围产期结局和怀孕期间的Sinopharm BBIBP-CorV疫苗接种
Donya Hatami1, Abbas Habibelahi2, Nasrin Changizi3
1Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
BMC pregnancy and childbirth
|March 12, 2024
概括
使用Sinopharm疫苗的孕妇接种COVID-19疫苗显示,早产,极早产和死产的风险降低. 然而,第一季度疫苗接种与早产风险更高有关.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19不成比例地影响孕妇,增加了严重的结果.
- 接种SARS-CoV-2疫苗是作为一种减轻怀孕期间严重COVID-19的策略而出现的.
- 从2021年8月开始,伊朗的孕妇接种了Sinopharm疫苗.
研究的目的:
- 调查针对SARS-CoV-2接种疫苗的孕妇中不良周产期结局的发生率.
- 在伊朗怀孕期间评估Sinopharm疫苗的安全性和有效性.
主要方法:
- 伊朗德黑兰129,488名单胎婴儿的回顾性队列研究 (2021年3月至2022年3月).
- 数据来源于伊朗孕产妇和新生儿 (IMaN) 网络和孕产妇疫苗注册表.
- 用多重逻辑回归来分析围产期结果,包括早产,低出生体重,死产和先天异常.
主要成果:
- 13.5%的分娩 (17,485) 来自接种疫苗的母亲 (Sinopharm).
- 接种疫苗显著减少了早产 (OR=0.91),极早产 (OR=0.55),以及死产 (OR=0.60).
- 第一季度接种疫苗与早产风险增加相关 (OR=1.27);其他结果的风险没有增加.
结论:
- 在第二个和第三个三个月内接种Sinopharm疫苗没有显示出任何不良妊娠结果.
- 接种疫苗和未接种疫苗的孕妇的整体不良妊娠结果较低.
- 第一季度接种疫苗与早产风险增加有关.
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