5 Essential Insights on Pregnancy and the COVID Vaccine from a High-Risk OB

On August 11, the CDC made a significant announcement, urging all individuals who are pregnant to receive the COVID vaccine. Dr. Rochelle Walensky, the CDC director, emphasized the importance of vaccination for those expecting, those considering pregnancy, and breastfeeding individuals to safeguard against COVID-19. With the surge of the Delta variant and vaccination rates among pregnant individuals hovering around just 25%, this guidance comes at a critical time.

We consulted Dr. Emily Carter, a prominent maternal-fetal specialist in New York City, to discuss the latest recommendations and what expectant mothers need to know about the COVID vaccine.

Most Pregnant Individuals Should Get Vaccinated

Both the CDC and the American College of Obstetricians and Gynecologists (ACOG) advocate for COVID vaccination among pregnant individuals. Dr. Carter supports this view, stating that “most pregnant patients should absolutely get the vaccine.” She advises that there is typically no reason to delay vaccination and that it can be safely administered at any point during pregnancy.

Increased Risk of Severe COVID in Pregnant Individuals

Pregnant individuals face a heightened risk of severe illness from COVID-19. Dr. Carter notes that even those with no pre-existing conditions can find themselves hospitalized due to COVID. Research shows that pregnant patients have a threefold increase in ICU admissions and a higher risk of requiring mechanical ventilation, along with increased chances of complications for both mother and baby, such as preterm birth and an elevated risk of stillbirth.

The COVID Vaccine is Safe

Dr. Carter reassures that the COVID vaccines are safe for expectant mothers. “There’s no evidence pointing to any risks of infertility or menstrual irregularities associated with the vaccine,” she states. Furthermore, early CDC analyses have shown no safety concerns for vaccinated pregnant individuals, with no increased risk of miscarriage reported in those vaccinated during the first 20 weeks.

Pfizer and Moderna Vaccines are Recommended

Dr. Carter encourages pregnant individuals to opt for the Pfizer or Moderna vaccines, citing their effectiveness against the Delta variant. While the Johnson & Johnson vaccine has been previously studied, it has been associated with a lower level of protection and a rare risk of blood clots. The CDC has issued a caution for women under 50 regarding this risk.

Benefits of Vaccination Outweigh the Risks

The overarching conclusion is clear: pregnant individuals, whether high-risk or not, face increased risks from COVID-19. Vaccination is both safe and effective. Dr. Carter notes that vaccination not only protects the mother but may also confer immunity to the baby. Experts agree that the benefits of vaccination significantly outweigh any theoretical risks, especially in light of the current high transmission rates of COVID-19.

Dr. Carter emphasizes the importance of appreciating the vaccine as a vital tool in preventing the severe consequences observed in the past year. To gain further insights on pregnancy and related topics, visit this blog post and check out CDC’s excellent resource for more information on pregnancy.

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In summary, the latest guidelines from health authorities strongly recommend COVID vaccination for pregnant individuals due to the increased risks associated with COVID-19. Vaccination is deemed safe and effective, with notable benefits for both the mother and baby.