Premature birth risk from Pfizer’s RSV jab for pregnant women, experts say

A new vac­cine from Pfiz­er that aims to pro­tect babies from a poten­tial­ly dead­ly res­pi­ra­to­ry virus could have a hid­den dan­ger: it might increase the chance of pre­ma­ture birth.

That’s the warn­ing from some experts who want more rig­or­ous scruti­ny of the vac­cine, which tar­gets res­pi­ra­to­ry syn­cy­tial virus (RSV), a com­mon win­ter bug that can cause severe ill­ness in infants.

The vac­cine is designed to be giv­en to women in their third trimester of preg­nan­cy, to pass on anti­bod­ies to their unborn babies. It is not yet approved, but it could get the green light from reg­u­la­tors in the US and UK lat­er this year.

How­ev­er, anoth­er vac­cine mak­er, Glax­o­SmithK­line, stopped its own tri­al of a sim­i­lar vac­cine in Feb­ru­ary, after find­ing a high­er risk of pre­ma­ture birth among vac­ci­nat­ed women.

Pfiz­er did not report any safe­ty con­cerns in its own tri­al, which involved more than 4,000 women. But some experts say that the data need to be re-exam­ined with more sen­si­tive methods.

RSV is a very com­mon virus that usu­al­ly caus­es mild symp­toms like a cold. But it can be fatal in young chil­dren, espe­cial­ly in low and mid­dle income countries.

In 2019, RSV was respon­si­ble for 3.6 per cent of all deaths in chil­dren aged one to six months world­wide, with 97 per cent of these deaths occur­ring in poor­er countries.

Pfiz­er said its vac­cine was effec­tive against severe RSV that required med­ical atten­tion in chil­dren. It also said there were no sig­nif­i­cant dif­fer­ences in pre­ma­ture births between vac­ci­nat­ed and unvac­ci­nat­ed women.

But experts say that more research is need­ed to con­firm the safe­ty and effec­tive­ness of the vac­cine before it is rolled out to preg­nant women.

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