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Effects of Covid-19 Vaccination during Pregnancy on the Obstetric and Neonatal Outcomes in a Tertiary Health Care Center Cover

Effects of Covid-19 Vaccination during Pregnancy on the Obstetric and Neonatal Outcomes in a Tertiary Health Care Center

Open Access
|Jul 2023

Figures & Tables

Figure 1.

Vaccination status in the study group of patients.
Vaccination status in the study group of patients.

Maternal and Obstetric Outcomes

ParametersUnvaccinated N=154Vaccinated N=127p value
Gestational age at delivery37.6 ± 2.437.1 ± 2.10.033
Gestational age at delivery <34 weeks7 (4.54%)6 (4.72%)0.07
Gestational age at delivery <37 weeks33 (21.42%)17 (13.28%)0.001
Vaginal delivery63 (40.90%)48 (37.79%)0.041
Caesarean delivery91 (59.09%)79 (62.20%)
Anaemia (Hb <7gm/dl)8 (5.19%)6 (4.72%)0.495
Gestational + pregestational Diabetes10 (6.49%)4 (3.14%)0.2
Hypertension in pregnancy9 (5.84%)10 (7.87%)0.555
PPROM8 (5.19%)11 (8.66%)0.43
Hypothyroidism17 (11.03%)17 (13.38%)0.548

Fetal and Neonatal Outcomes

Unvaccinated N=154Vaccinated N=127p value
SGA8 (5.19%)6 (4.72%)0.369
IUFD5 (3.24%)2 (1.57%)0.469
PRETERM33 (21.42%)17 (13.28%)0.001
NICU admissions28 (18.18%)25 (19.68%)0.749

Fetal and Maternal Outcomes vs Time of Vaccination

Criteria1st Trimester Vaccination (N=27)2nd Trimester Vaccination (N=51)3rd Trimester Vaccination (N=49)Totalp value
NICU admissions2914250.07
Preterm birth386170.81
Gestational and pregestational diabetes01340.56
Hypertension in pregnancy253100.78
PPROM434110.41
Anemia32160.19

APGAR Scores

APGAR ScoresUnvaccinated (Live births=149)Vaccinated (Live births=125)p value
1 min score <79 (6.04%)15 (12%)0.66
5 min score <72 (1.34%)5 (4%)

Demographic and Obstetric Parameters

ParametersUnvaccinated N=154Vaccinated N=127p value
Age28.12 ± 4.628.24 ± 4.10.81
Gravidity
  <3121 (78.57)107 (84.25)
  ≥333 (21.43)20 (15.75)0.29
Parity
  0108 (70.12)89 (70.07)
  140 (25.97)34 (26.77)
  25 (3.24)4 (3.14)
  31 (0.64)0 (0)0.839
Abortion
  ≤1142 (92.20)117 (92.12)
  >212 (7.80)10 (7.88)0.561
Gestational age at delivery37.6 ± 2.437.1 ± 2.10.033
Multifetal gestation3 (1.94)6 (4.72)0.704
Previous LSCS17 (11.03)15 (11.81)0.839

Adverse Reactions Associated with COVID-19 Vaccines

SymptomsCovaxinCovishield
Fever35
Headache92
Injection site pain10
Myalgia65
Vomiting21
TOTAL21 (30%)13 (22.8%)
DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-22-00043 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 72 - 78
Submitted on: Aug 3, 2022
Accepted on: Jan 12, 2023
Published on: Jul 6, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Gargee Suman Tripathy, Tanushree Sandipta Rath, Saujanya Behera, K Shruti Lekha, Dattatreya Kar, Sujata Pendyala, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.