Evidence map›Paper›PMID 37644002›Full record

ArticleNature communications2023

Neonatal and maternal outcomes following SARS-CoV-2 infection and COVID-19 vaccination: a population-based matched cohort study.

Laura Lindsay, Clara Calvert, Ting Shi, Jade Carruthers, Cheryl Denny, Jack Donaghy, Lisa E M Hopcroft, Leanne Hopkins, Anna Goulding, Terry McLaughlin and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Neonatal and Infant Health Outcomes Following Maternal COVID-19 Vaccination: CDC's COVID-19 Vaccine Pregnancy Registry.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2026
    Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Adverse events associated with COVID-19 vaccination or diagnosis among pregnant and non-pregnant women in the United States, 2021-2022.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  9. Neonatal pulmonary function tests in infants born to COVID-19 positive mothers.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. The Effectiveness and Influence of COVID-19 Vaccination on Perinatal Individuals and Their Newborns: An Updated Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

21 authors.

Laura LindsayPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0002-0512-1640
Clara CalvertUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0003-3272-1040
Ting ShiUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-4101-4535
Jade CarruthersPublic Health Scotland, Edinburgh, Scotland, UK.
Cheryl DennyPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0003-4616-4732
Jack DonaghyPublic Health Scotland, Edinburgh, Scotland, UK.
Lisa E M HopcroftPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0002-7022-1322
Leanne HopkinsPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0002-7487-4363
Anna GouldingPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0002-1288-3256
Terry McLaughlinPublic Health Scotland, Edinburgh, Scotland, UK.
Emily MoorePublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0002-9634-3299
Bob TaylorPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0003-4314-2685
Krishnan BhaskaranFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-5364-8757
Srinivasa Vittal KatikireddiPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0001-6593-9092
Ronan McCabeMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Colin McCowanSchool of Medicine, University of St Andrews, St Andrews, UK.ORCID http://orcid.org/0000-0002-9466-833X
Colin R SimpsonUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-5194-8083
Chris RobertsonPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0001-6848-5241
Aziz SheikhUsher Institute, University of Edinburgh, Edinburgh, UK.
Rachael WoodPublic Health Scotland, Edinburgh, Scotland, UK. Rachael.Wood@phs.scot.ORCID http://orcid.org/0000-0003-4453-623X
Sarah J StockPublic Health Scotland, Edinburgh, Scotland, UK.ORCID http://orcid.org/0000-0003-4308-856X

Funding

Medical Research Council MC_PC_19075Medical Research Council MC_PC_20058Medical Research Council MC_UU_00022/2
6 · The paper itself

Abstract

Understanding the impact of SARS-CoV-2 infection and COVID-19 vaccination in pregnancy on neonatal and maternal outcomes informs clinical decision-making. Here we report a national, population-based, matched cohort study to investigate associations between SARS-CoV-2 infection and, separately, COVID-19 vaccination just before or during pregnancy and the risk of adverse neonatal and maternal outcomes among women in Scotland with a singleton pregnancy ending at ≥20 weeks gestation. Neonatal outcomes are stillbirth, neonatal death, extended perinatal mortality, preterm birth (overall, spontaneous, and provider-initiated), small-for-gestational age, and low Apgar score. Maternal outcomes are admission to critical care or death, venous thromboembolism, hypertensive disorders of pregnancy, and pregnancy-related bleeding. We use conditional logistic regression to derive odds ratios adjusted for socio-demographic and clinical characteristics (aORs). We find that infection is associated with an increased risk of preterm (aOR=1.36, 95% Confidence Interval [CI] = 1.16-1.59) and very preterm birth (aOR = 1.90, 95% CI 1.20-3.02), maternal admission to critical care or death (aOR=1.72, 95% CI = 1.39-2.12), and venous thromboembolism (aOR = 2.53, 95% CI = 1.47-4.35). We find no evidence of increased risk for any of our outcomes following vaccination. These data suggest SARS-CoV-2 infection during pregnancy is associated with adverse neonatal and maternal outcomes, and COVID-19 vaccination remains a safe way for pregnant women to protect themselves and their babies against infection.

Indexed as

COVID-19COVID-19 VaccinesPregnancy Complications, InfectiousPregnancy OutcomeAdultCohort StudiesFemaleHumansInfant, NewbornPregnancyCOVID-19 Vaccines

Identifiers

PMID37644002
PMCPMC10465539

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.