A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand
Issued Date
2024-12-01
Resource Type
eISSN
20452322
Scopus ID
2-s2.0-85186583530
Pubmed ID
38429388
Journal Title
Scientific Reports
Volume
14
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Scientific Reports Vol.14 No.1 (2024)
Suggested Citation
Chawanpaiboon S., Anuwutnavin S., Kanjanapongporn A., Pooliam J., Titapant V. A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand. Scientific Reports Vol.14 No.1 (2024). doi:10.1038/s41598-024-55867-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97549
Title
A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
To identify pregnant women’s attitudes towards, and acceptance and rejection of, COVID-19 vaccination. This prospective, descriptive, implementation study was conducted in the Antenatal clinic of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 pregnant women were interviewed. Phase II consisted of questionnaire development and data validation. In Phase III, the questionnaire was administered to 400 participants. Pregnant women’s attitudes towards and acceptance and rejection of COVID-19 vaccination. Most pregnant women were uncertain about the potential harm of vaccination to themselves or their unborn child, including risks such as miscarriage or premature birth (59–66/101 [58.4%–65.3%]; OR 2.53–8.33; 95% CI 1.23–3.60, 5.17–19.30; P < 0.001) compared to those who disagreed with vaccination. Their vaccination decisions were significantly influenced by social media information regarding vaccination complications in pregnant women (74/101 [73.3%]; OR 15.95; 95% CI 2.15–118.55; P = 0.001) compared to those who disagreed with vaccination. Most pregnant women opined that they should not receive a COVID-19 vaccination during pregnancy (adjusted odds ratio [AOR] 6.57; 95% CI 2.44–17.70; P = 0.001). Most also rejected vaccination despite being aware of its benefits (AOR 17.14; 95% CI 6.89–42.62; P < 0.001). Social media messages and obligatory vaccination certifications influence maternal vaccination decisions. Pregnant women believe vaccination helps prevent COVID-19 infection and reduces its severity. Nevertheless, the primary reason for their refusal was concern about potential harm to their unborn child or themselves during pregnancy. The Thai clinical trials registry: TCTR20211126006.