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Should I Consider Getting the COVID-19 Vaccine?

COVID-19 and Fertility Treatment

As COVID-19 vaccines become more and more available in California, so to come questions regarding the vaccine and its safety profile in pregnant women and in those hoping to conceive soon. Here is a brief summary of the pertinent information regarding the vaccines as it may apply to our patients.

The only FDA-approved COVID-19 vaccine as of December 16, 2020, is an mRNA vaccine:

This type of vaccine is distinct from other forms of that are considered to be contraindicated in pregnancy, known as "live" vaccines (i.e. Rubella or varicella/Chicken Pox vaccines). Live vaccines have the theoretical potential of transmitting the virus to the fetus, and thus are not recommended to be administered in pregnancy, however the COVID-19 vaccine does not have the same theoretical risk.

No data supports increase risks of miscarriage or stillbirth with COVID-19 infection, however there are some risks of COVID-19 in pregnancy which include greater chances of severe COVID-19 symptoms, including hospitalizations and admission to intensitve care, as well as a higher risk of complications in pregnancy, including preterm deliveries, when comparied to pregnant women without COVID-19.

Recommendations regarding pregnancy and the COVID vaccine that are supported by The Society for Maternal-Fetal Medicine (sMFM) and the American College of Obstetricians and Gynecologists (ACOG) are:

The decision whether to receive the vaccine is highly dependent on each individual's risk/benefit profile. For further discussion and questions, schedule time to have a detailed discussion with your provider to help clarify any questions you may have.

Author
Dr. Nidhee Sachdev Dr. Nidhee Sachdev Nidhee Sachdev, MD has trained among the most prestigious and diverse medical programs in the country, including fellowship training in reproductive endocrinology and infertility at the prestigious New York University (NYU) Langone Fertility Center in New York City where she conducted research on preimplantation genetic screening (PGS) and the University of Chicago Medical Center, where she earned the academic distinction of chief resident in obstetrics and gynecology, and trained under a top recurrent pregnancy loss expert. Dr. Sachdev is passionate about providing individualized, collaborative patient care. She started her medical career right here in Orange County, earning her Doctor of Medicine at the University of California, Irvine, School of Medicine.

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