Weighing up the risks — Vaccine decision-making in pregnancy and parenting

Drivers of COVID-19 vaccine hesitancy among women of childbearing age in Victoria, Australia: A descriptive qualitative study

“…Mandates have been criticized by some as impinging on human rights, promoting stigma and social polarization, and adversely affecting health and well-being [33] . Some studies report a range of unintended negative consequences, including loss of trust in Government, public health authorities and scientific regulatory bodies [33] , [34] , [35] , [36] , [37] . Mandates have also been shown in some studies to reduce compliance with other public health measures, including mask wearing and uptake of other, non-COVID-19 vaccines [33] , [38] , [39] .…”

A socio-ecological exploration to identify factors influencing the COVID-19 vaccine decision-making process among pregnant and lactating women: Findings from Kenya

“…Prior research has established several critical factors which influence pregnant women in the vaccine decision-making process. Thought to be the most influential factor is the recommendation of a health provider [14] , [18] , [39] , given providers’ role as a trusted source [8] , [16] , [25] , [35] , [42] . In their systematic review and meta-analysis of maternal vaccine decision-making, Kilich et al [18] found that receiving a provider recommendation increased pregnant women’s odds of vaccine uptake for pertussis or influenza by up to 12 times.…”

“…In their systematic review and meta-analysis of maternal vaccine decision-making, Kilich et al [18] found that receiving a provider recommendation increased pregnant women’s odds of vaccine uptake for pertussis or influenza by up to 12 times. Another influential factor in maternal vaccine decision-making is concern surrounding vaccine safety [35] , [42] . Pregnant women report fears of vaccine side effects, pain of vaccination, long-term consequences, and harm to the fetus and/or child as common barriers to uptake [23] , [24] ,McQuaid et al, 2018; [35] .…”

“…Another influential factor in maternal vaccine decision-making is concern surrounding vaccine safety [35] , [42] . Pregnant women report fears of vaccine side effects, pain of vaccination, long-term consequences, and harm to the fetus and/or child as common barriers to uptake [23] , [24] ,McQuaid et al, 2018; [35] . Knowledge or perceptions of disease risk as well as vaccine benefits are particularly relevant in maternal vaccine decision-making (Larson et al, 2018; [39] , [42] .…”

Conceptualizing the COVID-19 Pandemic: Perspectives of Pregnant and Lactating Women, Male Community Members, and Health Workers in Kenya

“…One such group prominent in the Kenyan literature are male spouses and partners, whose interdependence, communication, and participation with their pregnant or lactating partners have been found to affect behaviors such as diagnosis disclosure and adherence to medication [ 23 , 24 ]. Health providers are also a key population who have consistently been reported as one of the most trusted sources of health information that can subsequently help inform health behavior [ 25 , 26 , 27 , 28 , 29 ]. Moreover, pregnant women may be up to 12 times more likely to receive a vaccine when recommended by their health provider [ 30 ].…”