{"id":347,"date":"2021-08-23T11:45:57","date_gmt":"2021-08-23T11:45:57","guid":{"rendered":"https:\/\/prd-www.mccdn.io\/vitals\/?p=347"},"modified":"2024-02-14T23:47:07","modified_gmt":"2024-02-14T23:47:07","slug":"covid-19-vaccines-and-pregnancy-what-you-should-know","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/covid-19-vaccines-and-pregnancy-what-you-should-know\/","title":{"rendered":"COVID-19 vaccines and pregnancy: what you should know","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Should you get a COVID-19 vaccine if you\u2019re pregnant, breastfeeding or planning to become pregnant?<\/p>\n<p>In short, the answer is yes. Recently, the <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/recommendations\/pregnancy.html\">Centers for Disease Control and Prevention<\/a>(CDC),\u00a0<a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/coronavirus-covid-19-pregnancy-and-breastfeeding\">American College of Obstetricians and Gynecologists<\/a>\u00a0(ACOG) and\u00a0<a href=\"https:\/\/www.smfm.org\/\">Society for Maternal-Fetal Medicine<\/a>\u00a0updated their guidance to recommend that pregnant, postpartum and lactating people should receive a COVID-19 vaccination. Currently, everyone 12 and older is eligible.<\/p>\n<p>We spoke with Loren Molina, MD, medical director of <a href=\"https:\/\/updates-www.mccdn.io\/services\/pregnancy\/family-birth-centers\/tacoma-general-family-birth-center\/\">MultiCare Tacoma General Hospital\u2019s Birth Center<\/a>, to better understand this change in guidance. Dr. Molina is a board-certified OB\/GYN specializing in maternal-fetal medicine, focusing on patients with high-risk pregnancies.<\/p>\n<h2>New data sheds light<\/h2>\n<p>One reason leading health care organizations have amended vaccine guidance for pregnant and lactating people is the emergence of new safety data from two voluntary CDC registries.<\/p>\n<p>As of August 2021, there have been over 148,000 pregnancies reported in the CDC\u2019s v-safe After Vaccination Health Checker. This registry collects health information from people who received a COVID-19 vaccine and no safety concerns have been raised in those who are pregnant.<\/p>\n<p>The second registry, called the v-safe COVID-19 Vaccine Pregnancy Registry, \u00a0directly enrolls those who are pregnant to track their outcomes after vaccination. Researchers then compare the experiences and outcomes of participants to the general pregnant population.<\/p>\n<p>As of August 2021, there were over 5,000 people enrolled in the registry, and there have been <strong>no indications<\/strong> that the COVID-19 vaccines lead to increased pregnancy complications, such as miscarriage, preterm birth, fetal growth restriction or stillbirth, or adverse outcomes for newborns.<\/p>\n<p>\u201cIt\u2019s common practice that pregnant women are not included in initial drug or vaccine trials,\u201d says Dr. Molina. \u201cTherefore, observational data is our next best source of safety information. This observational data suggests the COVID-19 vaccines pose no increased pregnancy risks for people who are pregnant or their babies.\u201d<\/p>\n<p>And that\u2019s not all \u2014 there may be even more positive news for newborns. Initial research findings indicate that vaccine-generated antibodies (proteins that fight viruses) are present in umbilical cord blood and breastmilk after maternal vaccination.<\/p>\n<h2>The danger of the delta variant<\/h2>\n<p>Another reason the COVID-19 vaccine guidelines are shifting is the rise of the delta variant, a highly contagious form of the virus that causes COVID-19.<\/p>\n<p>\u201cIn the beginning of the pandemic, many pregnant women with COVID-19 experienced mild symptoms or none at all,\u201d says Dr. Molina. \u201cHowever, there are now higher numbers of critically ill, unvaccinated pregnant patients with COVID-19 who are being admitted to hospitals and intensive care units worldwide.\u201d<\/p>\n<p><a href=\"https:\/\/www.vaccines.gov\/\">According to the CDC<\/a>, pregnant people with COVID-19 face an increased risk of severe illness as well as preterm birth (delivering a baby earlier than 37 weeks).<\/p>\n<p>\u201cThese changing circumstances have created a real sense of urgency,\u201d says Dr. Molina. \u201cWe are encouraging all our patients who are pregnant or breastfeeding to get vaccinated.\u201d<\/p>\n<p>In general, those who are pregnant or lactating can expect to experience the same vaccine side effects as the overall population \u2014 and these are not considered harmful.<\/p>\n<h2>What hasn\u2019t changed<\/h2>\n<p>While the global spread of the delta variant along with new information about safety have prompted an update in COVID-19 vaccine guidance, there are some recommendations that remain the same.<\/p>\n<p>People who are planning to become pregnant in the future, should still get vaccinated. Dr. Molina cited a statement from the American College of Obstetricians and Gynecologists that dispels the notion that COVID-19 vaccines cause infertility. According to ACOG, \u201cunfounded claims linking COVID-19 vaccines to infertility have been scientifically disproven.\u201d<\/p>\n<p>Any of the currently authorized COVID-19 vaccines can be administered to pregnant, recently pregnant or lactating people, as well as those planning to get pregnant. The Johnson &amp; Johnson single dose vaccine has been associated with a rare occurrence of blood clots in women under 50, but still remains available to all women. The <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/different-vaccines\/mrna.html\">two-shot mRNA vaccines<\/a> (Pfizer and Moderna) are also available and do not carry this clotting risk.<\/p>\n<p>Aside from getting vaccinated, the best way to protect yourself and your loved ones from COVID-19 is to continue following community guidelines regarding masking and physical distancing.<\/p>\n<p>\u201cIt\u2019s important to stay informed because we are learning more all the time,\u201d says Dr. Molina. \u201cPatients should reach out to their providers if they have questions or concerns about the vaccine.\u201d<\/p>\n<p>For more information about pregnancy and COVID-19, visit the <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/recommendations\/pregnancy.html\">Centers for Disease Control and Prevention<\/a> and <a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/coronavirus-covid-19-pregnancy-and-breastfeeding\">American College of Obstetricians and Gynecologists.<\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Should you get a COVID-19 vaccine if you\u2019re pregnant, breastfeeding or planning to become pregnant? In short, the answer is yes. Recently, the Centers for Disease Control and Prevention(CDC),\u00a0American College of Obstetricians and Gynecologists\u00a0(ACOG) and\u00a0Society for Maternal-Fetal Medicine\u00a0updated their guidance to recommend that pregnant, postpartum and lactating people should receive a COVID-19 vaccination. Currently, everyone [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[51,115],"tags":[31],"class_list":["post-347","post","type-post","status-publish","format-standard","hentry","category-covid-19","category-womens-health","tag-featured-stories"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>COVID-19 vaccines and pregnancy: what you should know - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Should you get a COVID-19 vaccine if you\u2019re pregnant, breastfeeding or planning to become pregnant? 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