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Should I Consider Getting the COVID-19 Vaccine?

The COVID-19 Vaccine: An OC Fertility Guide

Many people are aware that the first batches of COVID-19 vaccines have been made available in the state of California. As a result, we have received several 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 admistered 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.

Dr. Nidhee Sachdev

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