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Changing rules, recommendations, and risks: COVID-19 vaccination decisions and emotions during pregnancy

Author

Listed:
  • Lara McKenzie

    (The University of Western Australia
    Macquarie University)

  • Samantha J. Carlson

    (The University of Western Australia
    Telethon Kids Institute)

  • Christopher C. Blyth

    (Telethon Kids Institute
    The University of Western Australia
    Perth Children’s Hospital
    PathWest Laboratory Medicine)

  • Katie Attwell

    (The University of Western Australia)

Abstract

As COVID-19 vaccinations rolled out globally from late 2020, rules and recommendations regarding vaccine use in pregnancy shifted rapidly. Pre-registration COVID-19 vaccine trials excluded those who were pregnant. Initial Australian medical advice did not routinely recommend COVID-19 vaccines in pregnancy, due to limited safety data and little perceived risk of local transmission. Advice from local medical authorities changed throughout 2021, however, with recommendations and priority access during pregnancy. In Western Australia (WA), recommendations became requirements as the State government mandated vaccines for some workers, with brief availability of pregnancy exemptions. Through an examination of 10 in-depth interviews with WA pregnant women, we explore their decision-making and complex emotions regarding COVID-19 vaccinations, and how they balanced mandates, recommendations, and shifting considerations and perceptions of risk. Changing recommendations and rules—and media and popular interpretation and communications of these—led to confusion, including for medical professionals. Expectant parents had to negotiate the risks of COVID-19 disease, potential benefits and risks of vaccination, professional and personal costs of vaccine refusal, and interpret mixed medical advice. Our findings can inform the development and communication of public health policies and medical advice, and contribute to our understanding of bodily autonomy, risk, and decision-making beyond the pandemic.

Suggested Citation

  • Lara McKenzie & Samantha J. Carlson & Christopher C. Blyth & Katie Attwell, 2024. "Changing rules, recommendations, and risks: COVID-19 vaccination decisions and emotions during pregnancy," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
    • Handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-03004-6
    DOI: 10.1057/s41599-024-03004-6
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    References listed on IDEAS

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    1. Aysegul Celikel & Ayfer Ustunsoz & Gulten Guvenc, 2014. "Determination of vaccination status of pregnant women during pregnancy and the affecting factors," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(15-16), pages 2142-2150, August.
    2. Wiley, Kerrie E. & Leask, Julie & Attwell, Katie & Helps, Catherine & Degeling, Chris & Ward, Paul & Carter, Stacy M., 2020. "Parenting and the vaccine refusal process: A new explanation of the relationship between lifestyle and vaccination trajectories," Social Science & Medicine, Elsevier, vol. 263(C).
    3. Reich, Jennifer A., 2016. "Of natural bodies and antibodies: Parents' vaccine refusal and the dichotomies of natural and artificial," Social Science & Medicine, Elsevier, vol. 157(C), pages 103-110.
    4. Reich, Jennifer A., 2020. "“We are fierce, independent thinkers and intelligent”: Social capital and stigma management among mothers who refuse vaccines," Social Science & Medicine, Elsevier, vol. 257(C).
    5. Çelik, Kezban & Turan, Sevgi & Üner, Sarp, 2021. "I'm a mother, therefore I question”: Parents' legitimation sources of and hesitancy towards early childhood vaccination," Social Science & Medicine, Elsevier, vol. 282(C).
    6. Howell, Jennifer L. & Gasser, Melissa L. & Kaysen, Debra & Lindgren, Kristen P., 2022. "Understanding parental vaccine refusal: Implicit and explicit associations about vaccines as potential building blocks of vaccine beliefs and behavior," Social Science & Medicine, Elsevier, vol. 310(C).
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