If you are pregnant or breastfeeding, should you get the Covid-19 vaccination when it becomes available to you?
If you are pregnant or breastfeeding, and have questions about the Covid-19 vaccine, please talk to your health care provider. The following reputable sources can help you in deciding what to do. Academy of Breastfeeding Medicine: "During lactation, it is unlikely that the vaccine lipid would enter the blood stream and reach breast tissue. If it does, it is even less likely that either the intact nanoparticle or mRNA transfer into milk. In the unlikely event that mRNA is present in milk, it would be expected to be digested by the child and would be unlikely to have any biological effects." "While there is little plausible risk for the child, there is a biologically plausible benefit. Antibodies and T-cells stimulated by the vaccine may passively transfer into milk." https://www.bfmed.org/ Infant Risk Center: "As for breastfeeding, little or none of these vaccine components would ever reach the milk compartment, or even be transferred into human milk. Even if they were, they would simply be digested like any other protein by the infant. It is our opinion, that the present group of vaccines are probably going to be quite safe for breastfeeding mothers. The infant may even gain a small amount of maternal IgG in the breastmilk, which may even be beneficial." https://www.infantrisk.com/ ACOG: ACOG recommends that COVID-19 vaccines should not be withheld from pregnant individuals who meet criteria for vaccination based on ACIP-recommended priority groups. https://www.acog.org/.../vaccinating-pregnant-and... American Academy of Pediatrics: "Pregnancy and breastfeeding will probably not be contraindications to receiving COVID-19 vaccine; however, there is no safety data in the pregnant woman, her fetus or infants at this time. While these vaccines were not specifically tested in breastfeeding women, it is not likely (based on the mechanisms of action of the vaccines in US trials) that there would be any risk to the child." https://services.aap.org/.../covid-19-vaccine-frequently.../
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AuthorBeth Sanders, BSN, RN, IBCLC Categories
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