• 12/08/2022
• By wizewebsite
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Vaccination during pregnancy?Experts have clear recommendations<

Článek

"I'm at 28.week and vaccinated I did not let go.I am afraid that the long-term effects of vaccines are not studied enough, ”explains 37-year-old Anna why she has not so far sought a vaccine against Covid-19.

Pregnant women are among the risky groups in terms of severe course Covid-19.The Great Britain recently reported an increase in hospitalized and unvaccinated mothers at the same time.The number of them was recorded by the Czechia.

“It is true that they become infected with the same probability as non -pregnant but have a higher risk of a heavier course.There were a lot of such women in our country, ”explains doctor Andrej Černý from the gynecological and obstetric clinic 1.Faculty of Medicine and General University Hospital.

In particular, pregnant women in the third trimester have a higher risk of serious course of the disease.Other risk factors in pregnancy are age over 35 years, obesity, diabetes, high pressure or other chronic diseases.

Pregnant women with COVID-19 disease also have a higher risk of premature birth when compared to pregnant women without Covid.Yet some - like Mrs. Anna - do not want to vaccinate.The main reason is the concerns of insufficient testing of the possible negative effect on the development of the child.

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Hundreds of thousands of vaccinated

However, the available foreign and Czech data and professional companies point out that there is no reason to distrust.

"There are no signs of the vaccine could affect fetal development.There is no biological basis, nor are there any recorded situations that it would happen.Pregnant women were already vaccinated in clinical trials - there were fewer because they were not targeted, but clinical trials are already performed on vaccination of pregnant women.From the global point of view, pregnant women have already been vaccinated by hundreds of thousands and there is no only indication that this would have any negative impact on the fetal development, ”said the doctor and member of the Czech vaccinology company Daniel Dražan for the list of reports.

Vaccine manufacturers now continue to collect data and check data from women in completed clinical trials that have received a vaccine and pregnant, have not yet noticed any warning safety signals.

“I recommend vaccination to pregnant women.I sometimes encounter security questions, but we have not yet noticed any problem and we have a good experience, ”said gynecologist Karel Crha from the University Hospital Brno for the list of reports.

Vaccination and fertility

"There is absolutely no evidence and no theoretical reason that some of the vaccines against Covid-19 diseases could affect fertility of women or men," says Czech vaccine society.'Animal studies have not indicated any direct or indirect harmful effects with regard to reproductive toxicity.Vaccination does not cause infertility and cannot affect or treat fertility.The timing of vaccination during fertility treatment and delay the application of the vaccine by several days from some treatment procedures, such as the collection of eggs in extracorporeal insemination (in vitro fertilization) due to possible incidence of adverse reactions after vaccination that needs to be distinguished from reactions, ”He adds.

The impacts of Covid-19 on the body and concerns about the coronavirus infection have become a reason to seek vaccination for many expectant mothers.

“Vaccination is clearly based as less risky for the fetus.I wanted to vaccinate as soon as possible for my age category possible.Unfortunately, at that time, pregnant women in the Czech Republic did not recommend, so the vaccine was rejected.However, the opinion of the Czech Vaccinological Society soon came out, so I graduated from the first dose at 13.A week of pregnancy, ”Lucie from Prague described for the list of reports.

“I have played a role of risk working environment in terms of infection, so I have gained more peace of mind in this way.I tried to estimate the short -term risks for the fetus such as an allergic reaction or higher fever from available information about the vaccine and the course of vaccination in other countries.I have never had any of these reactions after the vaccines, otherwise it would probably affect my decision -making, ”describes Tereza, who works as a doctor in the Prague hospital, was vaccinated at the beginning of pregnancy.

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“I am not afraid of long -term negative effects of vaccination because there is no reason for them, which I also studied carefully.I searched for vaccination information mainly from available studies and experiences of other countries and also directly from Pfizer.I evaluated them in the context of the current knowledge of molecular biology and medicine, ”adds.

The 31 -year -old Monika also mentions concerns about possible infection in the working environment.Covid-19 has undergone, but she found out that she had very little antibody.“I didn't want to get vaccinated in the first trimester because if something happened, I would have seduced it for vaccination.I finally vaccinated at 15.a week of pregnancy.I have not encountered more serious side effects, ”adds.

Women with questions about vaccines now often turn to.They are also interested in when it is best to apply the vaccine time.

Study and vaccination

A study assessing the safety of pfizer/biontech manufacturers and modernism in more than 35,000 pregnant women in the US has not derived any increased risks for pregnancy, childbirth or newborn.More information will be found in the opinion of the Czech Gynecology and Obstetrics Society and the Czech Vaccinology Society.

“We recommend vaccination after 12.a week of pregnancy, kdy se dokončuje vývoj základů jednotlivých orgánů plodu.I recommend vaccination during pregnancy.Especially women who have a higher risk of infection, for example, if they work in a large team or have associated diseases such as asthma, high blood pressure or suffer from obesity, ”said gynecologist Karolína Miková from the General University Hospital report.

Start vaccination of pregnant women after 12.The week also advises a common opinion of gynecologists and vaccinologists.According to a doctor Dražan, however, this does not mean that it would be dangerous before."Foreign recommendations are already no matter the trimester because there are no signs that it could damage the fetus or woman," adds.

Also, the black gynecologist warns that there is no evidence that vaccines could harm the child's development.As regards the treatment of any slight side effects, women can use common medicines and consult a doctor.“Symptoms such as temperature increase, headaches and the like can be solved by commonly available means - parallel, increase in fluid intake, rest.Vaccination in pregnant women is recommended, vaccination is recommended by Pfizer or Modern Vaccination, ”adds.Janssen and Vaxzevria vaccine do not recommend pregnant experts to prevent very rare thrombosis syndrome with thrombocytopenia (TTS).

I am breastfeeding.To vaccinate?

But it is not just pregnancy itself during which women solve vaccination.Questions around vaccines also have after delivery.

“I am fully breastfeeding now, my son will be half a year and I have not been vaccinated yet.The main reason is the fear of breastfeeding that I would have to interrupt in the allergic reaction.Another reason is the season.I don't think I should vaccinate in the summer when the virus loses strength.In half a year I might have to boot up anyway.We are not going to go abroad with children yet, which I think is a great reason to vaccinate.This implies that I will probably be vaccinated in the autumn when I introduce my son's baby food and the numbers of infected will grow, ”says 30 -year -old Kateřina.

Thirty -four -year -old Veronika, who is now at the end of the puerperium, has not yet been vaccinated."Reason?It's my own belief, I didn't think about it during pregnancy and I don't think about it even now that I am breastfeeding, ”he explains.“Of course it bothers me that I can't go anywhere now because I don't want to go to the often very busy test points with a small child.But at the same time I feel uncomfortable how I feel pushed into the vaccination with the different limitations, ”adds Veronika.

Experts point out that vaccination is a personal and individual choice.As regards any concerns about the negative effect of vaccines on breastfeeding, but they are not scientifically substantiated.

"Breastfeeding is not a contraindication, and part of the antibodies seems to be transferred to breast milk," says Black doctor.Daniel Dražan also agrees with this, data about whether these antibodies can provide effective protection, but according to him, missing so far.

“It has no negative effect on breastfeeding, it is the same information as other vaccines and antibodies that a woman creates after vaccinations in breast milk.It is no longer known whether they have a protective effect for a breastfed child because this testing would be very difficult and we know that infants have much less than adults.Making a clinical study in this respect would be demanding.So we know that antibodies pass into breast milk and may have a positive effect, but it is not demonstrable data that the child protects against infection, ”he explained.