{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:50:36Z","timestamp":1780073436875,"version":"3.54.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>\n            Objective\u2003This study aims to explore vaccination acceptance among individuals with a history of preterm birth between March and June during the pre-COVID (2019), early-COVID (2020), and late-COVID (2021) periods.<\/jats:p><jats:p>\n            Study Design\u2003This is a cross-sectional, retrospective cohort study of pregnant individuals with a history of preterm birth (&lt;37 weeks' gestation) who initiated care of a subsequent pregnancy during pre-COVID (March\u2013June 2019), early-COVID (March\u2013June 2020), or late-COVID (March\u2013June 2021). The primary outcome of interest was vaccination status for influenza, Tdap, and COVID-19 vaccines. Fisher's exact and chi-square tests were used to investigate association between vaccination status and time periods, race\/ethnicity, and insurance.<\/jats:p><jats:p>\n            Results\u2003Among 293 pregnancies, influenza vaccination rate was highest in early-COVID (p\u2009&lt;\u20090.05). There was no statistically significant difference in Tdap or COVID-19 vaccination between time periods. COVID-19 vaccination was highest in individuals with private insurance (p\u2009&lt;\u20090.05). There was no statistically significant difference in vaccination status by race\/ethnicity.<\/jats:p><jats:p>\n            Conclusion\u2003In this study on high-risk pregnant individuals, the majority of our cohort remained unvaccinated against COVID-19 into the late-COVID period. Additionally, their influenza vaccination rates were greater than the national average in early-COVID and substantially lower than the national average in late-COVID. This shift in influenza vaccination acceptance may have been sparked by COVID-19 vaccine distribution beginning in January 2021 leading to overall vaccination hesitancy. Standardized guidelines and counseling concerning prenatal safety in recommended immunizations may serve as important tools of reassurance and health promotion.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0042-1760432","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T23:52:05Z","timestamp":1673913125000},"page":"548-553","source":"Crossref","is-referenced-by-count":1,"title":["Prenatal Vaccination Patterns among Birthing Individuals with History of Preterm Birth in the Pre- and Post-COVID Era"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6742-7418","authenticated-orcid":false,"given":"Khaila L.","family":"Ramey-Collier","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer I.","family":"Okunbor","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siera R.","family":"Lunn","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelvin","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Truong","sequence":"additional","affiliation":[{"name":"Department of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin E.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geeta K.","family":"Swamy","sequence":"additional","affiliation":[{"name":"Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8384-3721","authenticated-orcid":false,"given":"Sarahn M.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"issue":"26","key":"ref1","doi-asserted-by":"crossref","first-page":"2531","DOI":"10.1056\/NEJMc2204560","article-title":"Association between Covid-19 vaccination and influenza vaccination rates","volume":"386","author":"R K Leuchter","year":"2022","journal-title":"N Engl J Med"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e65","DOI":"10.1097\/AOG.0000000000004479","article-title":"Prediction and prevention of spontaneous preterm birth: ACOG Practice Bulletin, Number 234","volume":"138","author":"American College of Obstetricians and Gynecologists' Committee on Practice Bulletins\u2014Obstetrics","year":"2021","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1053\/j.semperi.2007.04.001","article-title":"Recurrent preterm birth","volume":"31","author":"S Mazaki-Tovi","year":"2007","journal-title":"Semin Perinatol"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"e214","DOI":"10.1097\/AOG.0000000000002662","article-title":"ACOG Committee Opinion No. 741: maternal immunization","volume":"131","year":"2018","journal-title":"Obstet 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Rubin","year":"2021","journal-title":"JAMA"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"770985","DOI":"10.3389\/fpubh.2021.770985","article-title":"COVID-19 vaccine hesitancy in the United States: a systematic review","volume":"9","author":"F Yasmin","year":"2021","journal-title":"Front Public Health"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1002\/ijgo.13713","article-title":"COVID-19 vaccine acceptance in pregnant women","volume":"154","author":"S Goncu Ayhan","year":"2021","journal-title":"Int J Gynaecol Obstet"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/s10654-021-00728-6","article-title":"COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries","volume":"36","author":"M Skjefte","year":"2021","journal-title":"Eur J Epidemiol"},{"issue":"09","key":"ref13","doi-asserted-by":"crossref","first-page":"2202","DOI":"10.1016\/j.vaccine.2020.01.039","article-title":"Survey of influenza vaccine knowledge, attitudes, and beliefs among pregnant women in the 2016-17 season","volume":"38","author":"J P King","year":"2020","journal-title":"Vaccine"},{"issue":"10","key":"ref14","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1080\/14760584.2022.2100766","article-title":"COVID-19 vaccination hesitancy in pregnant and breastfeeding women and strategies to increase vaccination compliance: a systematic review and meta-analysis","volume":"21","author":"F P Bianchi","year":"2022","journal-title":"Expert Rev Vaccines"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1760432.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:33:15Z","timestamp":1730817195000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1760432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,16]]},"references-count":12,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,3,20]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1760432","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,16]]}}}