The Mercury News

CDC urges those who are pregnant to get the COVID-19 vaccine.

- By Lindsey Tanner and Mike Stobbe

The Centers for Disease Control and Prevention urged all pregnant women Wednesday to get the COVID-19 vaccine as hospitals in hot spots around the U.S. see disturbing numbers of unvaccinat­ed mothers-tobe seriously ill with the virus.

Expectant women run a higher risk of severe illness and pregnancy complicati­ons from the coronaviru­s, including perhaps miscarriag­es and stillbirth­s. But their vaccinatio­n rates are low, with only about 23% having received at least one dose, according to CDC data.

“The vaccines are safe and effective, and it has never been more urgent to increase vaccinatio­ns as we face the highly transmissi­ble delta variant and see severe outcomes from COVID-19 among unvaccinat­ed pregnant people,” CDC Director Dr. Rochelle Walensky said in a statement.

The updated guidance comes after a CDC analysis of new safety data on 2,500 women showed no increased risks of miscarriag­e for those who received at least one dose of the Pfizer or Moderna vaccine before 20 weeks of pregnancy. The analysis found a miscarriag­e rate of around 13%, within the normal range.

The CDC’s advice echoes recent recommenda­tions from top obstetrici­an groups. The agency had previously encouraged pregnant women to consider vaccinatio­n but had stopped short of a full recommenda­tion. The new advice also applies to nursing mothers and women planning to get pregnant.

Although pregnant women were not included in studies that led to authorizat­ion of COVID-19 vaccines, experts say realworld experience in tens of thousands of women shows that the shots are safe for them and that when given during pregnancy may offer some protection to newborns.

The new guidance comes amid a surge in COVID-19 cases, hospitaliz­ations and deaths in the U.S., driven by the highly contagious delta variant.

Some health authoritie­s believe the variant may cause more severe disease — in pregnant women and others as well — than earlier versions of the virus, though that is still under investigat­ion.

National figures show the latest surge in cases among pregnant women is lower than it was during the outbreak’s winter peak. But at some hospitals in states with low vaccinatio­n rates, the numbers of sick mothers-to-be outpace those during earlier surges, before vaccines were available.

“This is by far the worst we’ve seen in the pandemic,” said Dr. Jane Martin, an obstetrici­an with Ochsner Baptist Medical Center in New Orleans. She added: “It’s dishearten­ing and it’s exhausting. It feels like it doesn’t have to be like this.”

At the beginning of the pandemic and with each surge, Ochsner had a few pregnant patients very sick with the virus, though the numbers had dwindled in recent months.

“A week or two ago that pace changed drasticall­y,” Martin said. “We have had multiple critically ill pregnant patients admitted” every day, most requiring intensive care.

Martin said she has taken care of at least 30 pregnant patients hospitaliz­ed with COVID-19 over the last two weeks. Most were unvaccinat­ed.

Experts say the lifting of mask rules and other social distancing precaution­s and the rise of the delta variant have contribute­d to the worrisome trend. But also, vaccinatio­ns weren’t made available to women of childbeari­ng age and others under 65 until spring.

Around 105,000 pregnant U.S. women have been infected with COVID-19, and almost 18,000 have been hospitaliz­ed, according to the CDC. About onefourth of those received intensive care and 124 died.

 ?? CHARLES KRUPA — THE ASSOCIATED PRESS FILE ?? The Centers for Disease Control and Prevention issued updated guidance Wednesday urging all pregnant women to get the COVID-19 vaccine.
CHARLES KRUPA — THE ASSOCIATED PRESS FILE The Centers for Disease Control and Prevention issued updated guidance Wednesday urging all pregnant women to get the COVID-19 vaccine.

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