Severe Acute Respiratory Syndrome Coronavirus 2 has spread globally, causing the coronavirus disease 2019 (COVID-19) pandemic. To control the pandemic and to achieve herd immunity, four vaccines have obtained market authorization in Europe. Researchers have reported that the sequence of administration of the vaccines depends on the risk of exposure to COVID-19 and age, recommending the vaccine to pregnant and breastfeeding women.
Research Aim:
To examine the knowledge, willingness and attitudes of breastfeeding women in Spain regarding the possibility of receiving the COVID-19 vaccine.
Methods:
An observational descriptive cross-sectional study in two tertiary-level hospitals from Valencia was conducted. Breastfeeding women (N = 301) were recruited by non-probability sampling of consecutive cases. Questionnaires were collected in June 2021.
Results:
More than one in every two participants would accept a COVID-19 vaccine, and the percentage rose in participants who were older, more educated, or worked in high-risk jobs. Their main source of information was the Internet, and midwives were the professionals who most recommended vaccination. Participants who would not accept vaccination during lactation reported reasons linked to lack of information regarding vaccination in their condition and how it might affect newborns.
Conclusion:
It is of primary concern for healthcare professionals to foster a greater understanding by providing updated information regarding the need, safety, and efficacy of the vaccine for both lactating mothers and their newborns.
AndersonE.BrigdenA.DaviesA.ShepherdE.IngramJ. (2021). Maternal vaccines during the Covid-19 pandemic: A qualitative interview study with UK pregnant women. Midwifery, 100, Article 103062. https://doi.org/10.1016/j.midw.2021.103062
BabickiM.Mastalerz-MigasA. (2021). Attitudes toward vaccination against COVID-19 in Poland. A longitudinal study performed before and two months after the commencement of the population vaccination programme in Poland. Vaccines, 9(5), 503. https://doi.org/10.3390/vaccines9050503
5.
CarboneL.MappaI.SiricoA.Di GirolamoR.SacconeG.Di MascioD.DonadonoV.CuomoL.GabrielliO.MiglioriniS.LuvisoM.D’antonioF.RizzoG.MaruottiG. M. (2021). Pregnant women’s perspectives on severe acute respiratory syndrome coronavirus 2 vaccine. American Journal of Obstetrics & Gynecology, 3(4), Article 100352. https://doi.org/10.1016/j.ajogmf.2021.100352
6.
CeulemansM.FoulonV.PanchaudA.WinterfeldU.PomarL.LambeletV.ClearyB.O’ShaughnessyF.PassierA.RichardsonJ. L.AllegaertK.NordengH. (2021). Vaccine willingness and impact of the COVID-19 pandemic on women’s perinatal experiences and practices—A multinational, cross-sectional study covering the first wave of the pandemic. International Journal of Environmental Research and Public Health, 18(7), 3367. https://doi.org/10.3390/ijerph18073367
De Andrés SánchezJ.Arias OlivaM.Pelegrín BorondoJ.Orlando LimaR. (2021). Factores explicativos de la aceptación de la vacuna para el SARS-CoV-2 desde la perspectiva del comportamiento del consumidor [Explanatory factors for the acceptance of the vaccine for SARS-CoV-2 from the perspective of consumer behavior]. Revista española de salud pública [Spanish Journal of Public Health], 95, 106; e202107101.
9.
DoshiP. (2020). Will Covid-19 vaccines save lives? Current trials aren’t designed to tell us. BMJ, 371, m4037. https://doi.org/10.1136/bmj.m403
FisherK. A.BloomstoneS. J.WalderJ.CrawfordS.FouayziH.MazorK. M. (2020). Attitudes toward a potential SARS-CoV-2 vaccine. Annals of Internal Medicine, 173(12), 964–973. https://doi.org/10.7326/M20-3569
15.
FoxA.MarinoJ.AmanatF.KrammerF.Hahn-HolbrookJ.Zolla-PaznerS.PowellR. L. (2020). Robust and specific secretory IgA against SARS-CoV-2 detected in human milk. IScience, 23(11), Article 101735. https://doi.org/10.1016/j.isci.2020.101735
IacobucciG. (2021). Covid-19: No evidence that vaccines can affect fertility, says new guidance. British Medical Journal, 372, n509. https://doi.org/10.1136/bmj.n509
20.
Instituto Nacional de Estadística. (2017). Encuesta Nacional de Salud 2017. Tipo de lactancia según sexo y clase social [National Health Survey 2017. Type of breastfeeding according to sex and social class]. https://www.ine.es/jaxiT3/Tabla.htm?tpx=27194
21.
