Countering COVID-19 Vaccine Hesitancy in Pregnancy: the “4 Cs”

Lydia L. Shook · Thomas P. Kishkovich · Andrea G. Edlow

43 citations0/0 files storedAmerican Journal of Perinatology

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 Impact on Reproduction

Abstract

Despite evidence to support the safety and efficacy of COVID-19 vaccination in pregnancy, and clear recommendations from professional organizations and the Centers for Disease Control and Prevention (CDC) for pregnant people to get vaccinated, COVID-19 vaccine hesitancy in pregnancy remains a significant public health problem. The emergence of the highly transmissible B.1.617.2 (Delta) variant among primarily unvaccinated people has exposed the cost of vaccine hesitancy. In this commentary, we explore factors contributing to COVID-19 vaccine hesitancy in pregnancy and potential solutions to overcome them. KEY POINTS: · Low COVID-19 vaccination coverage in pregnant people is a major public health problem in the United States.. · COVID-19 vaccine hesitancy in pregnancy is multifactorial.. · The "4 Cs" framework may be useful in countering COVID-19 vaccine hesitancy..

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2015Vaccine hesitancy: Definition, scope and determinants 2021Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study 2021COVID‐19 vaccine acceptance in pregnant women 2021COVID-19 Vaccination Coverage Among Pregnant Women During Pregnancy — Eight Integrated Health Care Organizations, United States, December 14, 2020–May 8, 2021 2021COVID-19 Vaccination Coverage Among Adults — United States, December 14, 2020–May 22, 2021 2018A postpartum vaccination promotion intervention using motivational interviewing techniques improves short-term vaccine coverage: PromoVac study 2020Influenza and Tdap Vaccination Coverage Among Pregnant Women — United States, April 2020 2021No Populations Left Behind: Vaccine Hesitancy and Equitable Diffusion of Effective COVID-19 Vaccines

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2023A Systematic Review of Population-Based Studies Assessing Knowledge, Attitudes, Acceptance, and Hesitancy of Pregnant and Breastfeeding Women towards the COVID-19 Vaccine 2022COVID-19 vaccination uptake in 441 socially and ethnically diverse pregnant women 2022COVID-19 vaccination in pregnancy: views and vaccination uptake rates in pregnancy, a mixed methods analysis from SAIL and the Born-In-Wales Birth Cohort

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