Evidence map›Paper›PMID 38580375›Full record

SynthesisBMJ global health2024

Effectiveness and safety of COVID-19 vaccines on maternal and perinatal outcomes: a systematic review and meta-analysis.

Silvia Fernández-García, Laura Del Campo-Albendea, Dharshini Sambamoorthi, Jameela Sheikh, Karen Lau, Nana Osei-Lah, Anoushka Ramkumar, Harshitha Naidu, Nicole Stoney, Paul Sundaram and 36 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
17.5field-weighted citation impact, top 1% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Vaccination in pregnancy to protect the newborn.Nature reviews. Immunology · 2025
    Review
  13. Article
  14. Observational
  15. Article
  16. Review
  17. 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
  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

46 authors at 13 institutions in 6 countries.

Silvia Fernández-GarcíaWHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-5457-3002
Laura Del Campo-AlbendeaClinical Biostatistics Unit, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Dharshini SambamoorthiUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Jameela SheikhUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.ORCID http://orcid.org/0000-0002-6409-6940
Karen LauUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Nana Osei-LahUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Anoushka RamkumarUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Harshitha NaiduUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Nicole StoneyUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Paul SundaramUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Paulomi SenguptaUniversity of Nottingham, Nottingham, UK.
Samay MehtaUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Shruti AttardeUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Sophie MaddockUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Millie ManningUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Zainita MeherallyUniversity of Aberdeen, Aberdeen, UK.
Kehkashan AnsariUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Heidi LawsonUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Magnus YapUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Tania KewUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Andriya PunnooseUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Chloe KnightUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Eyna SadeqaUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Jiya CherianUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Sangamithra RaviUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Wentin ChenUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Kate WalkerUniversity of Nottingham, Nottingham, UK.
Keelin O'DonoghueUniversity College Cork, Cork, Ireland.
Madelon van WelyAmsterdam UMC Location AMC Center for Reproductive Medicine, Amsterdam, The Netherlands.
Elizabeth van LeeuwenAmsterdam UMC Location AMC Department of Obstetrics Gynecology, Amsterdam, The Netherlands.
Elena KostovaAmsterdam UMC Location AMC Center for Reproductive Medicine, Amsterdam, The Netherlands.
Heinke KunstQueen Mary University of London Blizard Institute, London, UK.
Asma KhalilSt George's University of London, London, UK.
Vanessa BrizuelaDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.ORCID http://orcid.org/0000-0002-4860-0828
Edna KaraDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.
Caron Rahn KimDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.
Anna ThorsonDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.
Olufemi T OladapoDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.
Lynne MofensonResearch, Elizabeth Glaser Pediatric AIDS Foundation, Washington, District of Columbia, USA.ORCID http://orcid.org/0000-0002-2818-9808
Sami L GottliebDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.
Mercedes BonetDepartment of Reproductive Health and Research, World Health Organization, Geneve, Switzerland.ORCID http://orcid.org/0000-0001-9015-1635
Ngawai MossKatie's Team, London, UK.
Javier ZamoraWHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
John AlloteyWHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Shakila ThangaratinamWHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK s.thangaratinam.1@bham.ac.uk.
PregCOV-19 Living Systematic Review Consortium
Birmingham Dental Hospital · GBWorld Health Organization · CHAmsterdam University Medical Centers · NLCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESUniversity of Nottingham · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBElizabeth Glaser Pediatric AIDS Foundation · USNIHR Birmingham Biomedical Research Centre · GBQueen Mary University of London · GBSt George's, University of London · GBUniversity College Cork · IEUniversity of Aberdeen · GBUniversity of Birmingham · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo assess the effects of COVID-19 vaccines in women before or during pregnancy on SARS-CoV-2 infection-related, pregnancy, offspring and reactogenicity outcomes.

designSystematic review and meta-analysis. DATA SOURCES: Major databases between December 2019 and January 2023. STUDY SELECTION: Nine pairs of reviewers contributed to study selection. We included test-negative designs, comparative cohorts and randomised trials on effects of COVID-19 vaccines on infection-related and pregnancy outcomes. Non-comparative cohort studies reporting reactogenicity outcomes were also included. QUALITY ASSESSMENT, DATA EXTRACTION AND ANALYSIS: Two reviewers independently assessed study quality and extracted data. We undertook random-effects meta-analysis and reported findings as HRs, risk ratios (RRs), ORs or rates with 95% CIs.

resultsSixty-seven studies (1 813 947 women) were included. Overall, in test-negative design studies, pregnant women fully vaccinated with any COVID-19 vaccine had 61% reduced odds of SARS-CoV-2 infection during pregnancy (OR 0.39, 95% CI 0.21 to 0.75; 4 studies, 23 927 women; I

conclusionCOVID-19 vaccines are effective in preventing SARS-CoV-2 infection and related complications in pregnant women. PROSPERO REGISTRATION NUMBER: CRD42020178076.

Indexed as

COVID-19COVID-19 VaccinesPregnancy Complications, InfectiousPregnancy OutcomeSARS-CoV-2FemaleHumansInfant, NewbornPregnancyCOVID-19 VaccinesCOVID-19obstetricsvaccines

Identifiers

PMID38580375
PMCPMC11002410
OpenAlexW4393986258

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.