COVID-19 Vaccine in Pregnancy/Lactation

The COVID-19 vaccine has not been tested in pregnant or lactating women.  There is currently no safety data on COVID-19 vaccines in pregnant women, or the safety of COVID-19 vaccines in lactating women, or the effects of the mRNA vaccines on the fetus, the breastfed infant or milk production/excretion.  The mRNA vaccines (Pfizer and Moderna) are not live virus vaccines.  These vaccines do not enter the cell nucleus so cannot cause genetic changes.  There are currently animal and reproductive toxology studies happening and planned trials which will include pregnant women.   These vaccines are considered theoretically safe.

 

Currently statements from The Society of Maternal Fetal Medicine (SMFM), the CDC, and the American Congress of OB/GYN (ACOG) recommend considering the vaccine for pregnant or lactating patients who meet criteria for vaccination according to ACIP-priority groups.  If you are pregnant or lactating and are part of a group that is recommended to receive a COVID-19 vaccine you may choose to be vaccinated.

 

Factors to consider include:
– The level of the COVID-19 in your community

-Your personal risk of exposure to the virus (i.e. health care worker, essential workers)

-The risk of coronavirus to maternal and fetal health (increased risk for severe illness, ICU stay, need for respirator, maternal death)

-Safety and efficacy of the vaccine

-Side effects of the vaccine (injection site reactions, fatigue, fever, muscle/joint pain, headaches).  Side effects typically resolve within three days.  If you are pregnant and develop fever as a side effect, Tylenol is recommended for treatment.

 

Further information can be found using these links

ACOG

https://www.acog.org/en/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-Pregnant-and-Lactating-Patients-Against-COVID-19

 

SMFM

https://s3.amazonaws.com/cdn.smfm.org/media/2591/SMFM_Vaccine_Statement_12-1-20_(final).pdf

https://s3.amazonaws.com/cdn.smfm.org/media/2632/FDA_final.pdf

 

CDC

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html

 

Please let your provider know if you would like further guidance on whether to get vaccinated.

We do not currently have any information on when our office will receive the vaccine.

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