Table 1.

UK/US Advisory Body Recommendations on SARS-CoV-2 Vaccination of Pregnant and/or Lactating People

Advisory BodySummary of RecommendationsLink to Recommendations
Public Health England/Medicines and Healthcare products Regulatory Agency (MHRA)“As a matter of caution, COVID-19 vaccine is therefore not routinely advised in pregnancy but there are some circumstances in which the potential benefits of vaccination are particularly important for pregnant women.”https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy
Royal College of Obstetricians and Gynaecologists (RCOG)“Trials testing the vaccine in pregnant and breastfeeding women have not yet taken place. Whether to get the vaccine in pregnancy is your choice.”https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-24-combined-info-sheet-and-decision-aid.pdf
Centers for Disease Control and Prevention (CDC)“Getting vaccinated is a personal choice. Any of the currently authorized COVID-19 vaccines can be offered to people who are pregnant or breastfeeding.”https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html
American College of Obstetricians and Gynecologists (ACOG)“COVID-19 vaccines should not be withheld from pregnant individuals.... COVID-19 vaccines should be offered to lactating individuals similar to non-lactating individuals.”https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19
Society for Maternal-Fetal Medicine (SMFM)“SMFM strongly recommends that pregnant and lactating people have access to the COVID-19 vaccines and that they engage in a discussion about potential benefits and unknown risks with their healthcare providers regarding receipt of the vaccine.”https://s3.amazonaws.com/cdn.smfm.org/media/2838/Provider_Considerations_for_Engaging_in_COVID_Vaccination_Considerations_3-3-21_(final).pdf
American Society for Reproductive Medicine (ASRM)“Patients undergoing fertility treatment and pregnant patients should be encouraged to receive vaccination based on eligibility criteria. Since the vaccine is not a live virus, there is no reason to delay pregnancy attempts because of vaccination administration or to defer treatment until the second dose has been administered.”https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/covid-19/covidtaskforceupdate13.pdf
Academy of Breastfeeding Medicine (ABM)“The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19. Individuals who are lactating should discuss the risks and benefits of vaccination with their health care provider, within the context of their risk of contracting COVID-19 and of developing severe disease.”https://www.bfmed.org/abm-statement-considerations-for-covid-19-vaccination-in-lactation
Advisory BodySummary of RecommendationsLink to Recommendations
Public Health England/Medicines and Healthcare products Regulatory Agency (MHRA)“As a matter of caution, COVID-19 vaccine is therefore not routinely advised in pregnancy but there are some circumstances in which the potential benefits of vaccination are particularly important for pregnant women.”https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy
Royal College of Obstetricians and Gynaecologists (RCOG)“Trials testing the vaccine in pregnant and breastfeeding women have not yet taken place. Whether to get the vaccine in pregnancy is your choice.”https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-24-combined-info-sheet-and-decision-aid.pdf
Centers for Disease Control and Prevention (CDC)“Getting vaccinated is a personal choice. Any of the currently authorized COVID-19 vaccines can be offered to people who are pregnant or breastfeeding.”https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html
American College of Obstetricians and Gynecologists (ACOG)“COVID-19 vaccines should not be withheld from pregnant individuals.... COVID-19 vaccines should be offered to lactating individuals similar to non-lactating individuals.”https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19
Society for Maternal-Fetal Medicine (SMFM)“SMFM strongly recommends that pregnant and lactating people have access to the COVID-19 vaccines and that they engage in a discussion about potential benefits and unknown risks with their healthcare providers regarding receipt of the vaccine.”https://s3.amazonaws.com/cdn.smfm.org/media/2838/Provider_Considerations_for_Engaging_in_COVID_Vaccination_Considerations_3-3-21_(final).pdf
American Society for Reproductive Medicine (ASRM)“Patients undergoing fertility treatment and pregnant patients should be encouraged to receive vaccination based on eligibility criteria. Since the vaccine is not a live virus, there is no reason to delay pregnancy attempts because of vaccination administration or to defer treatment until the second dose has been administered.”https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/covid-19/covidtaskforceupdate13.pdf
Academy of Breastfeeding Medicine (ABM)“The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19. Individuals who are lactating should discuss the risks and benefits of vaccination with their health care provider, within the context of their risk of contracting COVID-19 and of developing severe disease.”https://www.bfmed.org/abm-statement-considerations-for-covid-19-vaccination-in-lactation

Abbreviations: COVID-19, coronavirus disease 2019; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

Table 1.

