“Women in healthcare face many layers of concern about the Eagles a simple man I like riding horses and believe in Jesus shirt it is in the first place but coronavirus—becoming sick due to potentially increased exposure, experiencing pregnancy complications due to infection, and infecting their family members or patients,” says Fradin. “Accordingly, these women may feel that the benefits of the vaccine for their health, their family’s health, and their patients’ health are considerable and sufficient to justify taking a vaccine that is likely safe before having access to further research.” The Society for Maternal-Fetal Medicine has been highlighting the heightened risk to pregnant healthcare workers and advocating on their behalf for vaccine access, should they elect to take it. The U.K.’s regulatory health agency, the MHRA, advised against pregnant and lactating women using the vaccine, but the U.S. FDA has given the go-ahead. Groups including the American College of Obstetrics and Gynecology and the Society for Maternal-Fetal Medicine are supporting the vaccine being offered to pregnant and lactating individuals, and the American Society for Reproductive Medicine is recommending it. Though there isn’t currently data that offers additional reassurance, many experts say that the general CDC guidelines for vaccinating pregnant women should apply: that when the likelihood of disease exposure is high, the benefits outweigh the risks. Additionally, the results of animal studies conducted by Moderna and Pfizer are all promising. But the decision will, ultimately, come down to the pregnant individual, and whatever they decide should be supported. Like so many things that come up when you’re pregnant or trying to conceive, be prepared to talk about the merits of vaccination with your doctor or practitioner. “The most important things to discuss with your doctor are the risk of contracting the virus, the risk of severe disease due to comorbidities, and the most current safety data available,” adds Leftwich. The CDC has also created an app called V-Safe that will track any potential effects of the vaccine on people who received it while pregnant. Despite nursing mothers being excluded from Pfizer’s clinical trials, the Academy of Breastfeeding Medicine released a statement yesterday stating that, for individuals who are vaccinated against COVID-19, they do not recommend the cessation of breastfeeding. According to Fradin, there is no reason to suspect the vaccine would be unsafe for those who are breastfeeding. “There is no component of this vaccine which poses a particular concern, nor is it a live vaccine that will replicate or spread significantly beyond locally at the injection site where it will generate spike protein,” she says. The ABM’s statement underscores that it is unlikely that the vaccine lipid would enter the bloodstream and reach breast tissue, and if it did, it would be even less likely that the intact nanoparticle or mRNA would transfer into milk. Fradin adds that the protection from the vaccine will likely extend to the nursing infant as well. “We know from experiences with other illnesses that vaccinating the caregivers and parents protects the children and infant from exposure to the virus, so this cocooning is an indirect benefit to consider.”
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