Evidence map›Paper›PMID 35678518›Full record

ArticleBirth defects research2022

The risk of major structural birth defects associated with seasonal influenza vaccination during pregnancy: A population-based cohort study.

Mohinder Sarna, Gavin F Pereira, Damien Foo, Gareth S Baynam, Annette K Regan

Open access · hybridAbstract read
In one paragraph

Article in Birth defects research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Mohinder SarnaCurtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.ORCID 0000-0002-2448-1588
Gavin F PereiraCurtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.
Damien FooCurtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.
Gareth S BaynamKing Edward Memorial Hospital, Western Australian Department of Health, Subiaco, Western Australia, Australia.
Annette K ReganCurtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.
The Kids Research Institute Australia · AUNorwegian Institute of Public Health · NOThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeasonal inactivated influenza vaccine (IIV) is routinely recommended during pregnancy to protect both mothers and infants from complications following influenza infection. While previous studies have evaluated the risk of major structural birth defects in infants associated with prenatal administration of monovalent pandemic IIV, fewer studies have evaluated the risk associated with prenatal seasonal IIV.

methodsWe conducted a population-based cohort study of 125,866 singleton births between 2012 and 2016 in Western Australia. Birth registrations were linked to the state's registers for congenital anomalies and a state prenatal vaccination database. We estimated prevalence ratios (PR) of any major structural birth defect and defects by organ system. Vaccinated pregnancies were defined as those with a record of IIV in the first trimester. Inverse probability treatment weighting factored for baseline probability for vaccination. A Bonferroni correction was applied to account for multiple comparisons.

resultsAbout 3.9% of births had a major structural birth defect. Seasonal IIV exposure during the first trimester was not associated with diagnosis of any major structural birth defect diagnosed within 1 month of birth (PR 0.98, 95% CI: 0.77, 1.28) or within 6 years of life (PR 1.02, 95% CI: 0.78, 1.35). We identified no increased risk in specific birth defects associated with seasonal IIV.

conclusionBased on registry data for up to 6 years of follow-up, results suggest there is no association between maternal influenza vaccination and risk of major structural birth defects. These results support the safety of seasonal IIV administration during pregnancy.

Indexed as

Influenza, HumanInfluenza VaccinesCohort StudiesFemaleHumansInfantPregnancySeasonsVaccinationInfluenza Vaccinesdevelopmental anomalyinfluenza vaccinemajor birth defectsmaternal vaccinationpregnant women

Identifiers

PMID35678518
PMCPMC9796878
OpenAlexW4281859869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.