Back to Top Skip to main content Skip to sub-navigation

Pregnancy Health Alert: COVID-19 Vaccine is Strongly Recommended

Image of Pregnant women gets the COVID-19 vaccine. Sandra Murray-Campbell, licensed practical nurse, administers a COVID-19 vaccine to Army Capt. Bryana Fournier , a registered nurse for the Bayne-Jones Army Community Hospital emergency department at the Joint Readiness Training Center and Fort Polk, Louisiana. DOD and CDC advise all pregnant people, those trying to get pregnant, or breastfeeding to get vaccinated against COVID-19 (Photo by: Jean Graves, Regional Health Command Central).

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Women's Health

If you are pregnant, recently pregnant or thinking about getting pregnant in the future, you should get the COVID-19 vaccination, the Centers for Disease Control and Prevention advised in a recent health advisory.

Pregnant and recently pregnant women with COVID-19 are at increased risk of severe illness, death, and pregnancy complications, studies show.

"Pregnant service members should be vaccinated as part of mandatory COVID-19 vaccination of DOD service members directed by the Secretary," according to an Oct. 5 DOD memorandum that aligns with the CDC recommendations. Secretary of Defense Lloyd J. Austin III issued a mandate that all service members be vaccinated against COVID-19 on Aug. 24.

The recommendation that pregnant or recently pregnant women get vaccinated against COVID-19 is not new, but because of the gravity of the concern, CDC issued the recent health alert, which calls for "urgent action," saying the CDC "strongly recommends COVID-19 vaccination either before or during pregnancy because the benefits of vaccination outweigh known or potential risks."

The numbers of Americans who are pregnant and vaccinated fully or previously fully vaccinated against the SARS-CoV-2 virus that causes COVID-19 is only 31%, according to CDC data.

"All women are encouraged to become fully vaccinated against COVID-19 before pregnancy," said Dr. Margaret Ryan, medical director of the Defense Health Agency's Immunization Healthcare Division in San Diego, California. "If not vaccinated before pregnancy, they should become vaccine-protected during pregnancy and enroll in CDC's v-safe tracking system."

About 97% of pregnant women hospitalized (either for illness or for labor and delivery) with confirmed SARS-CoV-2 infection were unvaccinated.

The DOD and CDC recommendations align with other recommendations from professional medical organizations serving people who are pregnant, including the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine.

"A new study shows that patients vaccinated in late pregnancy had no increased risk of delivery problems. Another new study shows that patients vaccinated in early pregnancy appeared to have no increased risk of pregnancy loss," Ryan said.

Death

Symptomatic pregnant women with COVID-19 who are hospitalized have a 70% increased risk of death.

That is the case even though the absolute risk of death is low compared with non-pregnant symptomatic people, according to the CDC.

Pregnancy is independently associated with a three-fold increased risk for ICU admission, a 2.4-fold increased risk for needing extracorporeal membrane oxygenation (ECMO), and a 1.7-fold increased risk of death due to COVID-19 compared to symptomatic non-pregnant patients, according to new data cited by Navy Cmdr. (Dr.) Monica Lutgendorf, chair, Department of Gynecologic Surgery and Obstetrics at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.

Pregnant patients with other health risk factors - like obesity, diabetes, heart disorders, chronic kidney disease, chronic obstructive pulmonary disease, immunocompromised from organ transplantation, sickle cell disease and smoking, and those older than age 35 - also appear to have "an increased risk of adverse maternal outcomes," Lutgendorf said.

As of Sept. 27, more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant women, including more than 22,000 hospitalized cases and 161 deaths.

Pregnant women posing for a picture
Stephanie Faine expecting her first child at Fort Irwin, California, amid the pandemic (Photo by: Janell Ford, Garrison Public Affairs, Fort Irwin, California).

Preterm Birth

Pregnant women with the COVID-19 disease are also at increased risk for preterm birth.

Some preliminary data suggests that COVID-19 increases risk for other adverse pregnancy complications and outcomes, such as preeclampsia (severe high blood pressure), coagulopathy (blood coagulation to clots), and stillbirth, compared with pregnant people without COVID-19.

Risks to Newborn Babies

Furthermore, CDC's alert explained that babies "born to people with COVID-19 are also at increased risk for admission to the neonatal ICU."

"In addition, although rare, pregnant people with COVID-19 can transmit infection to their neonates; among neonates born to women with COVID-19 during pregnancy, 1%-4% of neonates tested were positive" based on polymerase chain technology testing, CDC said.

Breastfeeding

A majority of military doctors agree that women who have been vaccinated against COVID-19 should not have any concerns about breastfeeding.

Getting the vaccine while breastfeeding protects the mother and is safe for both the mother and the baby, Ryan said, adding: "Breastfeeding is healthy for babies, and mom's antibodies may be present in breastmilk. Breastfeeding is not an established way for an infant to attain immunity against COVID-19, but breastfeeding is still clearly healthy for babies."

Other CDC Recommendations

Vaccination coverage for pregnant women differs by race and ethnicity, with vaccination uptake being lowest for non-Hispanic Black pregnant women (15.6%), data collected by the agency show.

In addition, "pregnant people should continue to follow all recommended prevention measures" such as mask wearing, hand washing and physical distancing, "and should seek care immediately for any symptoms of COVID-19."

Healthcare providers should have "a low threshold for increased monitoring during pregnancy due to the risk of severe illness."

Pregnant women "should be counseled by health care personnel in alignment with the CDC, ACOG, SMFM, and the American Society for Reproductive Medicine and the recommendations for vaccination," Lutgendorf said.

"Counseling to support the recommendation for vaccination should include data on vaccine efficacy and vaccine safety during pregnancy and lactation," she added.

