接种SARS-CoV-2疫苗后流产:基于人口的队列研究
Maria P Velez1,2, Deshayne B Fell2,3, Jonas P Shellenberger2
1Department of Obstetrics and Gynaecology, Queen's University, Kingston, Ontario, Canada.
BJOG : an international journal of obstetrics and gynaecology
|November 16, 2023
概括
接种SARS-CoV-2疫苗与流产风险增加无关. 在安大略省进行的这项研究发现,COVID-19疫苗和妊娠流产之间没有关联,强调疫苗对孕妇的安全性.
科学领域:
- 生殖健康 生殖健康
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 在怀孕期间接种SARS-CoV-2疫苗的安全性是一个关键的公共卫生问题.
- 了解潜在的风险,如流产,对于做出明智的疫苗接种决定至关重要.
- 之前的研究已经产生了不同的结果,需要进一步调查.
研究的目的:
- 评估SARS-CoV-2疫苗接种与流产风险之间的关联.
- 在分析中考虑诱导堕胎的竞争风险.
- 为孕妇提供可靠的COVID-19疫苗安全数据.
主要方法:
- 一项基于人口的队列研究在加拿大安大略省进行.
- 包括246,259名15至50岁的孕妇,怀孕期长达19周.
- 细灰色危险模型被用来分析流产风险,并对混因素和竞争风险进行调整.
主要成果:
- 34%的孕妇至少接种了一剂SARS-CoV-2疫苗.
- 在接种疫苗的妇女中没有观察到统计学上显著的流产风险增加 (aHR 0.98-1.00).
- 在未接种疫苗,远程接种疫苗和最近接种疫苗的群体中,流产率相似.
结论:
- 接种SARS-CoV-2疫苗与流产风险增加无关.
- 这些发现支持COVID-19疫苗对孕妇的安全性.
- 该研究强调需要将孕妇纳入疫苗试验和安全监测.
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