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Large Canadian Study Finds COVID Vaccination in Pregnancy Cuts Severe Illness and Preterm Birth

The JAMA paper uses linked records from nine provinces plus Yukon, spanning Delta to Omicron, with estimates adjusted for age, BMI, and comorbidities.

Overview

  • Vaccinated pregnant people had roughly 60% lower risk of hospitalization and about 90% lower risk of intensive care admission compared with those unvaccinated at infection.
  • Preterm birth risk fell by about 20% during the Delta wave and 36% during the Omicron wave, based on deliveries before 37 weeks.
  • Receiving the vaccine during pregnancy was associated with even fewer preterm births and with reduced stillbirth rates versus vaccination only before pregnancy.
  • The analysis drew on nearly 20,000 SARS-CoV-2–affected pregnancies from April 5, 2021, to December 31, 2022, across British Columbia, Alberta, Manitoba, Ontario, Quebec, New Brunswick, Prince Edward Island, Nova Scotia, and Yukon.
  • Researchers say the results should inform guidance for maternal vaccination as U.S. recommendations have shifted this year, including no pregnancy-specific ACIP endorsement and related litigation from leading medical groups.