Breastfeeding women's attitudes towards and acceptance and rejection of COVID-19 vaccination: Implementation research.
Vaccine
; 41(6): 1198-1208, 2023 02 03.
Article
in English
| MEDLINE | ID: covidwho-2184285
ABSTRACT
OBJECTIVE:
There are few data on lactating women's concerns about receiving COVID-19 vaccination during breastfeeding. This research investigated breastfeeding women's attitudes towards and acceptance or rejection of vaccination. MATERIALS ANDMETHODS:
This prospective, descriptive, implementation study was conducted in the postpartum ward of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 breastfeeding women in the postpartum ward at Siriraj Hospital who were willing to participate in the study were interviewed. Phase II comprised questionnaire development and data validation. The combined multiple choice and scaling questionnaires designed based on the results from comprehensive interviews of phase I were used in the study. The questionnaire was administered to 400 participants in Phase III. MAIN OUTCOMEMEASURES:
Breastfeeding women's attitudes towards and acceptance and rejection of COVID-19 vaccination.RESULTS:
The vast majority of participants (372/400 [93.0â¯%]) were vaccinated predelivery. Most of the subgroup of women rejecting vaccination while breastfeeding were unsure whether too frequent vaccination would harm their unborn child (52/99 [52.5â¯%]; crude odds ratio [cOR], 6.50; 95â¯% CI, 1.47-28.68; Pâ¯<â¯0.001). The level of immunity to the COVID-19 virus did not influence their vaccination decisions (19/99 [19.2â¯%]; cOR, 2.38; 95â¯% CI, 1.26-4.47; Pâ¯<â¯0.001). Multivariable analysis found a significant association for women agreeing with the proposition that vaccination during pregnancy should not be performed (adjusted odds ratio [aOR], 4.83; 95â¯% CI, 1.41-16.57; Pâ¯=â¯0.043). Most women who rejected vaccination knew its benefits (aOR, 31.84; 95â¯% CI, 7.16-141.65; Pâ¯<â¯0.001).CONCLUSIONS:
Breastfeeding women generally believed that vaccines reduce infection and disease severity. The women's COVID-19 immunity levels did not affect their acceptance or rejection of vaccination. Some mothers rejected vaccination because of concerns about possible harm to them or their newborns.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19 Vaccines
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Vaccines
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Country/Region as subject:
Asia
Language:
English
Journal:
Vaccine
Year:
2023
Document Type:
Article
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