Across rheumatic diseases

Obstetric outcomes in women with rheumatic disease and COVID-19 in the context of vaccination status

Rheumatology (Oxford)Published Descriptive registry study

Authors' conclusion

In this descriptive study, unvaccinated pregnant women with RMD and COVID-19 had a greater number of PTB compared with those fully vaccinated against COVID-19. Additionally, the need for COVID-19 pharmacological treatment was uncommon in pregnant women with RMD regardless of vaccination status.

Study context

Population
Pregnant women with rheumatic and musculoskeletal diseases (RMDs) who developed COVID-19 during pregnancy, registry data 24 March 2020–25 February 2022
Participants
73 pregnancies
Exposure
Unvaccinated vs one vaccine dose vs two or more doses before COVID-19 in pregnancy
  • Unvaccinatedn = 44reference
  • One dosen = 3
  • Fully vaccinatedn = 26
Outcome
Obstetric outcomes by COVID-19 vaccination status
Methodological detailsCOVID-19 Global Rheumatology Alliance registry, stratified by number of vaccine doses before infection
  • COVID-19 Global Rheumatology Alliance registry
  • Stratified by number of vaccine doses before infection

Main finding

As reported in the abstract

Preterm births

Observational data: associations, not effects.

Further findings

OutcomeUnvaccinatedFully vaccinated
COVID-19 resulted in delivery6.8%3.8%

Livebirths among completed pregnancies

Livebirths of 55 completed pregnancies
90.9% (50)
Ongoing pregnancies
24.7% (18)

COVID-19 treatment and hospitalisation (overall)

No treatment for COVID-19 required
83.6% (n = 61)
Hospital admission required
20.5% (n = 15)

Original publication

Obstetric outcomes in women with rheumatic disease and COVID-19 in the context of vaccination status. Rheumatology (Oxford). Published 19 September 2022. doi:10.1093/rheumatology/keac534

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