COVID-19ワクチン接種と出生数減少の関連は認められないと結論(No association between COVID-vaccine and decrease in childbirth)

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2026-02-05 リンショーピング大学

スウェーデンのリンショーピング大学の研究チームは、新型コロナウイルス(COVID-19)ワクチン接種と出生数の減少との間に関連は認められないとする研究結果を発表した。全国規模の人口・医療レジストリを用い、ワクチン接種状況と出産件数の推移を詳細に分析したところ、接種を受けた女性と受けていない女性の間で、妊娠率や出生数に有意な差は確認されなかった。一部で懸念されていた「ワクチンが生殖能力や出生に悪影響を及ぼす」との主張は、科学的根拠がないことが示された。本研究は、感染症流行下での出生動向の変化は社会的・経済的要因による影響が大きいことを示唆し、ワクチンの安全性と公衆衛生上の信頼性を裏付ける重要な知見を提供している。

<関連情報>

スウェーデンでは、COVID-19ワクチン接種と出産率に関連性はない COVID-19 vaccination carries no association with childbirth rates in Sweden

Dennis Nordvall,Thomas Schön,Jorma Hinkula,Olle Eriksson,Armin Spreco,Örjan Dahlström,Johan Lyth,Daniel Axelsson,Elin Gursky,Marie Blomberg & Toomas Timpka
Communications Medicine  Published:21 January 2026
DOI:https://doi.org/10.1038/s43856-026-01396-x  An unedited version of this manuscript

Abstract

Background

Speculative claims about COVID-19 vaccines affecting fertility and childbirth have circulated widely. We aimed to examine whether COVID-19 vaccination is causally associated with childbirth in Swedish women.

Methods

We conducted a cohort study using a representative population of 369,000 to emulate a randomized experiment, comparing childbirth rates between vaccinated and unvaccinated women. Cox proportional hazards models were applied, treating vaccination as a time-varying covariate. Causal modeling was used to adjust for potential bias. To capture vaccine effects on both conception and established pregnancies, the index event was set at an estimated conception date, 280 days prior to childbirth.

Results

We show that with an assumed average pregnancy length of 280 days, there are no statistically significant associations between COVID-19 vaccination and childbirth (unadjusted HR = 0.94 (95% CI 0.89-1.00); adjusted HR = 1.03 (95% CI 0.97-1.09). Assuming a shorter pregnancy length (266 days), the associations between vaccination and childbirth remain insignificant (unadjusted HR = 0.96 (95% CI 0.90-1.02); adjusted HR = 1.04 (95% CI 0.98-1.11)). Neither are there statistically significant associations between COVID-19 vaccination and recorded miscarriages (unadjusted HR = 0.84 (95% CI 0.69-1.03); adjusted HR = 0.86 (95% CI 0.70-1.05).

Conclusions

COVID-19 vaccination is not associated with a decrease in childbirth after adjusting for common confounding factors. These findings provide evidence to support vaccination policies for women of childbearing age.

Plain Language Summary

Early, unfounded rumors spread during the COVID-19 pandemic claimed that mRNA vaccination could cause infertility. Later, suspicions were raised regarding whether reductions in childbirth observed during the pandemic were associated with the novel COVID-19 vaccines. We therefore study effects of COVID-19 vaccination in a representative population of Swedish women, and adjust for any confounding effects. No association is observed between COVID-19 vaccination and childbirth, or between vaccination and recorded miscarriages. We thus find no evidence for any connections between COVID-19 vaccination and the observed decrease in childbirth. Our results are relevant for consideration when vaccination policies involving women of childbearing age are determined.

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