Pregnant women and Covid

4,394 Views | 54 Replies | Last: 3 yr ago by Cyp0111
aggierogue
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AG
Skillet Shot said:

It's tough to trust a recommendation based on science when the organization can't just say pregnant women and insist on pregnant people. I know it seems trivial. But it is a scientific and biologic certainty that biological women are the only sex capable of reproduction. If they are that susceptible to political pressures, it's difficult to trust their recommendation at face value.

Besides that, even with FDA approval for the general public, it often takes additional specific testing to get approval for pregnant women. This isn't even approved for the general population.

The lack of institutional trust really sucks. I think the vaccine makes sense for high risk. But I'm not convinced yet for pregnant women.
cbaker20
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This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.
KidDoc
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AG
cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.
I get this question a lot from pregnant moms. I currently recommend Moderna around 36-37 weeks of gestation so the neonate gets some placental protection as well. I would be cautious about vaccinating earlier in pregnancy for the reasons you mentioned.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
cbaker20
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Makes good sense as baby has a low risk of serious nicu time at that point if the vaccine reaction hastens eviction!
Wodanaz
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AG
cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.


Which did you end up taking? When and why? Breast-feeding?

Lots of young breast-feeding mothers are beginning to receive vaccine mandates and are looking for guidance on which vaccine best mitigates risks.
cbaker20
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I got Moderna. Finished the series in March when baby was almost at 6 months. Exclusive breastfeeding till that point and still nursing now.
Wodanaz
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AG
cbaker20 said:

I got Moderna. Finished the series in March when baby was almost at 6 months. Exclusive breastfeeding till that point and still nursing now.


Thank you!
bay fan
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planoaggie123 said:

Another Doug said:

PJYoung said:

Skillet Shot said:

It's tough to trust a recommendation based on science when the organization can't just say pregnant women and insist on pregnant people.
Wow, I completely missed that.



1. Women are people
2. The word women is used numerous times on the related links from the CDC

The CDC used "pregnant people" 10 times..."pregnant women" 1 time...seems like the 1 time was an accident.

I think we can all agree it is technically correct to say "pregnant people"...but lets not get it twisted...they are trying to be overly sensitive for the pregnant trans-gendered....
Yet it doesn't change the information they are conveying about an important subject unless you decide to get bogged down in words and politics. If you choose to ignore the cdc guidance because of pro nouns or use of people your mind is already made up regardless of facts.
planoaggie123
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AG
I think its ridiculous they use People vs Women. Not going to deny that.

It does not change my opinion on anything. I try to look at the facts and data when I make my decision.

I originally told the OP to ensure they have a doctor they trust. That is the best advice anyone can give / get.

The original poster had some mild concerns....which i think she is over at this point so we can maybe drop this pronoun topic...but Doug came in and made it seem like she was wrong and that "pregnant people" was the exception vs the rule but I just wanted to quickly highlight that to them in fact that CDC now uses "pregnant people" as the rule and "pregnant women" appears to be an exception/accident.
KidDoc
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AG
Wodanaz said:

cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.


Which did you end up taking? When and why? Breast-feeding?

Lots of young breast-feeding mothers are beginning to receive vaccine mandates and are looking for guidance on which vaccine best mitigates risks.
It has been specifically studied and appears to be safe:
Study of 180 breastfeeding mothers after mRNA COVID-19 vaccination (news-medical.net)

Small study though, I'm sure it is a challenge to get people to sign up for these.


No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
bay fan
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S
I just think even discussing the phrasing is looking for a reason to be offended which is absolutely pointless when the discussion (including the OP) should be about facts regarding the safety of the vaccine. The rest is just needless noise
txaggie_08
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KidDoc said:

cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.
I get this question a lot from pregnant moms. I currently recommend Moderna around 36-37 weeks of gestation so the neonate gets some placental protection as well. I would be cautious about vaccinating earlier in pregnancy for the reasons you mentioned.

Thanks for this information. My wife is currently about 8 weeks pregnant and neither of us are vaxxed. We are trying to decide what we can do as safety precautions, and what to do if she does happen to get Covid? As you mention, I'm a little concerned of her getting the vaccine at this stage, but also not sure what we do in the meantime if she were to get Covid. Are there any therapeutics that are okay for her?
PDEMDHC
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AG
Timeline for me and my wife. Everyone else - talk with your spouse and doctor. Do what feels comfortable. Turn off the internet and TikTok.

IUI treatments March and April 2021. Doctor did not recommend vaccine for my wife while on all these hormones.

Failed attempts, so took break. I got Pfizer in April and May.

Received second dose on day of conception.

Wife is 14 weeks pregnant. She received Pfizer vaccine weeks 9 and 12 of pregnancy. OBGYN said the important thing is to get vaccinated to avoid hospital risk during labor.

Wife is fine, baby is fine. Wife has had a rough pregnancy health wise but she did this in a prior miscarriage, so par for the course it seems for her. Lots of bed rest and water.

