Fertility and pregnancy are issues associated with the greatest emotions. It is therefore not surprising that facts are quickly mixed with myths in the discussion about the COVID-19 vaccination. In addition, numerous false claims can be found on the Internet, which are particularly frightening for young women. Therefore, we have asked our chief physician Prof. Dr. Christoph Scholz asked to clarify key issues surrounding COVID-19 vaccination during childbearing age, pregnancy, and breastfeeding.
Table of contents
COVID-19 vaccination in the case of childbearing
Does COVID-19 vaccination make women infertile??
Response: No, vaccination does not make you infertile. The molecules on the virus and on the placenta that are being discussed have nothing significant in common. We see no increased infertility and also no increased abortion rate and no increased rate of malformations due to the vaccination.
What we observe in our clinics are severe courses of Covid-19 in pregnant women – and thus young mothers who are in intensive care for several weeks and do not see their child.
Must wait after vaccination to have children?
Response: The COVID-19 vaccines are so called "viruses". Inactivated vaccines; d.h. viruses that are no longer capable of reproducing or. In the case of mRNA vaccines, blueprints for viral proteins. There is no waiting time recommendation for these – neither for women nor men.
In comparison: live vaccines contain reproducible, but attenuated pathogens that cannot cause disease. Here a waiting period may be useful.
COVID-19 vaccination in pregnancy
Should pregnant women get vaccinated?
Response: Yes, absolutely! The probability for a pregnant woman with Covid-19 disease to be treated in hospital is increased compared to non-pregnant women of the same age. Also, a significantly more frequent occurrence of preeclampsia and prematurity (especially in the 3rd trimester) was observed.Trimenon) observed, see STIKO report.
Covid-19 vaccination is about preventing severe disease progression and deaths as well as complications during pregnancy and protecting the (unborn) child.
The available studies show that vaccination with mRNA vaccines during pregnancy prevents infections and severe COVID-19 courses with high efficacy.
There are no robust data for transmission of the SARS-CoV-2 virus via the placenta; d.h. there is no infection in the womb. Infection is naturally possible after birth.
How effective is vaccination in pregnant women?
Response: Unvaccinated pregnant women are recommended to be vaccinated against Covid-19 from the 2. Third of pregnancy with a two-dose m-RNA vaccine recommended. Efficacy is 97% against symtomatic infections and 89% against hospitalizations, according to studies.
Overall, the efficacy against infections in the studies was 67.7-96%.
How safe can a new vaccine be for pregnant women?
Response: The available data provide no evidence of a clustered occurrence of serious adverse effects after vaccination in pregnancy, both the pregnant woman and the fetus or. Concerning the newborn.
The mRNA vaccine is based on many years of work by thousands of scientists.
Why should close contacts of pregnant women be vaccinated?
Response: Pregnant women are a particularly vulnerable group in society. If a pregnant woman is not yet fully vaccinated, her environment should be made as safe as possible, which includes vaccination against SARS-CoV-2. We recommend vaccination of both partners against Covid-19 before pregnancy.
COVID-19 vaccination in the breastfeeding period
Is vaccination recommended during the breastfeeding period?
Response: A clear vaccination recommendation against Covid-19 can be given to breastfeeding mothers. This is also possible in the puerperium.
Parents protect with a Covid-19 vaccination not only themselves against an infection, but so also their not yet vaccinated children.
How safe is the Covid-19 vaccination in the breastfeeding period?
Response: Available data show no evidence of risk for serious adverse events from COVID-19 vaccination during breastfeeding – either for mother or child.
Breastfeeding break is not necessary. There was no or. Only minor mRNA detected in breast milk. It is assumed that the mRNA is very quickly still present in the mother’s milk or. Is broken down in the child’s gastrointestinal tract.
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Coronavirus: more information about Covid-19
Since the first Covid-19 patient, the Munich Clinic informs you here about COVID-19.
Covid-19 is an infection caused by the novel coronavirus SARS-CoV-2. The virus is the cause of a pandemic.
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Our work is characterized by close cooperation with Munich universities.
Annually, an average of about 135.000 people hospitalized – from Munich and from the region. In emergency medicine, the Munich Clinic is the no. 1 of the region. More than 40 percent of all emergencies in the state capital are received at the four emergency centers.
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In a few cases, the simultaneous use of masculine and feminine forms of speech must be omitted for better readability. Even then, personal names apply equally to both sexes.
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