with accrued risks of maternal morbidity, terrible gestation complications, and infirmary admission, particularly among symptomatic and unvaccinated women. In particular, the hazard of preeclampsia was accrued among women with terrible symptoms. Obese/overweight women with terrible symptoms were astatine the highest hazard for maternal morbidity and terrible complications.

Vaccinated women were good protected against terrible COVID-19 symptoms and complications and had a precise debased hazard of admittance to an intensive attraction unit. Prevention of terrible COVID-19 symptoms and complications requires women to beryllium wholly vaccinated, preferably with a booster dose arsenic well.

In the study, mRNA vaccines were astir effectual successful preventing terrible COVID-19 symptoms and complications, though viral vector vaccines with a booster besides provided capable extortion - for astatine slightest 10 months aft the past dose for some mRNA vaccines and viral vector vaccines with a booster.

José Villar, Professor of Perinatal Medicine astatine the University of Oxford, who co-led INTERCOVID 2022, says: "We person provided robust, evidence-based accusation connected the accrued hazard of the COVID-19 Omicron variant during gestation for terrible maternal complications among symptomatic and unvaccinated women. Of interest is that terrible symptoms of the illness occurred successful 4% to 7% of unvaccinated women diagnosed with the COVID-19 Omicron variant during pregnancy. The survey intelligibly indicates the request for a implicit vaccination people during pregnancy, preferably with a booster, to supply extortion for astatine slightest 10 months aft the past dose. Antenatal services worldwide should strive to see vaccination against COVID-19 successful the regular attraction of large women."

Aris Papageorghiou, Professor of Fetal Medicine, University of Oxford, who co-led INTERCOVID 2022, says: "Although the Omicron variant whitethorn beryllium little harmful than erstwhile variants successful the wide population, the ample proportionality of unvaccinated large women worldwide are inactive astatine large risk. As it is intolerable to foretell who volition make terrible symptoms oregon complications, cosmopolitan implicit vaccination is required. Unfortunately, afloat vaccination sum among large women is inactive inadequate adjacent successful developed countries."

Stephen Kennedy, Professor of Reproductive Medicine, University of Oxford, who co-led INTERCOVID 2022, says: "The contiguous survey is simply a shining illustration of however well-coordinated, multi-national, collaborative probe can, successful a precise abbreviated time, supply robust grounds to amended the wellness of mothers and babies worldwide. The findings from this survey and our erstwhile INTERCOVID studies person contributed to changes successful objective signifier and nationalist wellness argumentation recommending vaccination for each large women. We anticipation our enactment volition assistance to negate the sizeable misinformation circulating regarding the pandemic and effectiveness of vaccines."

Source:

Journal reference:

Villar, J., et al. (2023) Pregnancy outcomes and vaccine effectiveness during the play of omicron arsenic the variant of concern, INTERCOVID-2022: a multinational, observational study. The Lancet. doi.org/10.1016/S0140-6736(22)02467-9.

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