Evidence map›Paper›PMID 40329789›Full record

ArticleJournal of Korean medical science2025

Maternal Exposures to COVID-19 Vaccine and Adverse Birth Outcomes: National Population Study in Korea.

Kyuwon Kim, Erdenetuya Bolormaa, Eunseon Gwak, Ju-Young Shin, Nam-Kyong Choi, Young June Choe, Seung-Ah Choe

Erratum issuedAbstract read
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Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kyuwon KimDepartment of Public Health, Korea University School of Public Health, Seoul, Korea.ORCID https://orcid.org/0009-0008-4363-873X
Erdenetuya BolormaaDepartment of Public Health, Korea University School of Public Health, Seoul, Korea.ORCID https://orcid.org/0000-0003-4848-5118
Eunseon GwakDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0009-0003-8289-8773
Ju-Young ShinDepartment of Biohealth Regulatory Science, School of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0003-1010-7525
Nam-Kyong ChoiDepartment of Health Convergence, College of Science and Industry Convergence, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0003-1153-9928
Young June ChoeDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2733-0715
Seung-Ah ChoeDepartment of Public Health, Korea University School of Public Health, Seoul, Korea.ORCID https://orcid.org/0000-0001-6270-5020

Funding

Korea Health Industry Development InstituteMinistry of Food and Drug Safety 22183MFDS43SK Bioscience Co., Ltd. Q2208741
6 · The paper itself

Abstract

backgroundThis study aimed to estimate the association between mRNA coronavirus disease 2019 (COVID-19) vaccine exposure during pregnancy and the risks of preterm birth and congenital malformations leveraging a national population data.

methodsThis retrospective cohort study utilized national data from the National Health Insurance System, linking maternal and infant records with COVID-19 vaccination registries. Newborns with congenital malformations were identified using diagnosis codes. The analysis included women aged 20-49 who gave live births between February 2022 and December 2022. Odds ratios (ORs) for preterm birth and any congenital malformation per COVID-19 vaccination during pregnancy compared to 1:4 matched unvaccinated controls, adjusted for maternal age, residential area, employment, income, disability, month of conception, pre-pregnancy obesity, smoking, and severe acute respiratory syndrome coronavirus 2 infection prior to pregnancy, were calculated. We compared the risk of two outcomes between BNT162b2 and mRNA-1273.

resultsAmong 106,692 women who gave birth during the study period, 8,966 (8.4%) received a COVID-19 vaccination during pregnancy. Of the newborns, 7,039 (6.6%) were preterm births and 7,658 (7.2%) had congenital malformations. COVID-19 vaccination during pregnancy was associated with a comparable risk of preterm birth (OR, 1.03; 95% confidence interval [CI], 0.77-1.36) and a similar risk of congenital malformations (0.90; 95% CI, 0.72-1.12) compared to non-vaccinees. The ORs of preterm birth (1.02; 95% CI, 0.77-1.36) and congenital malformation (0.91; 95% CI, 0.73-1.14) for mRNA-1273 were comparable to those for BNT162b2.

conclusionCOVID-19 vaccines during pregnancy poses no increased risk of preterm birth and congenital malformations compared to those not exposed to the vaccine, with similar risk levels observed between the two mRNA vaccines. This finding provides additional evidence supporting the safety of COVID-19 vaccines.

Indexed as

Congenital AbnormalitiesCOVID-19COVID-19 VaccinesMaternal ExposurePremature Birth2019-nCoV Vaccine mRNA-1273AdultBNT162 VaccineFemaleHumansInfant, NewbornMiddle AgedOdds RatioPregnancyPregnancy OutcomeRepublic of Korea2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 VaccinesCongenital MalformationCOVID-19KoreamRNA VaccinePregnancyPreterm BirthSARS-CoV-2

Identifiers

PMID40329789
PMCPMC12056060

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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.