COVID-19 vaccination rates in an antenatal population: A survey of women's perceptions, factors influencing vaccine uptake and potential contributors to vaccine hesitancy.

Background: Pregnant women are at increased risk for severe COVID-19 and are a priority group for vaccination. The discrepancy in vaccination rates between pregnant and non-pregnant cohorts is concerning.
Aims: This study aimed to assess the perceptions and intentions of pregnant women toward COVID-19 vaccination and explored vaccine uptake and reasons for vaccine hesitancy.
Materials and Method: A cross-sectional exploratory design was performed evaluating pregnant women receiving care in two metropolitan maternity units in Western Australia. The main measurable outcomes included vaccination status, intention to be vaccinated, and reasons for delaying or declining vaccination.
Results: In total, 218 women participated. Of these, 122 (56%) had not received either dose of the COVID-19 vaccine. Sixty (28%) claimed that vaccination was not discussed with them and 33 (15%) reported being dissuaded from vaccination by a healthcare practitioner. Compared to vaccinated women, those who had not accepted vaccination were less likely to have had vaccination discussed by maternity staff, less aware that pregnant women are a priority group, and less aware that pregnancy increased the risk of severe illness. Unvaccinated women were concerned about the side effects of the vaccine for their newborn and their own health, felt there was inadequate information on safety during pregnancy, and felt that a lack of community transmission in Western Australia reduced the necessity to be vaccinated.
Conclusion: Vaccine delay and hesitancy is common among pregnant women in Western Australia. Education of healthcare professionals and pregnant women on the recommendation for COVID-19 vaccination in pregnancy is required.
(© 2022 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)