Infectious Disease

Specialists say pregnant girls ought to be supplied the COVID-19 vaccine

January 06, 2021

2 min read

Source / information

Disclosure:
Hartman reports that he is a clinical investigator for AstraZeneca. Minkin says she works as a consultant for Pfizer on women’s health issues. Wharton reports that he has written and edited various ACOG publications.

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The American College of Obstetricians and Gynecologists says pregnant patients who meet recommendations of the Advisory Committee on Immunization Practices should be offered a COVID-19 vaccine.

The recommendation only applies to the current vaccines that have received emergency approval (EUA) from the FDA, the organization recently announced in a practical report.

Recent studies have shown that symptomatic pregnant patients with COVID-19 have an increased risk of more severe illness, ICU admissions, mechanical ventilation, and death than non-pregnant patients William Hartman, MD, PhD, Principal Investigator for AstraZeneca’s COVID-19 Vaccine Study on the University of Wisconsin Madison Campus and Assistant Professor of Anaesthesiology.

He told Healio Primary Care that the lack of “established safety or efficacy data for pregnant women” among currently approved vaccines should not deter health professionals from offering them.

William Hartman

“Various vaccines have been given safely to pregnant women for decades without any problem,” Hartman said. “In addition, the COVID-19 vaccines have been shown to be safe and effective in non-pregnant individuals, and the mRNA does not get into cell nuclei so there is no change in the individual’s genome.”

Kurt R. Wharton, MD, FACOG, The vice chairman of obstetric surgery and medical director of the Family Birth Center at Beaumont Hospitals – Royal Oak, Michigan and professor at the William Beaumont School of Medicine at Oakland University also said COVID-19 vaccines are safe to give to pregnant women .

“It is absolutely certain that the majority of women will receive a vaccine if they are pregnant, breastfeeding or planning to become pregnant in the near future, as the majority of these women meet the criteria set by the Advisory Committee on Immunization Practices,” he told Healio Primary Care.

The opinion encourages pregnant patients and their health care teams to have discussions about the vaccine that cover “important” topics such as:

  • the level of activity of the virus in the community;
  • the potential effectiveness and safety of the vaccine; and
  • the risk and potential severity of maternal diseases, including the adverse events that COVID-19 could have in the fetus and newborn.

Mary Jane Minkin, MD, The clinical professor of obstetrics and gynecology at the Yale School of Medicine admitted these conversations will be “difficult”.

Mary Jane Minkin

“A doctor would feel terrible if a person got really sick from COVID,” Minkin said in an interview. “Pregnant women who reject the vaccine should be supported in their decision as there is no right or wrong answer as there really is not much literature on the subject.”

According to the opinion, breastfeeding and non-breastfeeding women should be offered the vaccine. Like Minkin, ACOG stated that pregnant patients who refuse the vaccine should be supported in their decision.

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