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Covid vaccine: what to do in pregnancy and breastfeeding?

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“Italian pregnant women, those who are breastfeeding and those looking for a child are confused, they do not know whether or not to vaccinate against Covid. We must give them a clear, univocal answer as soon as possible. An answer that, despite our requests, does not it still arrives, it still does not arrive, but it is necessary. We can no longer wait “, are the words of Antonio Chiantera, president Sigo, the Italian Society of Gynecology and Obstetrics, which together with Sin, the Italian Society of Neonatology and Simp, the Italian Society of Perinatal Medicine, with a joint statement asks the institutions to clarify the issue of vaccines and pregnancy, and more generally also on the topic of vaccines and women. To recover as soon as possible a situation of “very serious confusion”, they say, and also not to compromise the vaccination campaign.

“Every day – says Chiantera – we receive messages from patients who fear abortion because they have undergone vaccination when they did not know they were pregnant, from pregnant women who are afraid to get vaccinated, and from women who would like a child but postpone conception, moreover, all this in a moment of strong and worrying denatality, which as we know today represents a huge social problem. We have offered collaboration to the institutions, but still today we do not receive adequate answers from the government, the scientific committee, and yet we have solicited them. reality in which attempts are made to vaccinate the entire population, there is a general misinformation and the absence of official documents “.

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Fixed points

In fact, scientific societies have for some time expressed themselves on vaccination against Sars-Cov-2 and women, defining some points very clearly: pregnant women must be considered a fragile population, vaccination is not contraindicated in pregnancy, nor is it contraindicated. breastfeeding, nor in women taking hormonal contraceptives, and there is no scientific data that hypothesizes the repercussions of vaccination on male or female reproductive potential (i.e. on the ability to have children), finally no supportive therapy or investigation is recommended before getting vaccinated.

The scientific societies that deal with women and infants expect clear communication from the minister and the institutions for all Italian women, who are entitled to it and that – they ask – the vaccination campaign begins – they ask – to direct the vaccination campaign towards a massive and intensive vaccination of pregnant women because without an immediate national agreement there is the risk of consolidating the widespread disorientation by damaging the effectiveness of the vaccination campaign itself, but above all of causing potential harm to the woman and the unborn child.

No risk for the unborn child, far from it

A proposal for the unborn child “Maternal vaccination protects the newborn from the virus in the first months of life, because the child inherits the mother’s antibodies stimulated by the vaccine – he says Fabio Mosca, president of Sin – If a pregnant woman becomes ill with Covid during pregnancy, she faces a higher risk of gestosis or premature birth and hospitalization. Women can be vaccinated with peace of mind even while breastfeeding, but we have struggled to vaccinate new mothers who are breastfeeding because it has so far struggled to pass on correct information. We are confident, we believe that there will be a response from the institutions “.

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