Edit - had wrong weeks for wife and updated.
KidDoc
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AG
txaggie_08 said:

KidDoc said:

cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.
I get this question a lot from pregnant moms. I currently recommend Moderna around 36-37 weeks of gestation so the neonate gets some placental protection as well. I would be cautious about vaccinating earlier in pregnancy for the reasons you mentioned.

Thanks for this information. My wife is currently about 8 weeks pregnant and neither of us are vaxxed. We are trying to decide what we can do as safety precautions, and what to do if she does happen to get Covid? As you mention, I'm a little concerned of her getting the vaccine at this stage, but also not sure what we do in the meantime if she were to get Covid. Are there any therapeutics that are okay for her?
Just vitamins, masking, hand hygiene at this stage.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Cyp0111
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My wife got the vaccine about 8 months pregnant last year. Pfizer, she and baby were fine and have a health 5 mth old. It was an extremely difficult decision at the time but we spent a lot of time with her OBGYN discussing and it was the best choice in our situation for my wife and son. Tough times.
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bay fan
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txaggie_08 said:

KidDoc said:

cbaker20 said:

This is just my opinion as someone who gave birth during 8/2020 and didn't have the vaccine available- I would get the Moderna vaccine ideally several months before conceiving. The mechanism of the mRNA vaccines does not suggest any problems would develop after it takes effect. I didn't have that option due to the timing, but I would have been more cautious about receiving it during pregnancy. I am a physician.

Any intense illness that causes fever can increase the risk of miscarriage and birth defects in the first trimester, and the reaction to these vaccines can be intense. This may not make you feel better, but the tDap and flu shots commonly given during pregnancy don't have any specific approval for pregnant women either as far as I know. We think they are safe due to the accumulation of observed data over time.

The cardiopulmonary changes during pregnancy do make pregnant women higher risk, but like all categories in covid infection, most do fine and have mild disease. As I sometimes tell my patients though, if the 1% is you those stats don't really matter much anymore.
I get this question a lot from pregnant moms. I currently recommend Moderna around 36-37 weeks of gestation so the neonate gets some placental protection as well. I would be cautious about vaccinating earlier in pregnancy for the reasons you mentioned.

Thanks for this information. My wife is currently about 8 weeks pregnant and neither of us are vaxxed. We are trying to decide what we can do as safety precautions, and what to do if she does happen to get Covid? As you mention, I'm a little concerned of her getting the vaccine at this stage, but also not sure what we do in the meantime if she were to get Covid. Are there any therapeutics that are okay for her?
If you aren't comfortable having her vaccinated now, minimally you should get vaccinated to decrease the chance of you bringing it home to her.
From all I have read, the vaccine is safe for pregnant women but I would do as her obgyn says, not the internet. Last, factor in that by late in her pregnancy, it's better then nothing but honestly, a woman feels pretty generally bad anyway and I am not sure I'd want to deal with flu like symptoms in additional to all other aches, pains and exhaustion as well as give up the relative peace of mind one could have the entire pregnancy.
jopatura
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AG
My OB has had some nasty outcomes with babies & COVID, so she recommends getting vaccinated once you're out of the first trimester. She says it's safe in the first trimester, but most miscarriages happen then and she doesn't want to destroy someone's trust in the medical field even more by recommending the vaccine and then they miscarry by some other reason.

I'm currently 15 weeks pregnant. I got vaccinated with Pfizer before I got pregnant. I'm not sure if I will get the booster while I'm pregnant. I should get it in October if I follow the 8 months recommendation but I'm not due until February. I will really have to discuss with my OB. If I get it, I lean towards KidDoc's recommendation of 36-37 weeks. I did qualify in the 2B group before I got pregnant, so it is something I will need to really consider. If I have gestational diabetes, I would probably get it right away since my OB says that's a bad combo with COVID.
AColunga07
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AG
Congrats!

Wife got the vaccine during 2nd trimester under OB/GYN who was also a pregnant woman getting vaxed. Both babies and mothers came out ok.

I friends cousin did not get vaccinated and got COVID while pregnant. She had to be hospitalized and they did an early delivery/c-section to save the baby. The mother ended up pulling through but it was a very close call. She almost left her 5 children motherless.
GeographyAg
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AG
I hesitate to post it because it's just one person's story, but this came up on my Facebook feed this morning and it seemed pertinent to this thread.

https://www.nbcnews.com/news/us-news/my-missing-piece-nurse-who-lost-baby-covid-highlights-risks-n1277351?fbclid=IwAR3Ze1NJa1WhPnHkGANGeBI_Saeb4UH0_OWjl45bw0Q3_U7lfInf_oRjLZs
If I’m posting, it’s actually Mrs GeographyAg.
Mr. GeographyAg is a dedicated lurker.
Cyp0111
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The reason my wife got vaccinated. Did not want to leave our 2 yr old without a mother.
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