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  • Original Article/Obstetrics

    Factors Related to Low COVID-19 Vaccination Rate in Pregnant and Postpartum Women with and without COVID-19

    Rev Bras Ginecol Obstet. 2023;45(11):638-645

    Summary

    Original Article/Obstetrics

    Factors Related to Low COVID-19 Vaccination Rate in Pregnant and Postpartum Women with and without COVID-19

    Rev Bras Ginecol Obstet. 2023;45(11):638-645

    DOI 10.1055/s-0043-1772589

    Views3

    Abstract

    Objective

    This study focused on pregnant and postpartum women during the COVID-19 pandemic, aiming to determine the attitudes and behaviors of vaccinated and unvaccinated groups, and the vaccination behaviors in the groups with and without the disease. The reasons for refusing the vaccine were also questioned.

    Methods

    This cross-sectional study was performed from September 2021 to October 2021. The study data were collected using a face-to-face questionnaire. The participants were pregnant women who applied to the hospital for routine antenatal care and were hospitalized, and women in the postpartum period. Additionally, pregnant and postpartum patients who were diagnosed with COVID-19 at the time of admission and were hospitalized and admitted to the intensive care unit due to this disease were also included in the study.

    Results

    A total of 1,146 pregnant and postpartum women who completed the questionnaire were included in our study. Only 43 (3.8%) of the participants were vaccinated; 154 (13.4%) of the participants had comorbidities. The number of COVID-19-positive patients was 153. The lack of sufficient information about the safety of the COVID-19 vaccine is the most common reason for the refusal.

    Conclusion

    Vaccine refusal can significantly delay or hinder herd immunity, resulting in higher morbidity and mortality. Considering the adverse effects of COVID-19 on pregnancy, it is essential to understand pregnant and postpartum women's perceptions toward vaccination to end the pandemic.

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    Factors Related to Low COVID-19 Vaccination Rate in Pregnant and Postpartum Women with and without COVID-19
  • Original Article

    Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?

    Rev Bras Ginecol Obstet. 2021;43(1):9-13

    Summary

    Original Article

    Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?

    Rev Bras Ginecol Obstet. 2021;43(1):9-13

    DOI 10.1055/s-0040-1721355

    Views1

    Abstract

    Objective

    We evaluated risk factors to determine if there were specific risk factors that could predict massive bleeding in nulliparous women with placenta previa.

    Methods

    The participants were classified into two groups. Women with a calculated blood loss ≥ 1,000mL were included in the massive bleeding group. Women without any signs or symptoms related with hypovolemia or with a calculated bleeding volume < 1,000 mL were categorized into the non-massive bleeding group.

    Results

    There were 28 patients (40.6%) with massive bleeding and 41 cases (59.4%) with non-massive bleeding. The calculated blood loss and number of cases that required red cell transfusions were statistically different between the groups (< 0.005 and 0.002, respectively). There were no statistically significant differences in terms of maternal or fetal factors, placental location, or delivery characteristics between the two groups.

    Conclusion

    We could not determine the predictive features for massive hemorrhage based on clinical features, delivery features, or placental location.

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