Efficacy and safety of SARS-CoV-2 vaccination in pregnancy to prevent COVID-19 in mothers and early infancy
- PMID: 40008623
- PMCID: PMC11863297
- DOI: 10.1002/14651858.CD015785
Efficacy and safety of SARS-CoV-2 vaccination in pregnancy to prevent COVID-19 in mothers and early infancy
Abstract
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of SARS-CoV-2 vaccination during pregnancy, versus placebo or no vaccination during pregnancy, for preventing COVID-19 disease in mothers and infants.
Copyright © 2025 The Authors. Cochrane Database of Systematic Reviews published by John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration.
Conflict of interest statement
Odette de Bruin has no conflicts of interest to declare.
Emily Phijffer has no conflicts of interest to declare. Emily works as an MD in paediatrics.
Fariba Ahmadizar has not received personal fees or any other personal benefits. She is an associate editor of Frontiers journal and actively working on vaccine safety and effectiveness/efficacy studies, specifically COVID‐19 vaccine.
Nicoline van der Maas has no conflicts of interest to declare. Nicoline is a medical advisor on vaccinations and screening programs at the National Institute for Health and the Environment, the Netherlands.
Joanne Wildenbeest has not received personal fees or other personal benefits. She has been an investigator for clinical trials funded by pharmaceutical companies, including AstraZeneca, Merck, Pfizer, Sanofi, and Janssen. All funds have been paid to University Medical Center Utrech (UMCU). JGW participated in advisory boards of Janssen and Sanofi and was a speaker at a Sanofi‐sponsored symposium with honoraria paid to UMCU.
Miriam Sturkenboom has not received personal fees or other personal benefits. University Medical Center Utrecht has received major funding (> EUR 100,000 per industrial partner) for investigator‐initiated studies from AstraZeneca, Janssen Global Services, and Pfizer laboratories.
Louis Bont has regular interaction with pharmaceutical and other industrial partners. He has not received personal fees or other personal benefits. University Medical Center Utrecht (UMCU) has received major funding (> EUR 100,000 per industrial partner) for investigator‐initiated studies from AbbVie, MedImmune, AstraZeneca, Sanofi, Janssen, Pfizer, MSD, and MeMed Diagnostics, Bill and Melinda Gates Foundation. UMCU has received major funding as part of the public private partnership IMI‐funded RESCEU and PROMISE projects with partners GSK, Novavax, Janssen, AstraZeneca, Pfizer, and Sanofi. UMCU has received major funding by Julius Clinical for participating in clinical studies sponsored by MedImmune and Pfizer. UMCU has received minor funding (EUR 1000 to 25,000 per industrial partner) for consultation and invited lectures by AbbVie, MedImmune, Ablynx, Bavaria Nordic, mAbxience, GSK, Novavax, Pfizer, Moderna, AstraZeneca, MSD, Sanofi, Genzyme, and Janssen.
Kitty Bloemenkamp has not received personal fees or any other personal benefits. During the COVID‐19 pandemic, she advised on Covid maternal vaccination in pregnancy and the postpartum period and appeared on television and interviews for public newspapers. She is chair of INOSS (International Obstetric Survey System), and performed a meta‐analysis on Covid and pregnancy. University Medical Center Utrecht has received minor funding (EUR 1000 to 25,000 per industrial partner) for the Consign study from EMA to support the monitoring of the efficacy and safety of COVID‐19 treatments and vaccines when used in day‐to‐day clinical practice. This is underpinned by three contracts for observational research that EMA has signed with academic and private partners over recent months, to be ready to effectively monitor vaccines in the real world as soon as they are authorised, and support the safe and effective use of COVID‐19 vaccines and medicines.
Carlos E Durán has worked as PI and co‐PI of two COVID‐19 vaccine‐related safety studies funded by the European Medicines Agency (CVM study: EUPAS42467 and SAFETY‐VAC study: EUPAS1000000193). He has no other conflicts to declare. He will not be involved in study selection, data abstraction, RoB or GRADE assessments for any study on which he is an author.
References
Additional references
Abbasi 2022
Abu‐Raya 2020
Allotey 2020
CDC 2024
-
- Centers for Disease Control and Prevention. COVID-19 vaccines while pregnant or breastfeeding; 10 September 2024. https://www.cdc.gov/covid/vaccines/pregnant-or-breastfeeding.html?CDC_AA....
