This document discusses the importance of implementing COVID-19 vaccination for pregnant and lactating women. It recommends that pregnant individuals receive the Pfizer or Moderna vaccines. Due to waning immunity, it also recommends that pregnant women receive a Pfizer booster dose at least six months after their initial two doses. Counseling with medical providers is advised to discuss safety and efficacy. While theoretical concerns exist, the benefits of vaccination for lactating individuals outweigh the risks. Pregnant women can receive vaccination at any point during pregnancy, though the second trimester may be safest.

1. IMPLEMENTATION OF
COVID-19 VACCINATION FOR
PREGNANT AND LACTATING
WOMEN
Dr. Maria Cristina R. Ramajo, RM, RN, MAN

2. 01 02
DISCUSS
The importance of the
implementation of COVID-19
Vaccine for pregnant and
lactating women.
IDENTIFY
The recommended vaccine for
pregnant and lactating
women.
OBJECTIVES

3. INTRODUCTION
Vaccination against infectious pathogens is one of the
most impactful health intervention, reducing global
morbidity and mortality related to infection
(Woodwork et al., 2020, CDC, a, 2021). In the US
alone, nearly 99,000 pregnant people have been
infected with COVID-19, resulting in 109 maternal
deaths to date (CDC, a, 2021).

4. COVID-19
INFECTION RISK IN
PREGNANCY
01.

5. Pregnant and recently pregnant
patients with COVID-19 are at
increased risk of more severe illness
compared to non-pregnant peers
(Ellington MMWR et al., 2020-2021).
Available data indicates increased
risks of ICU admission, need for
mechanical ventilation and
ventilatory support (ECMO). Deaths
reported in pregnancy with
symptomatic non-pregnant women
(Zambrano MMWR, 2020, Khan, 2021)

6. COVID-19
VACCINATION
02.

7. American College of Obstetrics
and Gynecology recommends
that pregnant individuals be
vaccinated against COVID-19. As
of September 18, 2021, only 31%
of pregnant individuals have
been vaccinated against
COVID-19 (CDC, Covid Data
Tracker).

8. COVID-19
Vaccines
03.

10. COVID-19
Boosters during
Pregnancy
04.

11. Due to potential illness and
death from SARS-COV-2
infection during pregnancy, in
addition to waning immunity,
ACOG, recommends that
pregnant women receive a
booster dose of Pfizer or other
variants at least six (6) months,
following of two (2) doses.

12. Lactating
Individual
05.

13. ACOG, recommends that
lactating individuals be
vaccinated against COVID-19.
Theoretical concerns regarding
the safety of vaccinating
lactating individuals, does not
outweigh the potential benefits
of receiving the vaccine.

14. COVID-19 Vaccine
Counseling
06.

15. Individual should have access to
available information about the
safety and efficacy of the
vaccine. A conversation between
the patient and their clinical
team, may assist with decisions
regarding COVID-19 vaccination
during pregnancy.

16. Addition
Vaccination
Considerations
07.

17. ● Covid-19 may occur in any given
setting.
● If fever occurs give Acetaminophen.
● Patient who did not receive the
vaccine, should be documented
and address questions and
concerns.
● All eligible persons, including
pregnant and lactating individuals
must receive COVID-19 vaccine.

18. When should
pregnant women
get vaccinated?
08.

19. According to India’s health ministry,
expectant mother can get vaccinated
at any point of time during
pregnancy. But doctors want them to
exercise some caution. “I feel you can
take it in your Second trimester
because by then the baby’s organs
have also developed. Though it is not
a live virus, I think the second
trimester will be safer overall.” Stated
by Say Gupta.

20. —Benjamin Franklin
“An ounce of prevention
is worth a pound of
cure.”

21. CREDITS: This presentation template was created by
Slidesgo, including icons by Flaticon, infographics &
images by Freepik and illustrations by Storyset
THANKS
TERIMA KASIH