Original Investigation

The Role of Vaccination in Maternal and Perinatal Outcomes Associated With COVID-19 in Pregnancy

JAMA 10.1001/jama.2025.21001

December 15, 2025 at 11:00 AM EST

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Is COVID-19 vaccination associated with a lower risk of adverse outcomes for cases of SARS-CoV-2 in pregnancy?This study (n = 19 899) demonstrated that among individuals with SARS-CoV-2 in pregnancy, COVID-19 vaccination was associated with a lower risk of maternal hospitalization (Delta: relative risk [RR], 0.38; Omicron: RR, 0.38) and critical care unit admission (Delta: RR, 0.10; Omicron: RR, 0.10), as well as preterm birth (Delta: RR, 0.80; Omicron: RR, 0.64) in both the Delta and Omicron variant time periods.COVID-19 vaccination is associated with a lower risk of severe disease and preterm birth regardless of variant time period.

Corresponding Author: Deborah Money, MD, Department of Obstetrics and Gynecology, University of British Columbia, C425, 4500 Oak St, Vancouver, BC V6H 3N1, Canada (deborah.money@ubc.ca).

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