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. 2018 Feb 1;2018(2):CD001269. doi: 10.1002/14651858.CD001269.pub6

pcb Heikkinen 2012.

Methods Prospective cohort study assessing the safety of pandemic MF‐59 adjuvanted influenza vaccine (Focetria) during pregnancy
Participants Pregnant women recruited in midwife practices and hospitals in the Netherlands (n = 4281), Argentina (n = 239), and Italy (n = 9). Altogether, 4508 pregnant women were included: 2295 were vaccinated and 2213 were not immunised. There were 4522 live births and 18 intrauterine deaths (2310 born from vaccinated and 2213 from unvaccinated mothers). 3 months' follow‐up data were available for 4385 babies.
Interventions Monovalent pandemic H1N1, MF‐59 adjuvanted flu vaccine Focetria (Novartis Vaccine and Diagnostics, Cambridge, MA, USA). Among the 2295 vaccinated pregnant women, 1724 received 2 doses, 571 received 1 dose.
Outcomes
  • Gestational diabetes

  • Pre‐eclampsia

  • Spontaneous abortion

  • Stillbirth

  • Live birth

  • Low birth weight

  • Preterm birth

  • Neonatal death

  • Congenital malformation

Notes "This study was supported by Novartis Vaccines and Diagnostics"
Risk of bias
Bias Authors' judgement Support for judgement
PCS/RCS ‐ selection exposed cohort 
 All outcomes Unclear risk Unclear
PCS/RCS ‐ selection non‐exposed cohort 
 All outcomes Unclear risk Unclear
PCS/RCS ‐ comparability 
 All outcomes High risk  
PCS/RCS ‐ assessment of outcome 
 All outcomes Low risk  
Summary assessment High risk Unclear