Evidence map›Paper›PMID 38006029›Full record

ReviewVaccines2023

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies.

Vincenza Gianfredi, Alessandro Berti, Pasquale Stefanizzi, Marilena D'Amico, Viola De Lorenzo, Lorenza Moscara, Antonio Di Lorenzo, Vincenzo Venerito, Silvana Castaldi

Abstract readReview
In one paragraph

Review in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Acceptance of the COVID-19 Vaccine Among Postpartum Women in Five Countries.Women's health reports (New Rochelle, N.Y.) · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. 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

9 authors.

Vincenza GianfrediDepartment of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.ORCID 0000-0003-3848-981X
Alessandro BertiDepartment of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.ORCID 0009-0007-5409-9041
Pasquale StefanizziInterdisciplinary Department of Medicine, University of Bari Aldo Moro, Piazza G. Cesare 11, 70121 Bari, Italy.ORCID 0000-0002-3279-0196
Marilena D'AmicoDepartment of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.
Viola De LorenzoDepartment of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.ORCID 0000-0002-2376-0972
Lorenza MoscaraInterdisciplinary Department of Medicine, University of Bari Aldo Moro, Piazza G. Cesare 11, 70121 Bari, Italy.
Antonio Di LorenzoInterdisciplinary Department of Medicine, University of Bari Aldo Moro, Piazza G. Cesare 11, 70121 Bari, Italy.
Vincenzo VeneritoRheumatology Unit, Department of Precision and Regenerative Medicine, Jonic Area, University of Bari "Aldo Moro", 70121 Bari, Italy.
Silvana CastaldiDepartment of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy.ORCID 0000-0003-1716-6624

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk of unfavourable outcomes for SARS-CoV-2 infection is significant during pregnancy and breastfeeding. Vaccination is a safe and effective measure to lower this risk. This study aims at reviewing the literature concerning the anti-SARS-CoV-2 vaccine's acceptance/hesitancy among pregnant and breastfeeding women attending hospital facilities. A systematic review of literature was carried out. Hospital-based observational studies related to vaccination acceptance, hesitancy, knowledge and attitude among pregnant and breastfeeding women were included. Determinants of acceptance and hesitancy were investigated in detail. Quality assessment was done via the Johann Briggs Institute quality assessment tools. After literature search, 43 studies were included, 30 of which only focused on pregnant women (total sample 25,862 subjects). Sample size ranged from 109 to 7017 people. Acceptance of the SARS-CoV-2 vaccine ranged from 16% to 78.52%; vaccine hesitancy ranged between 91.4% and 24.5%. Fear of adverse events for either the woman, the child, or both, was the main driver for hesitancy. Other determinants of hesitancy included religious concerns, socioeconomic factors, inadequate information regarding the vaccine and lack of trust towards institutions. SARS-CoV-2 vaccine hesitancy in hospitalized pregnant women appears to be significant, and efforts for a more effective communication to these subjects are required.

Indexed as

adverse eventscommunicationCOVID-19pregnancySARS-CoV-2vaccine hesitancy

Identifiers

PMID38006029
PMCPMC10675759

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.