Publications by authors named "I Goldfarb"
Is gravidity associated with COVID-19 vaccination among pregnant women in Jamaica?
Reprod Female Child Health
September 2024
Introduction: In 2021, Jamaica's maternal mortality ratio doubled as a result of COVID-19-related deaths. Yet, COVID-19 vaccination among pregnant Jamaican women remained low. In the United States, COVID-19 vaccination is lower among pregnant women who have had multiple pregnancies (multigravidas) versus women who were pregnant for the first time (primigravidas).
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- Pregnant individuals hospitalized for COVID-19 showed lower long-term adverse outcomes compared to nonpregnant individuals, despite challenges faced during hospitalization.
- Data from 2020-2021 indicated that while nonpregnant participants had more comorbidities and higher rates of mechanical ventilation, pregnant participants had a significantly lower rate of complications and mortality.
- Over 18 months post-hospitalization, pregnant individuals had a lower readmission rate, suggesting any increased risks associated with pregnancy may diminish shortly after delivery.
Objective: COVID-19 vaccination is a key approach to reduce morbidity and mortality in pregnant patients and their newborns. Anti-vaccine sentiment has recently increased with unclear impact on pregnant patients. We examined the association between acceptance of tetanus-diphtheria-acellular pertussis (Tdap) and influenza vaccines, considered to be routine pregnancy vaccines, and COVID-19 vaccine acceptance.
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