On August 11, the CDC made a significant declaration, urging all pregnant individuals to receive the COVID vaccine. CDC Director, Dr. Amy Johnson, emphasized, “We strongly advocate that all pregnant individuals, those considering pregnancy, and those who are breastfeeding get vaccinated to shield themselves from COVID-19.” She added, “The vaccines are both safe and effective; increasing vaccination rates is more urgent than ever.”
This guidance arrives amidst a surge in cases driven by the Delta variant, with only about 25% of pregnant individuals having received at least one vaccine dose, according to CDC data. We consulted Dr. Sam Thompson, a leading high-risk maternal-fetal OBGYN based in New York City, to discuss the updated recommendations and what expectant parents should know about the COVID vaccine.
Most Pregnant Patients Should Get Vaccinated
Both the CDC and the American College of Obstetricians and Gynecologists (ACOG) encourage vaccination for all pregnant individuals, a sentiment echoed by Dr. Thompson. He confirmed that “the vast majority of pregnant patients should get the vaccine,” noting that it is rare to advise against vaccination at this time. He emphasized that pregnant individuals can and should get vaccinated as soon as it’s available, without waiting for a specific trimester.
Higher Risk of Severe COVID in Pregnant Individuals
Pregnant individuals are at a heightened risk for severe illness from COVID. Dr. Thompson pointed out that even those with “no risk factors” can end up hospitalized due to COVID infection. Data indicates a threefold increase in ICU admissions for pregnant individuals, along with a two-and-a-half times higher likelihood of requiring mechanical ventilation, and a significant increase in mortality risk.
The dangers extend beyond the mother. Dr. Emily Carter, head of obstetrics at a prominent medical center, stated that complications can include preterm birth, increased risk of preeclampsia, and sadly, a heightened risk of stillbirth.
The COVID Vaccine is Safe
Dr. Thompson reassured that the vaccines are safe, stating, “There’s no harm in taking the vaccine. There’s no risk of infertility or menstrual irregularities. It’s very safe and effective.” He noted no adverse outcomes linked to the vaccine during childbirth. Early CDC data supports his view, showing no safety concerns for vaccinated pregnant individuals, and no increased risk of miscarriage for those vaccinated during the first 20 weeks of pregnancy.
Pfizer and Moderna are Preferred Vaccines for Pregnant Individuals
Dr. Thompson recommends the Pfizer or Moderna vaccines for pregnant individuals, explaining that the Johnson & Johnson vaccine offers lower protection against the Delta variant and has been linked to blood clotting risks. Although early studies showed no major safety concerns with Johnson & Johnson, the CDC has advised women under 50 to be cautious of rare blood clot risks associated with it.
Benefits of Vaccination Outweigh the Risks
In summary, pregnant individuals, regardless of risk factors, face an increased chance of serious illness from COVID. Vaccination is safe and effective, providing protection for the individual and evidence suggests immunity may be passed to the baby. Dr. Thompson highlighted that the benefits of vaccination far outweigh any potential risks, and experts agree that the current benefits of vaccination amid high COVID transmission rates surpass any theoretical risks.
As Dr. Thompson emphasized, “We were fortunate to develop this vaccine quickly to prevent a repeat of last year’s challenges. It’s crucial to appreciate the vaccine.”
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In summary, pregnant individuals are encouraged to get vaccinated against COVID-19 due to heightened risks associated with the virus. The vaccines are proven safe, and the benefits of vaccination significantly outweigh any potential risks.
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