UK/US Advisory Body Recommendations on SARS-CoV-2 Vaccination of Pregnant and/or Lactating People

Advisory BodySummary of RecommendationsLink to Recommendations
Public Health England/Medicines and Healthcare products Regulatory Agency (MHRA)“As a matter of caution, COVID-19 vaccine is therefore not routinely advised in pregnancy but there are some circumstances in which the potential benefits of vaccination are particularly important for pregnant women.”https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy
Royal College of Obstetricians and Gynaecologists (RCOG)“Trials testing the vaccine in pregnant and breastfeeding women have not yet taken place. Whether to get the vaccine in pregnancy is your choice.”https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-24-combined-info-sheet-and-decision-aid.pdf
Centers for Disease Control and Prevention (CDC)“Getting vaccinated is a personal choice. Any of the currently authorized COVID-19 vaccines can be offered to people who are pregnant or breastfeeding.”https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html
American College of Obstetricians and Gynecologists (ACOG)“COVID-19 vaccines should not be withheld from pregnant individuals.... COVID-19 vaccines should be offered to lactating individuals similar to non-lactating individuals.”https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19
Society for Maternal-Fetal Medicine (SMFM)“SMFM strongly recommends that pregnant and lactating people have access to the COVID-19 vaccines and that they engage in a discussion about potential benefits and unknown risks with their healthcare providers regarding receipt of the vaccine.”https://s3.amazonaws.com/cdn.smfm.org/media/2838/Provider_Considerations_for_Engaging_in_COVID_Vaccination_Considerations_3-3-21_(final).pdf
American Society for Reproductive Medicine (ASRM)“Patients undergoing fertility treatment and pregnant patients should be encouraged to receive vaccination based on eligibility criteria. Since the vaccine is not a live virus, there is no reason to delay pregnancy attempts because of vaccination administration or to defer treatment until the second dose has been administered.”https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/covid-19/covidtaskforceupdate13.pdf
Academy of Breastfeeding Medicine (ABM)“The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19. Individuals who are lactating should discuss the risks and benefits of vaccination with their health care provider, within the context of their risk of contracting COVID-19 and of developing severe disease.”https://www.bfmed.org/abm-statement-considerations-for-covid-19-vaccination-in-lactation
Advisory BodySummary of RecommendationsLink to Recommendations
Public Health England/Medicines and Healthcare products Regulatory Agency (MHRA)“As a matter of caution, COVID-19 vaccine is therefore not routinely advised in pregnancy but there are some circumstances in which the potential benefits of vaccination are particularly important for pregnant women.”https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy
Royal College of Obstetricians and Gynaecologists (RCOG)“Trials testing the vaccine in pregnant and breastfeeding women have not yet taken place. Whether to get the vaccine in pregnancy is your choice.”https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-24-combined-info-sheet-and-decision-aid.pdf
Centers for Disease Control and Prevention (CDC)“Getting vaccinated is a personal choice. Any of the currently authorized COVID-19 vaccines can be offered to people who are pregnant or breastfeeding.”https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html
American College of Obstetricians and Gynecologists (ACOG)“COVID-19 vaccines should not be withheld from pregnant individuals.... COVID-19 vaccines should be offered to lactating individuals similar to non-lactating individuals.”https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19
Society for Maternal-Fetal Medicine (SMFM)“SMFM strongly recommends that pregnant and lactating people have access to the COVID-19 vaccines and that they engage in a discussion about potential benefits and unknown risks with their healthcare providers regarding receipt of the vaccine.”https://s3.amazonaws.com/cdn.smfm.org/media/2838/Provider_Considerations_for_Engaging_in_COVID_Vaccination_Considerations_3-3-21_(final).pdf
American Society for Reproductive Medicine (ASRM)“Patients undergoing fertility treatment and pregnant patients should be encouraged to receive vaccination based on eligibility criteria. Since the vaccine is not a live virus, there is no reason to delay pregnancy attempts because of vaccination administration or to defer treatment until the second dose has been administered.”https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/covid-19/covidtaskforceupdate13.pdf
Academy of Breastfeeding Medicine (ABM)“The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19. Individuals who are lactating should discuss the risks and benefits of vaccination with their health care provider, within the context of their risk of contracting COVID-19 and of developing severe disease.”https://www.bfmed.org/abm-statement-considerations-for-covid-19-vaccination-in-lactation

Abbreviations: COVID-19, coronavirus disease 2019; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

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