Cochrane · systematic review · CD015134

Respiratory syncytial virus vaccination during pregnancy for improving infant outcomes

Phijffer, EWEM, de Bruin, O, Ahmadizar, F, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 2 · 25%Low 2 · 25%Moderate 1 · 12.5%High 2 · 25%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Respiratory syncytial virus vaccine compared to placebo in pregnant woman

Population: pregnant woman
8 questions
OutcomeEffectEvidenceStatus / GRADE
Infant hospitalisation with laboratory‐confirmed RSV disease
Respiratory syncytial virus vaccine vs placebo
RR 0.5 [0.31, 0.82]4 studies · 12216 participantsHigh
Infant hospitalisation with clinically confirmed RSV disease
Respiratory syncytial virus vaccine vs placebo
no estimate extractedNRNo studies
Intrauterine growth restriction
Respiratory syncytial virus vaccine vs placebo
RR 1.32 [0.75, 2.33]4 studies · 12545 participantsModerate
Downgraded: imprecision
Stillbirth
Respiratory syncytial virus vaccine vs placebo
RR 0.81 [0.38, 1.72]5 studies · 12652 participantsLow
Downgraded: risk of bias, imprecision
Maternal death
Respiratory syncytial virus vaccine vs placebo
RR 3 [0.12, 73.5]3 studies · 7977 participantsLow
Downgraded: imprecision
Preterm birth
Respiratory syncytial virus vaccine vs placebo
RR 1.16 [0.99, 1.36]6 studies · 17560 participantsVery low
Downgraded: risk of bias, imprecision
Congenital abnormalities
Respiratory syncytial virus vaccine vs placebo
RR 0.96 [0.88, 1.04]4 studies · 12304 participantsHigh
Infant death
Respiratory syncytial virus vaccine vs placebo
RR 0.81 [0.36, 1.81]6 studies · 17589 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency