Covid vaccine and pregnancy: the Ministry circular

Yes to the anti-Covid vaccine for pregnant women, but only from the second trimester, and also during breastfeeding. These are the latest indications, recalls laleggepertutti.it, from the Higher Institute of Health and the Ministry of Health to clarify the perplexities of those who are “pregnant” and do not know how to deal with the coronavirus vaccination campaign. “Sars-CoV-2 / Covid-19 vaccination, with mRna vaccines, is recommended for pregnant women in the second and third trimester. For the first trimester, vaccination can be considered after evaluation of the potential benefits and potential risks with the healthcare professional of reference. Vaccination against Sars-CoV-2 / Covid-19 is also recommended for women who are breastfeeding, without the need to suspend breastfeeding “, reads a circular from the Ministry of Health, signed by the Director General of Prevention, Giovanni Rezza. These recommendations on anti-Covid vaccines, it says, are given “in consideration of the current epidemiological scenario and the growing evidence on the efficacy and safety of vaccination in pregnancy both for the fetus and for the mother, in line with the update of the document “Interim indications on vaccination against Covid-19 in pregnancy and breastfeeding”, by Iss-Itoss “, Higher Institute of Health – Italian Obstetric Surveillance System, published as an attachment to the circular. same variant and the significant lowering of the median age of infection in Italy “. The ISS emphasizes that, for the anti Covid vaccination,” women at greater risk of contracting Sars-Cov-2 infection (for example professionals health care, caregiver) or at greater risk of developing a serious disease from Covid-19 (women with risk factors such as age over 30, body mass index greater than 30, comorbidities, citizenship of countries with high migratory pressure) remain the priority target for vaccination during pregnancy “. Healthcare personnel – continues the ISS -” are required to illustrate as clearly as possible the relationship between risks and benefits, so as to allow each woman to make the most appropriate decision for her case. Healthcare professionals should recommend vaccination of cohabitants to further limit the risk of contagion of pregnant and breastfeeding women. It is emphasized that if a vaccinated woman discovers that she is pregnant after having already received the vaccine, there is no evidence in favor of terminating the pregnancy. In addition, if a woman discovers that she is pregnant between the first and second dose of the vaccine she may consider delaying the second dose until the second trimester. Iss, they can get vaccinated, without any need to interrupt breastfeeding. The breastfeeding woman – concludes the ISS – must be informed that vaccination does not expose the infant to risks and allows him to take, through milk, antibodies against SARS. Cov-2. The infant suckled by a vaccinated mother follows her vaccination schedule without any changes “.