COVID Vaccination in Pregnant and Breastfeeding Individuals
COVID Vaccination in Pregnant and Breastfeeding Individuals
As U.S. vaccine distribution expands to include younger healthier populations, questions about vaccine safety in women of childbearing age have become more urgent. @UTSWMed's Catherine Y. Spong, MD and @emoryhealthcare's Denise J. Jamieson, MD, MPH, both eminent obstetrician/gynecologists, join JAMA's Q&A series to discuss the safety of the Pfizer/BioNTech and Moderna vaccination in pregnant and nursing moms, and in women trying to get pregnant. Recorded February 8, 2021.Topics discussed in this interview:
0:00 Introduction
0:55 Viewpoint co-authored by Dr Jamieson
2:16 Viewpoint co-authored by Dr Spong
3:09 Risks of COVID-19 for pregnant persons and fetuses
6:35 Zika and pregnancy, differences from COVID-19
8:14 Delivery and postpartum for COVID-19-positive pregnant persons
11:35 Testing for vertical transmission
12:32 COVID-19 vaccines and pregnancy
15:50 Advice to pregnant persons about COVID-19 vaccines
18:55 Vaccine availability across States
20:12 Differentiating between vaccines
22:08 Professional society recommendations
23:04 Legal liability, risks versus benefits
25:04 Vaccine preferences among pregnant persons
28:00 Previous infection and vaccination in pregnant persons
29:29 Vaccinated individuals helping with infant care
31:23 Breastfeeding and vaccine risks
32:37 Excluding pregnant and lactating persons from clinical trials
34:14 Ongoing trials
35:36 Can vaccinated family members transmit COVID-19
36:28 Antibodies in breastmilk
37:10 Surprises with COVID-19 and pregnancy
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