Abstract
COVID-19 infection during pregnancy causes higher rates of morbidity and mortality of the pregnant individual and of the fetus, as compared to nonpregnant individuals. Approved vaccines are effective in preventing infection and serious illness and are safe both for the pregnant individual and for the fetus.
Ethically, based on the principles of beneficence and non-maleficence, healthcare providers should encourage, council, and recommend to every pregnant individual at any stage of pregnancy to accept the vaccination. In cases of hesitancy, healthcare providers ought to explore the reasons for the hesitancy, explain the reasons in favor of vaccination, alley unfounded fears, refute fake information, and strongly recommend vaccination.
If, despite best efforts to convince vaccination, the pregnant individual refuses, she should not be coerced to be vaccinated based on the principle of autonomy.
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Steinberg, A. (2023). Pregnancy: Ethical Issues of Vaccine Refusal. In: Schenker, J.G., Birkhaeuser, M.H., Genazzani, A.R., Mettler, L., Sciarra, J.J. (eds) Hot Topics in Human Reproduction. Reproductive Medicine for Clinicians, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-031-24903-7_3
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