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Recommendations for planning a pregnancy
For women planning to become pregnant, vaccination, according to the doctor, should not differ from the recommendations for the general population. No additional side effects were observed for them, therefore, all the recommendations of international organizations, specialized societies, as well as the recommendations of Lithuanian obstetricians and gynecologists make it very clear that COVID-19 vaccination is safe and even recommended for women who plan Get pregnant.
“There is a fairly common myth that the COVID-19 vaccine can cause infertility, but like all myths, it is inherently impossible to trace the original source. Both the European Organization of Fertility Specialists and the international one make it very clear that this is a myth.
Photo by Marius Vizbaras / 15min / Rūta Nadišauskienė
Therefore, couples who are planning a pregnancy and even who have started assisted reproduction procedures can delay repeating the procedure for a few days after vaccination due to possible side effects (fever, muscle aches or bone fractures), but vaccination it is safe and recommended. Scientific data shows that there are no more miscarriages in this group among vaccinated women than among unvaccinated women, ”said R. Nadišauskienė.
Recommendations for pregnant women
As far as pregnant women are concerned, there are no very clear and strong recommendations so far, so vaccination is still recommended at this time.
“It is very important to evaluate the prevalence of infection in that community; what kind of work does a woman do, to what extent does she participate in activities where varied and unknown contacts are possible (doctors, social workers, women working in commerce, etc. are excluded here)
Another important factor to consider and discuss with your doctor is the illness that accompanies the pregnancy or that occurred before the pregnancy. These include diabetes, obesity, cardiovascular disease, especially hypertension. These women are at high risk of seriously developing COVID-19 infection.
In general, this infection is dangerous for women during pregnancy, even if they are young. Already due to the physiological changes during pregnancy, the function of the respiratory system becomes more difficult and there can be very serious complications ”, said the obstetrician-gynecologist.
There is currently no identified situation in which vaccination is not recommended for pregnant women. According to the doctor, in the future the individual sensitivity to the substances in the vaccine will probably simply be indicated.
“So far, there are no contraindications, so I want to reiterate that a woman needs to carefully assess all risks, discuss it with her loved ones and her doctor, and I believe that in the future this vaccine will be recommended as the flu.” currently recommended vaccine for all women during pregnancy.
There are also no clear recommendations regarding the weeks of pregnancy. Maybe they will. Studies in those women who were accidentally vaccinated while already pregnant, although they did not know it at the time, showed no major complications. So, at the moment, we couldn’t distinguish any week or a third of pregnancy; there is no scientific evidence for it. The World Federation of Obstetricians and Gynecologists clearly recommends that all women get vaccinated against COVID-19, ”said R. Nadišauskienė.
If side effects occur after vaccination, the pregnant woman can take anti-inflammatory drugs that reduce temperature and pain. The most serious, although very rare, complication of the vaccine is thromboembolism, but no such complication has been reported in pregnant women. Although pregnancy is a hypercoagulable condition (associated with increased blood clotting), the mechanism of increased blood clotting in pregnant women is different from normal, so the vaccine does not increase the risk of blood clotting.
Recommendations for breastfeeding women
Vaccination is also recommended for breastfeeding women, as COVID-19 protects not only the woman but also a newborn baby whose immune system is not yet mature. After all, antibodies enter the body through breast milk.
If you have side effects after the vaccine, you can take anti-inflammatory medications without stopping breastfeeding. It has also not been shown that the vaccine can harm a baby through breast milk if they are allergic to certain foods, especially since the vaccine contains a killed pathogen or no pathogens and only a small proportion is RNA.
“It is very important for all of us, not just specialists, to be interested in science-based facts, recommendations from the World Health Organization, international professionals, as well as the Lithuanian Society of Obstetricians and Gynecologists, and don’t trust myths. .
I would also like to remind you that even women vaccinated during this period must comply with hygiene and safety standards that are already common to all. A pregnant woman or a woman who plans to get pregnant should protect herself as much as possible and not increase her risk of developing one or another infectious disease, “the doctor advised.
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