Evidence map›Paper›PMID 35864455›Full record

SynthesisBMC pregnancy and childbirth2022

Maternal and neonatal safety outcomes after SAR-CoV-2 vaccination during pregnancy: a systematic review and meta-analysis.

Abdulrahman Ibrahim Hagrass, Hossam Waleed Almadhoon, Mohammed Al-Kafarna, Bashar Khaled Almaghary, Anas Zakarya Nourelden, Ahmed Hashem Fathallah, Mohammed Tarek Hasan, Yasmine Adel Mohammed, Aya Osama Al-Nabahin, Dalia Sami Wafi and 6 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Neonatal and maternal outcomes of mRNA versus Non-mRNA COVID-19 vaccines in pregnant patients: a systematic review and meta-analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. An Update on COVID-19 Vaccination and Pregnancy.Journal of personalized medicine · 2023
    Review
  10. Maternal and Perinatal Outcomes of SARS-CoV-2 and Variants in Pregnancy.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    Article
  11. Review
  12. Article
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

16 authors at 5 institutions in 3 countries.

Abdulrahman Ibrahim HagrassFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hossam Waleed AlmadhoonFaculty of Dentistry, Al-Azhar University, Gaza, Palestine.
Mohammed Al-KafarnaFaculty of Pharmacy, Al-Azhar University, Gaza, Palestine.
Bashar Khaled AlmagharyFaculty of Pharmacy, Al-Azhar University, Gaza, Palestine.
Anas Zakarya NoureldenFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed Hashem FathallahFaculty of Medicine, Minia University, Minia, Egypt.
Mohammed Tarek HasanFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yasmine Adel MohammedFaculty of Medicine, Assiut University, Assiut, Egypt.
Aya Osama Al-NabahinDepartment of Clinical Nutrition, Faculty of Applied Medical Sciences, Al-Azhar University, Gaza, Palestine.
Dalia Sami WafiFaculty of Medicine, Al-Quds University, Abu-Dies, Jerusalem, Israel.
Islam Osama IsmailFaculty of Medicine, Al-Quds University, Abu-Dies, Jerusalem, Israel.
Yaser Aref HamamFaculty of Medicine, Al-Quds University, Abu-Dies, Jerusalem, Israel.
Reem SayadFaculty of Medicine, Assiut University, Assiut, Egypt.
Mohamed HamoudaFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Sayed ZaazoueeFaculty of Medicine, Al-Azhar University, Assiut, Egypt. MohamedZaazouee.stu.6.44@azhar.edu.eg.
Khaled Mohamed RagabFaculty of Medicine, Minia University, Minia, Egypt.
Al-Azhar University · EGAl-Azhar University – Gaza · PSJerusalem University College · ILAssiut University · EGMinia University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMore than five million individuals died because of problems connected to COVID-19. SARS-Cov-2 poses a particular challenge to expectant mothers, who comprise one of the most vulnerable segments of the population. Our aim is to demonstrate the maternal and neonatal safety of the COVID-19 vaccine during pregnancy.

methodsWe searched PubMed, Cochrane Library, Scopus, Web of Science (WOS), Embase, Ovid, MedRxiv, and BioRxiv databases from inception till December 2021 and then updated it in April 2022. Additionally, we searched ClinicalTrials.gov, Research Square and grey literature. Cohort, case-control studies, and randomized controlled trials detecting the safety of the Covid-19 vaccine during pregnancy were included. We used the Cochrane tool and Newcastle-Ottawa Scale to assess the risk of bias of the included studies and the GRADE scale to assess the quality of evidence. A meta-analysis was conducted using review manager 5.4.

resultsWe included 13 studies with a total number of 56,428 patients. Our analysis showed no statistically significant difference in the following outcomes: miscarriage (1.56% vs 0.3%. RR 1.23; 95%CI 0.54 to 2.78); length of maternal hospitalization (MD 0.00; 95%CI -0.08 to 0.08); puerperal fever (1.71% vs 1.1%. RR 1.04; 95%CI 0.67 to 1.61); postpartum hemorrhage (4.27% vs 3.52%. RR 0.84; 95%CI 0.65 to 1.09); instrumental or vacuum-assisted delivery (4.16% vs 4.54%. RR 0.94; 95%CI 0.57 to 1.56); incidence of Apgar score ≤ 7 at 5 min (1.47% vs 1.48%. RR 0.86; 95%CI 0.54 to 1.37); and birthweight (MD -7.14; 95%CI -34.26 to 19.99).

conclusionIn pregnancy, the current meta-analysis shows no effect of SAR-CoV-2 vaccination on the risk of miscarriage, length of stay in the hospital, puerperal fever, postpartum hemorrhage, birth weight, or the incidence of an Apgar score of ≤ 7 at 5 min.

Indexed as

COVID-19Pregnancy ComplicationsAbortion, SpontaneousBirth WeightCOVID-19 VaccinesFemaleHumansInfant, NewbornLength of StayPostpartum HemorrhagePregnancySARS-CoV-2VaccinationCOVID-19 VaccinesCOVID-19 vaccineMaternalNeonatalPregnancySafety

Identifiers

PMID35864455
PMCPMC9302221
OpenAlexW4286493891

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.