Infants born to mothers vaccinated before, during, or soon after pregnancy for COVID-19 or flu were more likely to receive vaccines than those born to unvaccinated mothers, suggests a study published in Pediatrics.
“The results show that maternal vaccination is strongly associated with infant vaccination in the first year of life, especially when vaccination occurred during pregnancy or shortly after delivery,” wrote the study’s authors, from Kaiser Permanente Northern California. “Improving maternal vaccine coverage during those times may improve child vaccine coverage, ensuring continuous protection in early life.”
Implications for policymaking, intervention development
The researchers looked at 82,533 mother-infant pairs in a retrospective cohort study of babies born from August 18, 2021, to March 31, 2024, to see how mothers’ vaccination status affected their babies’ likelihood of receiving flu or COVID-19 vaccines.
The mothers of 32,370 babies (39% of the total) received a COVID-19 vaccine during pregnancy, and 43,806 babies (53%) were born to mothers who received a flu shot while pregnant.
Improving maternal vaccine coverage during those times may improve child vaccine coverage, ensuring continuous protection in early life.
If moms received a COVID-19 vaccine during pregnancy, their babies were 9.65 times more likely to also receive the COVID-19 vaccine. Moms who received a flu shot had babies who were 3.67 times more likely to also receive one. Babies had a 66.2% probability of getting a flu shot and a 23.4% chance of getting a COVID vaccine before they turned 1 year.
“Our findings also suggest that some women may not be comfortable being vaccinated during pregnancy but are willing to vaccinate their infants; differences in attitudes toward vaccinating themselves vs their children have been observed in qualitative studies of parents, although not specifically around pregnancy,” the authors wrote. “Future studies examining the interplay of these factors will be an important part of making policy and developing interventions.”