Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome

SARS-CoV-2 infection during pregnancy can adversely affect maternal and neonatal health, although risks vary depending on the variant of concern (VOC). Omicron, although highly infectious, causes fewer maternal and neonatal complications than earlier VOC, so vaccination may be considered unnecessary...

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Main Authors: Rolf Felix Maier, Mario Rüdiger, Nadine Mand, Matthias Hutten, Ulrich Pecks
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/9/1/e003109.full
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author Rolf Felix Maier
Mario Rüdiger
Nadine Mand
Matthias Hutten
Ulrich Pecks
author_facet Rolf Felix Maier
Mario Rüdiger
Nadine Mand
Matthias Hutten
Ulrich Pecks
author_sort Rolf Felix Maier
collection DOAJ
description SARS-CoV-2 infection during pregnancy can adversely affect maternal and neonatal health, although risks vary depending on the variant of concern (VOC). Omicron, although highly infectious, causes fewer maternal and neonatal complications than earlier VOC, so vaccination may be considered unnecessary in planned pregnancy. Using data from the CRONOS registry, we compared pregnancy outcomes according to VOC and vaccination status. We found that vaccination during pregnancy reduced preterm birth rates compared with unvaccinated or vaccinated women with Omicron infection, without increasing severe neonatal outcomes. Given the risks associated with preterm birth, the study consistently supports vaccination recommendations for women planning pregnancy.
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spelling doaj-art-540bd39147334b12bc6246bd7da503d52025-01-07T15:10:09ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722025-01-019110.1136/bmjpo-2024-003109Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcomeRolf Felix Maier0Mario Rüdiger1Nadine Mand2Matthias Hutten3Ulrich Pecks41 Department of Pediatrics, University of Marburg, Marburg, Germany3 Department of Neonatology and Pediatric Intensive Care, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Dresden, Germany1 Department of Pediatrics, University of Marburg, Marburg, Germany2 Department of Pediatrics, Maastricht University, Maastricht, Netherlands4 Department of Obstetrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, GermanySARS-CoV-2 infection during pregnancy can adversely affect maternal and neonatal health, although risks vary depending on the variant of concern (VOC). Omicron, although highly infectious, causes fewer maternal and neonatal complications than earlier VOC, so vaccination may be considered unnecessary in planned pregnancy. Using data from the CRONOS registry, we compared pregnancy outcomes according to VOC and vaccination status. We found that vaccination during pregnancy reduced preterm birth rates compared with unvaccinated or vaccinated women with Omicron infection, without increasing severe neonatal outcomes. Given the risks associated with preterm birth, the study consistently supports vaccination recommendations for women planning pregnancy.https://bmjpaedsopen.bmj.com/content/9/1/e003109.full
spellingShingle Rolf Felix Maier
Mario Rüdiger
Nadine Mand
Matthias Hutten
Ulrich Pecks
Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
BMJ Paediatrics Open
title Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
title_full Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
title_fullStr Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
title_full_unstemmed Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
title_short Influence of SARS-CoV-2 variants of concern and maternal vaccination status on neonatal outcome
title_sort influence of sars cov 2 variants of concern and maternal vaccination status on neonatal outcome
url https://bmjpaedsopen.bmj.com/content/9/1/e003109.full
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