A population-based matched cohort study of early pregnancy outcomes following COVID-19 vaccination and SARS-CoV-2 infection

Clara Calvert, Jade Carruthers, Cheryl Denny, Jack Donaghy, Sam Hillman, Lisa E M Hopcroft, Leanne Hopkins, Anna Goulding, Laura Lindsay, Terry McLaughlin, Emily Moore, Jiafeng Pan, Bob Taylor, Fatima Almaghrabi, Bonnie Auyeung, Krishnan Bhaskaran, Cheryl Gibbons, Srinivasa Vittal Katikireddi, Colin McCowan, Josie MurrayMaureen O'Leary, Lewis D Richie, Syed Ahmar Shah, Colin R. Simpson, Chris Robertson, Aziz Sheikh, Sarah J Stock*, Rachael Wood

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Data on the safety of COVID-19 vaccines in early pregnancy are limited. We conducted a national, population-based, matched cohort study assessing associations between COVID-19 vaccination and miscarriage prior to 20 weeks gestation and, separately, ectopic pregnancy. We identified women in Scotland vaccinated between 6 weeks preconception and 19 weeks 6 days gestation (for miscarriage; n = 18,780) or 2 weeks 6 days gestation (for ectopic; n = 10,570). Matched, unvaccinated women from the pre-pandemic and, separately, pandemic periods were used as controls. Here we show no association between vaccination and miscarriage (adjusted Odds Ratio [aOR], pre-pandemic controls = 1.02, 95% Confidence Interval [CI] = 0.96–1.09) or ectopic pregnancy (aOR = 1.13, 95% CI = 0.92–1.38). We undertook additional analyses examining confirmed SARS-CoV-2 infection as the exposure and similarly found no association with miscarriage or ectopic pregnancy. Our findings support current recommendations that vaccination remains the safest way for pregnant women to protect themselves and their babies from COVID-19.

Original languageEnglish
Article number6124
JournalNature Communications
Volume13
Issue number1
DOIs
Publication statusPublished - 17 Oct 2022

Keywords

  • Abortion, Spontaneous/epidemiology
  • COVID-19 Vaccines/adverse effects
  • COVID-19/epidemiology
  • Cohort Studies
  • Female
  • Humans
  • Influenza, Human/prevention & control
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Ectopic
  • SARS-CoV-2
  • Vaccination

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