Perception of Lebanese Obstetricians Toward COVID-19 Vaccination During Pregnancy and Breastfeeding
Hassan Hamze1, Elie Hobeika1, Usta M Ihab1
1Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.
Insights
Most Lebanese obstetricians recommend Coronavirus-19 (COVID-19) vaccines to pregnant patients, but lack of safety data and clear guidelines hinder universal recommendation. Addressing these barriers can improve vaccine uptake in future pandemics.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- The Coronavirus-19 (COVID-19) pandemic necessitated rapid vaccine development.
- Concerns regarding COVID-19 vaccine safety for pregnant and breastfeeding women emerged.
- This study investigates Lebanese obstetricians' perceptions and practices concerning COVID-19 vaccination in pregnancy.
Purpose of the Study:
- To explore Lebanese obstetricians' perceptions of COVID-19 vaccines.
- To understand their vaccination practices for pregnant patients.
- To identify barriers to recommending COVID-19 vaccines.
Main Methods:
- A cross-sectional study design was employed.
- Data were collected using a questionnaire.
- Descriptive and inferential statistics were used to analyze obstetricians' responses and identify barriers.
Main Results:
- 265 obstetricians participated; 95.8% were vaccinated, and 89.8% recommended the vaccine to all pregnant patients.
- Key barriers to recommendation included lack of safety data and clear guidelines.
- Vaccine uptake, data availability, knowledge, vaccine type, and patient management were significant predictors of recommendation.
Conclusions:
- The study provides insight into Lebanese obstetricians' attitudes and practices regarding COVID-19 vaccines.
- Identified factors hindering recommendation can inform strategies to overcome obstacles.
- This information can help increase vaccine uptake among pregnant women in future pandemics.
Introduction:
In response to the drastic complications that resulted from Coronavirus-19 (COVID-19) infection, vaccines were developed to contain its rapid spread. However, concerns were raised regarding the safety of COVID-19 vaccines for pregnant and breastfeeding women. This study aimed to explore the perceptions and practices of Lebanese obstetricians regarding the COVID-19 vaccine, highlighting the barriers to recommending it.
Methods:
A cross-sectional study was implemented using a questionnaire. Descriptive statistics in the form of frequencies and percentages were utilized to get an overview of obstetricians' characteristics and responses. Inferential statistics were employed to examine plausible barriers to recommending the vaccine.
Results:
A total of 265 obstetricians were included in the study. Most of the physicians had received the vaccine themselves (254 (95.8%)) and were recommending the vaccine to all of their pregnant patients (238 (89.8%)). Lack of data about the safety of the vaccine and that of clear guidelines were the main reasons for not recommending it to all patients. Receiving the vaccine, having sufficient data about the vaccine, adequate knowledge about COVID-19 infection and vaccination, the type of vaccine, and managing patients who were exposed to COVID-19 were significant predictors of offering the vaccine.
Conclusions:
Our results provided an overview of Lebanese obstetricians' attitudes and practices regarding the COVID-19 vaccine and identified some of the factors that hinder the recommendation of the vaccine. Such information might be helpful to overcome the obstacles that prevent obstetricians from abiding by international recommendations, thus increasing the uptake of vaccines by pregnant women in any potential future pandemic.
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