Evidence map›Paper›PMID 39772105›Full record

ArticleVaccines2024

The Benefits of COVID-19 Vaccination for Pregnant Patients Hospitalized with Respiratory Symptoms: A Retrospective Cohort Study in South Brazil.

Christopher J Hernandez, Kavya G Sundar, Fernando Echegaray, Mary Catherine Cambou, Lanbo Z Yang, Eddy R Segura, Marineide Gonçalves de Melo, Breno Riegel Santos, Ivana Rosângela Dos Santos Varella, Karin Nielsen-Saines

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Five years after the COVID-19 pandemic began: lessons on vaccination and obstetric care in Brazil.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    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

10 authors.

Christopher J HernandezUCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Kavya G SundarCooper Medical School of Rowan University, Camden, NJ 08103, USA.
Fernando EchegarayUCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Mary Catherine CambouDivision of Infectious Diseases, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Lanbo Z YangDepartment of Obstetrics and Gynecology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Eddy R SeguraFacultad de Ciencias de la Salud, Universidad Científica del Sur, Panamericana Sur Km 19, Villa, Lima 15067, Peru.ORCID 0000-0003-3580-7712
Marineide Gonçalves de MeloHospital Nossa Senhora da Conceição, Tubarão 88701-160, Brazil.
Breno Riegel SantosHospital Nossa Senhora da Conceição, Tubarão 88701-160, Brazil.
Ivana Rosângela Dos Santos VarellaHospital Nossa Senhora da Conceição, Tubarão 88701-160, Brazil.
Karin Nielsen-SainesDivision of Pediatric Infectious Diseases, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.ORCID 0000-0002-1742-5211

Funding

UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
SARS-CoV-2 in Pregnancy: Comparison of Natural Infection and Hybrid Immunity in Mother-Infant PairsK23AI177952 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Mary Catherine Cambou · 2023 to 2026
$814k
NIAID NIH HHS K23 AI177952NIAID NIH HHS UM1 AI069424NIH HHS R25 MH08722
6 · The paper itself

Abstract

objectivesSARS-CoV-2 infection is a known risk factor for adverse health outcomes in pregnancy, affecting both maternal and neonatal health. Mounting evidence suggests that even a single dose of an approved COVID-19 vaccine protects against severe SARS-CoV-2 infection and is safe for both pregnant persons and neonates. Southern Brazil was heavily affected by the COVID-19 pandemic, and the protective effects of the vaccine on maternal and neonatal health are not well described. This study aims to examine the protective effects of maternal COVID-19 vaccination on both maternal and neonatal outcomes following SARS-CoV-2 infection during pregnancy.

methodsThis is a retrospective cohort study that leveraged medical data from a tertiary center in South Brazil to compare maternal and infant outcomes between hospitalized pregnant persons with and without SARS-CoV-2 infection between 1 March 2020, and 1 March 2023.

resultsIn total, 524 patients were enrolled, including 275 pregnant patients with confirmed SARS-CoV-2 infection and 249 without infection. SARS-CoV-2 infection was associated with maternal ventilator support (adjusted Risk Ratio [aRR] = 1.48, 95% Confidence Interval [95% CI]: 1.08-2.03), while receipt of at least one dose of COVID-19 vaccine was associated with protection against maternal sepsis (aRR = 0.14, 95% CI: 0.03-0.56), intensive care unit (ICU) admission (aRR = 0.27, 95% CI: 0.10-0.68), need for ventilator support (aRR = 0.60, 95% CI: 0.43-0.84), infant admission to the neonatal intensive care unit (NICU) (aRR = 0.62, 95% CI: 0.47-0.82), and neonatal respiratory distress (aRR = 0.60, 95% CI: 0.43-0.83).

conclusionsThese findings further underscore the importance of maternal vaccination against COVID-19 during pregnancy. Even one dose of vaccine was protective against a variety of maternal and neonatal outcomes. Prenatal care should encourage COVID-19 vaccination in pregnancy.

Indexed as

COVID-19pregnancy outcomesSARS-CoV-2vaccination

Identifiers

PMID39772105
PMCPMC11680175

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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 Socratic graph.