Can get the new crown vaccine during pregnancy?

The new crown epidemic affects everyone’s hearts. The people of the whole country are determined to overcome the difficulties, and the epidemic prevention and control has achieved considerable results. But the new crown epidemic has not ended with the end of 2020. In order to contain the new crown epidemic as soon as possible, vaccine research and development are also underway early in the morning. On December 31, 2020, China’s first new crown vaccine was approved for marketing, and it is free for all people.

Couples who plan to conceive must be carefully considered
The State Council’s joint prevention and control mechanism held a press conference in December 2020 to introduce the new crown vaccination work for key populations. Specifically, our country’s current vaccination strategy is to implement vaccination nationwide in accordance with the “two-step” plan.

The first step is to carry out vaccination for some key populations. These groups include workers who are engaged in import cold chain, port quarantine, ship piloting, aviation air service, fresh food market, public transportation, medical disease control and other high risk of infection, as well as those who go to work or study in high-risk countries or regions. Relieve the pressure on the prevention and control of imported epidemics and reduce the risk of local cases and domestic outbreaks.

The second step is that more vaccines will be put into use with the conditional approval of vaccines on the market, or the gradual increase in vaccine production.

Through the orderly implementation of vaccination, eligible people can achieve “everything they should” and gradually build an immune barrier among the population to stop the spread of the new coronavirus in the country.

At present, we have entered the second step, so some expectant mothers who are preparing for pregnancy or already pregnant may have doubts: Are they considered eligible people? Can we get the new crown vaccine? Although from the current clinical trial data, the vaccine has good safety, due to the lack of further clinical observation data, it is impossible to conduct clinical trials related to vaccination during pregnancy. Therefore, it cannot be completely ruled out that the new crown vaccine during pregnancy may be The short-term and long-term health hazards to the mother and fetus. At the same time, it is not entirely certain whether vaccination of pregnant women will increase the incidence of adverse vaccine reactions. Therefore, pregnant couples must consider carefully.

Vaccination recommendations for women in special periods
Current vaccines include inactivated new crown vaccine, mRNA vaccine, new crown adenovirus vector vaccine and so on. For ordinary people, it is not clear which kind of vaccination they have. Combining the characteristics of various vaccines, a few general suggestions are summarized below for your reference.

1. Women of childbearing age should undergo a urine pregnancy test to confirm that they are not pregnant before they can be vaccinated.

2. Vaccination is not recommended for pregnant women.

3. Vaccination is not recommended for breastfeeding women.

4. For women of childbearing age, if the planned vaccination time is in the luteal phase, that is, the menstrual cycle has been ovulated, has had intercourse, but is not sure whether it is pregnant, please postpone the vaccination; or it is not clear whether there is ovulation, but after the menstrual clean It is also recommended to postpone vaccination after having sex. When you can determine whether you are pregnant, perform a urine pregnancy test or take a blood test for HCG. If you are not pregnant, you can vaccinate; if you are pregnant, it is not recommended.

5. For women of childbearing age who have a strong desire for vaccination or are at high risk of infection, if the planned vaccination time is in the follicular phase, that is, no ovulation in this menstrual cycle, or no intercourse after a clean menstruation, or strict contraception despite having intercourse, and pregnancy is excluded. If possible, they can be vaccinated and strictly contraceptive for 3 months after vaccination.

6. Women who have an urgent birth plan are not recommended to be vaccinated.

7. Women who have received assisted reproductive technology such as artificial insemination or IVF, and are already in preparation, are not recommended to be vaccinated.

8. Women who are not breast-feeding and have no childbearing plans within 3 months can be vaccinated with the new crown inactivated vaccine. After vaccination (after the second vaccination), strict contraception is required for 3 months.

9. Take effective contraceptive measures or have no intercourse at least 28 days before the first dose (day 1).

10. No pregnancy was found during the first dose, and pregnancy was found when the second dose was planned, the second dose should be suspended.

11. Avoid the menstrual period as much as possible when vaccinating the new crown vaccine. Although menstrual women can be vaccinated with the new crown inactivated vaccine. However, during menstruation, the body’s resistance and immunity are weak. For insurance purposes, try to vaccinate during non-menstrual periods. If time does not allow, women who are menstruating need to be evaluated by a doctor before being vaccinated. After the vaccine injection is completed, it is necessary to observe the immediate reaction on the spot for 30 minutes. If menstruating women experience local reactions such as itching and tenderness at the inoculation site after vaccination, or symptoms of systemic reactions such as fever, headache, fatigue, nausea, diarrhea, muscle pain, arthralgia, and lethargy, they should contact their doctor in time.

Should men be vaccinated during pregnancy
Although there is no evidence that the new crown vaccine will impair sperm motility or affect the internal environment of the testis subtly, we still recommend that men temporarily postpone vaccination during pregnancy, especially if they have been diagnosed with male infertility such as oligoasthenospermia. Patients with disease. Men who have a childbearing plan for at least 3 months should postpone the new crown vaccine.

If it is still unclear, couples who are preparing for pregnancy must consult a doctor, and a professional doctor will assess whether the new crown vaccine can be vaccinated. Regardless of the population, it takes a certain period of time for the vaccine to produce protective antibodies after vaccination, and the protective antibodies are not permanent. Personal protection should be done.