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Discusses Canadian surveillance showing higher risks of COVID-19 hospitalization, ICU/critical care admission, and preterm birth, and links worse maternal outcomes with factors such as advanced age, preexisting hypertension, and later gestational age at diagnosis. Emphasizes that most vaccinated individuals were not vaccinated, making shared choice and reconsidering vaccination urgency a key clinical issue.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/encourage-women-to-receive-covid-19-vaccination-before-during-and-after-pregnancy/436803/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/encourage-women-to-receive-covid-19-vaccination-before-during-and-after-pregnancy/436803.png","ImageObject",300,407,{"name":92,"@type":93},"นรินทร์","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why does the editorial emphasize COVID-19 vaccination during pregnancy?","Question",{"text":112,"@type":113},"Because evidence-based knowledge for pregnancy was initially scarce, and later findings indicate meaningful increases in adverse maternal and perinatal risks for pregnant women infected with SARS-CoV-2. The editorial also notes that most pregnant women with COVID-19 did not receive vaccination.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What key outcomes were reported in the Canadian surveillance study?",{"text":117,"@type":113},"The results showed significantly increased risks of COVID-19-related hospitalization, ICU/critical care admission, and a strong association with preterm birth among pregnant women with COVID-19 compared with the general reproductive-age population.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the editorial address vaccine hesitancy and decision-making?",{"text":121,"@type":113},"It explains hesitancy during the early authorization period due to pregnant people being excluded from initial vaccine trials, while arguing for shared choice between health providers and pregnant/lactating women regarding vaccination.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436803,1790811286,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},2336475104957,"https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136",".  \nJ Chin MedAssoc  \nEDITORIAL  \nEncourage women to receive COVID-19 vaccination before, during and after pregnancy  \nWen-Ling Leea,b,c, Szu-Ting Yangb,d, Peng-Hui Wangb,d,e,f,*  \naDepartment of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan, ROC; bInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cDepartment of Nursing, Oriental Institute of Technology, New Taipei City, Taiwan, ROC; dDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; eFemale Cancer Foundation, Taipei, Taiwan, ROC; fDepartment of Medical Research, China Medical University Hospital, Taichung, Taiwan, ROC  \nThe outbreak of coronavirus disease 2019 (COVID-19), the novel severe acute respiratory syndrome (SARS)-coronavirus (CoV)-2 pathogen-related disease, pandemic results in a catastrophic shock to the world, and subsequently contributes to significant changes in daily life and social activity, and harms to personal health and wealth worldly.1–5 As a new disease, evidence-based knowledge, such as prevention, diagnosis, and management about COVID-19 in pregnant women is still scarce, although some can follow previous experience in facing influenza, SARS, and Middle East respiratory syndrome in women before, during, and after pregnancy.1–5 A recent Canadian Surveillance of COVID-19 in pregnancy tried to clarify whether SARS-CoV-2 infection during pregnancy is associated with an increased risk of adverse maternal and perinatal outcomes or not, and they used the strategy to compare 6012 pregnant women with COVID-19 and cases of COVID-19 among the general Canadian population of reproductive-age female individuals to respond to the above question.6 As expected, the results showed that there was a significantly increased risk of COVID-19-related hospitalization (7 .75% vs. 2.93%, relative risk [RR], 2 .65; 95% confidence interval [CI], 2 .41–2. 88) as well as an increased risk of intensive care unit/critical care unit admission (2 .01% vs. 0.37%; RR, 5.46; 95% CI, 4.50–6.52), and also strongly associated with the risk of preterm birth (11.05% vs. 6.76%; RR, 1.63; 95% CI, 1.52–1.76), further supporting the negative impact on reproduc  \ntive outcome in pregnant women infected by SARS-CoV-2 .6  \nAdditionally, the study also confirmed our previous review showing that increasing age, preexisting hypertension, and greater gestational age at diagnosis were significantly associated with worse maternal outcomes.1,2 In fact, Canada’s information seems to be not new, as there are many studies that show the untoward outcomes of pregnancy and perinatal outcomes in pregnant  \n*Address Correspondence. Dr. Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail addresses: phwang@vghtpe.gov.tw](ROC. E-mail addresses: phwang@vghtpe.gov.tw); [pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang)  \nConflicts of interest: Dr. Peng-Hui Wang, an editorial board member at Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2022) 85: 737-738.  \nReceived May 7, 2022; accepted May 12, 2022.  \ndoi: 10. 1097/JCMA.0000000000000745.  \nCopyright © 2022, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nwomen when they get COVID-19 infection.1,7,8 However, oneof the critical findings about their study is that 98.7% of pregnant women with COVID-19 (3318/3361) did not receive anyone dose of vaccination.6 Therefore, the issue of addressing the COVID-19 vaccination for pr","cbCaiqaZYARh4OLO","https://ap.wps.com/l/cbCaiqaZYARh4OLO","pdf",291777,"English","# Editorial\n## Rationale and evidence for vaccination in pregnancy\n## Canadian surveillance findings and associated risks\n## Vaccine hesitancy and policy for shared decision-making","[{\"question\":\"Why does the editorial emphasize COVID-19 vaccination during pregnancy?\",\"answer\":\"Because evidence-based knowledge for pregnancy was initially scarce, and later findings indicate meaningful increases in adverse maternal and perinatal risks for pregnant women infected with SARS-CoV-2. The editorial also notes that most pregnant women with COVID-19 did not receive vaccination.\"},{\"question\":\"What key outcomes were reported in the Canadian surveillance study?\",\"answer\":\"The results showed significantly increased risks of COVID-19-related hospitalization, ICU/critical care admission, and a strong association with preterm birth among pregnant women with COVID-19 compared with the general reproductive-age population.\"},{\"question\":\"How does the editorial address vaccine hesitancy and decision-making?\",\"answer\":\"It explains hesitancy during the early authorization period due to pregnant people being excluded from initial vaccine trials, while arguing for shared choice between health providers and pregnant/lactating women regarding vaccination.\"}]","Encourage women to receive COVID-19 vaccination before, during and after pregnancy | PDF",1790679097]