EMA 2022
-
- European Medicine Agency (EMA). COVID-19: latest safety data provide reassurance about use of mRNA vaccines during pregnancy; 18 January 2022. https://www.ema.europa.eu/en/news/covid-19-latest-safety-data-provide-re....
Engjom 2022
Etti 2022
FDA 2023
-
- US Food and Drug Administration. FDA approves first vaccine for pregnant individuals to prevent RSV in Infants; 3 May 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-first-v.... [WEBSITE: https://www.fda.gov/news-events/press-announcements/fda-approves-first-v...]
Gray 2021
Graña 2022
Halasa 2022
Higgins 2023
-
- Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane Handbook for Systematic Reviews of Interventions Version 6.4 (updated August 2023). Available from training.cochrane.org/handbook. - PMC - PubMed
Kampmann 2023
Krubiner 2021
Liberati 2009
-
- Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Loannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. Journal of Clinical Epidemiology 2009;62(10):e1-34. [DOI: 10.1016/j.jclinepi.2009.06.006] - DOI - PubMed
McKenzie 2023
-
- McKenzie JE, Brennan SE, Ryan RE, Thomson HJ, Johnston RV, Thomas J. Chapter 3: Defining the criteria for including studies and how they will be grouped for the synthesis. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions. Version 6.4 (updated August 2023). Cochrane 2023. Available from training.cochrane.org/handbook.
Nunes 2018
Prasad 2022
RCOG 2021
-
- Royal College of Obstetricians and Gynaecologists (RCOG). Coronavirus (COVID-19) vaccination in pregnancy; 30 June 2021. Available at: https://www.fertilityplus.org.uk/wp-content/uploads/2021/09/2021-06-30-c....
Reeves 2017
-
- Reeves BC, Wells GA, Waddington H. Quasi-experimental study designs series-paper 5: a checklist for classifying studies evaluating the effects on health interventions-a taxonomy without labels. Journal of Clinical Epidemiology 2017;89:30-42. [DOI: 10.1016/j.jclinepi.2017.02.016] - DOI - PMC - PubMed
Reeves 2023
-
- Reeves BC, Deeks JJ, Higgins JP, Shea B, Tugwell P, Wells GA. Chapter 24: Including non-randomized studies on intervention effects. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 6.4 (updated August 2023). Cochrane, 2023. Available from .training.cochrane.org/handbook.
RevMan 2024 [Computer program]
-
- Review Manager (RevMan). Version 7.12.0. The Cochrane Collaboration, 2024. Available at http://revman.cochrane.org. [WEBSITE: revman.cochrane.org]
Schünemann 2013
-
- Schünemann H, Brożek J, Guyatt G, Oxman A (editors). Handbook for grading the quality of evidence and the strength of recommendations using the GRADE approach (updated October 2013). GRADE Working Group, 2013. Available from https://gdt.guidelinedevelopment.org/app/handbook/handbook.html.
Shimabukuro 2021
Sterne 2016
Sterne 2019
Villar 2021
-
- Villar J, Ariff S, Gunier RB, Thiruvengadam R, Rauch S, Kholin A, et al. Maternal and neonatal morbidity and mortality among pregnant women with and without COVID-19 Infection: The INTERCOVID multinational cohort study. JAMA Pediatrics 2021;175(8):817-26. [DOI: 10.1001/jamapediatrics.2021.1050] - DOI - PMC - PubMed
Vygen‐Bonnet 2020
WHO 2020
-
- World Health Organization. Coronavirus disease 2019 (COVID-19): situation report, 51; 11 March 2020. https://apps.who.int/iris/bitstream/handle/10665/331475/nCoVsitrep11Mar2....
WHO 2022
-
- World Health Organization. Questions and Answers: COVID-19 vaccines and pregnancy; 15 February 2022. https://www.who.int/publications/i/item/WHO-2019-nCoV-FAQ-Pregnancy-Vacc....
WHO 2023
-
- World Health Organization. WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/ (accessed 28 September 2023). [WEBSITE: https://covid19.who.int/]
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous
