CDC recommends COVID vaccines for pregnant people: what you need to know

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Pregnant people are often excluded from medical research, so when vaccines to protect against COVID-19 became available, most pregnant people looking for an answer came out empty-handed. COVID-19 Pandemic Shed light on pregnant and lactating people Lack of data collected on pregnancy in clinical trials, with an old status as “vulnerable” All three vaccines available in the United States You may have left you to screen out conflicting advice on how to best protect you and your child.

But on Wednesday, the Centers for Disease Control and Prevention became official recommendation Pregnant people are vaccinated with the COVID-19 vaccine. This indicates that there is increasing risk of serious illness in pregnant individuals with COVID-19 and that there is increasing evidence that the coronavirus vaccine does not increase the likelihood of miscarriage or harm to pregnancy. I have.

According to the CDC, the coronavirus vaccine is also recommended for those who are breastfeeding, are about to become pregnant, or want to become pregnant in the future.

This recommendation is consistent with other institutions that serve pregnant people, such as the American Society of Obstetrics and Gynecology and the Society of Maternal and Fetal Medicine.and Joint statement Last month, ACOG and SMFM recommended vaccination of pregnant people.

“Pregnant individuals need to be confident that choosing COVID-19 vaccination not only protects themselves, but also their families and communities,” said Martin Tucker, president of ACOG. The doctor says.

The announcement may still be confusing as it was made after a whirlwind of clashes of COVID-19 vaccine, pregnancy and childbirth advice and false information. Here’s what we know about the COVID-19 vaccine during pregnancy:

I’m pregnant. Do I need to get the COVID-19 vaccine?

In May, CNET spoke with Dr. Ella Speichinger, an OB-GYN at the University of Missouri Healthcare. She states that the known risk of COVID-19 is greater than the unknown risk of COVID-19 vaccination during pregnancy, so she recommends vaccination for patients.

“This applies to almost all vaccines, but COVID has a particularly emergency exemption and has not been studied in pregnant women, but it does,” says Speichinger. However, the concerns that pregnant people have about the COVID-19 vaccine are valid, she says. Because there is a lack of early research and information available to doctors. But at the same time, COVID-19 has a known risk, says Speichinger.

Pregnant people who are considering a vaccine should consult a doctor, she says.

The CDC’s current recommendation is that all people over the age of 12 should be vaccinated with the COVID-19 vaccine, including pregnant and lactating people.

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Preliminary data on about 35,000 pregnant women Those who obtained vaccination and volunteer information through the v-safe program have shown that pregnant women have the same vaccination side effects as non-pregnant women-temporary injection pain in the arm, Fatigue, headache, muscle aches, fever.

However, it is important to note that fever for any reason is associated with adverse effects of pregnancy. CDC recommends pregnant people People who have a fever after vaccination take acetaminophen to lower their body temperature.

I’m skeptical of vaccines. What is the risk of getting COVID-19 during pregnancy?

People who are pregnant and recently pregnant are at increased risk of serious illness due to COVID-19, including death. According to the CDCThere is also an increased risk of preterm birth (37 weeks ago) and other adverse effects of pregnancy.

Information on how dangerous COVID-19 is to pregnant people is currently available, but not always at the beginning of the pandemic, and pregnant people were not particularly highlighted as “high risk”. .. According to Speichinger, pregnant people are usually healthy and likely to be under the age of 40. However, recent research raises concerns. NS Published studies According to the American Journal of Obstetrics and Gynecology, pregnant women are three times more likely to be hospitalized with COVID-19. 13 times more likely to die From individuals of similar age who were not pregnant when infected with COVID-19.

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Pregnant people who have been vaccinated with the COVID-19 vaccine should monitor themselves for fever, a common side effect after vaccination, and take acetaminophen as needed. According to the CDC, fever during pregnancy is associated with adverse consequences.

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Why are pregnant people at such a high risk?

Speichinger says it is unknown, probably because the immune system of pregnant people is naturally suppressed and the body does not reject the growing foetation, or the body in which pregnancy initiates an immune response to COVID-19. It may be because it may change the method of.

“There were a lot of patients infected with COVID during pregnancy, but they were fine,” she says. “But there were certainly serious cases where the patient had to give birth early because the foetation couldn’t be oxygenated.”

In these cases, Speichinger states that the patient usually improved after childbirth, but it was delayed. It is also impossible to know who reacts badly to COVID-19 during pregnancy.

“It’s not really clear who gets sick in a healthy pregnant cohort,” she says.

Look at this:

You probably need more booster shots to defend …


In what semester do I need to be vaccinated?

Scientists who examined people who were vaccinated before the 20th week of pregnancy did not find an increased risk of miscarriage compared to those who did not, according to reports. v-safe Pregnancy registration. The early data available reflect late pregnancy vaccination.

Some people who postpone vaccination in the first semester may be due to the naturally high miscarriage rate in the first three months, which makes patients more cautious. According to the report, 9% to 80% of pregnancies end in miscarriage during the first semester, depending on the age of the patient. ACOG..

“Most people are worried in the first semester because the risk of miscarriage is generally very high,” says Speichinger. “Inflating miscarriage with vaccination leads to vaccination hesitation in the first semester.”

Studies show Parents vaccinated late in pregnancy may pass antibodies to their newborn.

What if I’m breastfeeding?

“If a woman is uncomfortable doing it during pregnancy, I think it’s definitely a good idea to get it while she’s breastfeeding,” says Speichinger. “All of these antibodies can pass through the milk and protect the baby while the mother is still producing these antibodies.”

There isn’t enough data to show how long that protection lasts, CDC report Breastfeeding people who receive the mRNA vaccine produce COVID-19 antibodies in their milk.

Is the type of vaccine important?

Moderna and Pfizer are mRNA vaccines and use new technologies. Provides instructions to our immune system How to make a protective protein. Johnson & Johnson’s, the third emergency vaccine available in the United States, uses viral vector technology. Deliver harmless viruses To our body that provokes an immune response. Viral vector vaccines, especially the Ebola vaccine, have been studied in pregnant and lactating people with no adverse effects. CDC..

Early studies currently available show that the mRNA vaccine is safe for pregnant women and that the miscarriage rate of women vaccinated with the COVID-19 vaccine is similar to that of unvaccinated women. ..and v-safe survey Of the 827 pregnant women vaccinated with COVID-19, about 14% experienced miscarriage. This is naturally within the expected range.

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Early data suggest that people who receive the COVID-19 vaccine during lactation or late pregnancy pass antibodies to newborns.

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After the FDA lifts pause Placed at Johnson & Johnson after reporting a blood clot (CDC identified 28 out of 8.7 million Johnson & Johnson vaccinated people, most of whom are women), the CDC statement Women under the age of 50 should be aware of the high risk of this still rare but serious form of blood clots and consider other vaccines that do not carry this risk. Given the demographics of blood clotting risk, Speichinger says her prejudice will direct pregnant patients to the Pfizer or Moderna vaccine.

“I still think the risk is very rare compared to the complications of COVID,” she says. “But if you have a choice, I would choose one of the other two.”

I want to get pregnant in the future. Does the COVID-19 vaccine make me infertile?

People’s fears about childbirth and vaccination are not limited to the COVID-19 vaccine, but that’s another story.Specific fears about infertility and the COVID-19 vaccine Posts revealed now Facebook claimed that the COVID-19 vaccine’s peaplomers are “similar” and that the vaccine will attack the proteins needed for placental formation in early pregnancy. Experts disprove this and not just have two proteins. “Have little in commonHowever, even if you are infected, you will get the same result if you are infected with COVID-19. There are no studies suggesting that people infected with COVID-19 will have more difficulty getting pregnant, and many have been pregnant since the beginning of the pandemic. ..

Speichinger states that the COVID-19 vaccine “cannot think of a theoretical reason” for causing infertility, and many pregnant patients are vaccinated. The only childbirth advice she offers is that if you are hesitant to vaccinate during pregnancy, you should try to be fully vaccinated before you become pregnant.

“It’s definitely worth delaying the cycle,” says Speichinger.

The information contained in this article is for educational and informative purposes only and is not intended to provide health or medical advice. Always consult your doctor or other qualified healthcare provider if you have any questions about your medical condition or health goals. CDC recommends COVID vaccines for pregnant people: what you need to know

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