LabbokM. H.StarlingA. (2012). Definitions of breastfeeding: Call for the development and use of consistent definitions in research and peer-reviewed literature. Breastfeeding Medicine, 7(6), 397–402. https://doi.org/10.1089/bfm.2012.9975
22.
LaneS.MacDonaldN. E.MartiM.DumolardL. (2018). Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF ioint reporting form data—2015–2017. Vaccine, 36(26), 3861–3867. https://doi.org/10.1016/j.vaccine.2018.03.063
23.
Martín-BellidoM. del C.González-SanzJ. D. (2020). Análisis de la producción científica enfermera sobre empoderamiento femenino y salud perinatal [Analysis of the scientific nursing production on female empowerment and perinatal health]. MUSAS. Revista de Investigación en Mujer, Salud y Sociedad [Journal of Research in Women, Health and Society], 5(1), 3–21.
24.
MayoS.MonfortS. (2021). Letter to the Editor: Breastfeeding and COVID-19 vaccine: Yes we can. Journal of Human Lactation, 37(2), 275–276. https://doi.org/10.1177/08903344211004443
Neumann-BöhmeS.VargheseN. E.SabatI.BarrosP. P.BrouwerW.van ExelJ.SchreyöggJ.StargardtT. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. The European Journal of Health Economics, 21(7), 977–982. https://doi.org/10.1007/s10198-020-01208-6
27.
PerlS. H.Uzan-YulzariA.KlainerH.AsiskovichL.YoungsterM.RinottE.YoungsterI. (2021). SARS-CoV-2–specific antibodies in breast milk after COVID-19 vaccination of breastfeeding women. JAMA, 325(19), 2013. https://doi.org/10.1001/jama.2021.5782
Rodríguez-BlancoN. (2018). Maternidad y vacunas: Análisis de la aceptabilidad y cobertura vacunal para gripe y tos ferina en gestantes de dos Departamentos de Salud de la Comunidad Valenciana durante la temporada 2015-2016 Maternity and vaccines: Analysis of the acceptability and vaccination coverage for influenza and pertussis in pregnant women from two Health Departments of the Valencian Community during the 2015-2016 season]. http://rua.ua.es/dspace/handle/10045/98207
30.
Rodríguez-BlázquezC.Romay-BarjaM.FalcónM.AyalaA.ForjazM. J. (2021). The COSMO-Spain survey: Three first rounds of the WHO behavioral insights tool. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.678926
SalaverríaR.BuslónN.López-PanF.LeónB.López-GoñiI.ErvitiM.-C. (2020). Desinformación en tiempos de pandemia: Tipología de los bulos sobre la Covid-19 [Disinformation in times of pandemic: Typology of hoaxes about Covid-19]. El Profesional de la Información [The Information Professional], 29(3). https://doi.org/10.3145/epi.2020.may.15
33.
Sánchez-DuarteJ. M.Magallón-RosaR. (2020). Infodemia y COVID-19. Evolución y viralización de informaciones falsas en España [Infodemic and COVID-19. Evolution and viralization of false information in Spain]. Revista Española de comunicación en salud [Spanish Journal of Communication in Health], 0(0), 31–41. https://doi.org/10.20318/recs.2020.5417
34.
SkjefteM.NgirbabulM.AkejuO.EscuderoD.Hernandez-DiazS.WyszynskiD. F.WuJ. W. (2021). COVID-19 vaccine acceptance among pregnant women and mothers of young children: Results of a survey in 16 countries. European Journal of Epidemiology, 36(2), 197–211. https://doi.org/10.1007/s10654-021-00728-6
35.
SouthwellB. G.WoodJ. L.NavarA. M. (2021). Función de los profesionales de la salud de rectificar la información errónea que tienen los pacientes más allá de corregir los hechos [Role of health professionals to rectify misinformation that patients have beyond correcting the facts]. Revista Panamericana de Salud Pública [Panamerican Journal of Public Health], 45, e60. https://doi.org/10.26633/rpsp.2021.60
36.
SuttonD.D’AltonM.ZhangY.KaheK.CepinA.GoffmanD.StaniczenkoA.YatesH.BurganskyA.ColettaJ.WilliamsZ.Gyamfi-BannermanC. (2021). COVID-19 Vaccine acceptance among pregnant, breastfeeding and non-pregnant reproductive aged women. American Journal of Obstetrics & Gynecology MFM, 3(5), 100403. https://doi.org/10.1016/j.ajogmf.2021.10040
World Health Organization. (2020c). Even the most effective COVID-19 vaccine will fail if people don’t trust it due to misinformation. https://news.un.org/es/story/2020/09/1481022
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