"Provider counseling has been shown to have a significant positive impact on patient vaccination," she said. The CDC added a strong recommendation from a health care provider is a critical factor in COVID-19 vaccine acceptance.

The CDC also recommends that health care workers remind patients that COVID-19 vaccination is recommended even for those with prior COVID-19 infections.

Eligible pregnant women should also consider a booster dose.

There is currently no evidence that any vaccines, including COVID-19 vaccines, cause fertility problems in women or men, CDC data show.

You also may be interested in...

Formulary Search Tool Buckslip: Black and White

Publication
1/27/2022

A set of three, black & white buck slips on the TRICARE Formulary Search Tool. Educates beneficiaries what the search tool is and what information can be found. Includes a QR code, and features a link to esrx.com/tform. ESI and TRICARE logos are on the bottom right.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Pharmacy Operations Toolkit

Do You Have COVID-19? Influenza? Or is it RSV? Here’s What to Look For

Article
1/24/2022
Military personnel preparing a COVID-19 test sample for processing

Knowing the symptoms of COVID-19/RSV/Flu will help your medical treatment

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Seasonal Influenza Vaccine Toolkit | Coronavirus

Long-Acting Contraceptives are a Popular Choice with Service Members

Article
1/18/2022
Bremerton nurse midwife demonstrates vaginal ring placement

Many female service members and their beneficiaries want control of their bodies’ menstrual cycles for a variety of reasons, including military readiness. At medical centers, hospitals, and clinics around the world, the Military Health System provides education, counseling, and access to birth control. The military offers a variety of methods or products so women can choose the best birth control for their unique needs.

Recommended Content:

Women's Health

Six Immediate Health Benefits You Will See If You Lose a Little Weight

Article
1/14/2022
A soldier assigned to the 256th Combat Support Hospital, Twinsburg, Ohio, drinks water from a gallon-sized jug during Combat Support Training Exercise 18-03 at Fort McCoy, Wisconsin, March 26, 2018. The 256th CSH implemented a goal setting competition, dubbed Dandy Camp, to teach and encourage soldiers to monitor their total carbohydrate intake during the field exercise. The overall goal of Dandy Camp is to educate soldiers about healthy eating choices and encourage soldiers to set and meet goals for themselves.

Losing even a little weight now can have a major impact on your health and quality of life. This long list of benefits might help motivate you to adjust your habits to achieve a happier, healthier lifestyle.

Recommended Content:

Physical Fitness | Women's Health | Heart Health | Nutritional Fitness | Psychological Fitness | Sleep

Critically ill COVID Patient Delivers Baby While on Heart-Lung Bypass

Article
1/11/2022
Retired U.S. Marine Corps Gunnery Sgt. Carlos Hernandez and his wife, Ashley, take a family portrait with their six children. Ashley is BAMC’s first patient to give birth while on Extracorporeal Membrane Oxygenation.

Hernandez, a Marine Corps spouse and mother of five, is BAMC’s first patient to give birth while on Extracorporeal Membrane Oxygenation.

Recommended Content:

Women's Health | Coronavirus

We Can Do It (1201 x 901)

Infographic
1/10/2022
We Can Do It  (1201 x 901)

We can do it: Simple measures can protect you and your community. Wear a mask, get vaccinated, and check out where and when you can get your booster! https://tricare.mil/coronavirus

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Prevent COVID-19

Quarantine vs Isolation

Infographic
1/10/2022
Quarantine vs Isolation

Been exposed or feeling symptoms of COVID-19? Make sure you understand the difference between quarantine and isolation to keep your community safe. https://tricare.mil/coronavirus

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Prevent COVID-19

We Can Do It (1081 x 1081)

Infographic
1/10/2022
We Can Do It  (1081 x 1081)

We can do it: Simple measures can protect you and your community. Wear a mask, get vaccinated, and check out where and when you can get your booster! https://tricare.mil/coronavirus

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Prevent COVID-19

We Have the Tools

Infographic
1/10/2022
We Have the Tools

We have the tools to fight: Protect yourself and your community from the spread of COVID-19 with the right tools. Make sure you wear your mask, get vaccinated, and find your nearest testing site. Learn more https://tricare.mil/coronavirus

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Prevent COVID-19

DHA Form 236: Pediatric (5-11 years) COVID-19 Vaccine Screening and Immunization Documentation, v7

Form/Template
1/7/2022

This form is used to determine if the COVID-19 vaccine can be administered to the pediatric patient. (Version 7, March 2022)

Recommended Content:

Coronavirus and the COVID-19 Vaccine | COVID-19 Vaccine Efforts | Children's Health | Immunization Healthcare

Got Your 6 - Jan. 3, 2022

Video
1/4/2022
Got Your 6 -  Jan. 3, 2022

‘Got Your 6’ is TRICARE’s COVID vaccine video series that delivers important information and updates, on days that end in ‘6.’ It includes the latest information about DOD vaccine distribution, the TRICARE health benefit, and vaccine availability. Got a question about ‘Got Your 6’? Send an email to dha.ncr.comm.mbx.dha-internal-communications@mail.mil Find your local military provider at tricare.mil/MTF, or go to tricare.mil/vaccineappointments and schedule yours today!

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Coronavirus | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Development of WRAIR’s Pan-Coronavirus Vaccine Shows Promise

Article
12/28/2021
A vial of spike ferritin nanoparticle WRAIR's COVID-19 vaccine

Series of preclinical studies supports the Army’s pan-coronavirus vaccine development strategy

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Coronavirus | COVID-19 Vaccine Efforts

Immunization Experts are Central to COVID-19 Vaccine Program

Article
12/20/2021
Medical director at Fort Riley, Kansas receives a COVID-19 vaccination In his left arm from a tech in personal protective equipment.

Immunization Health Division at forefront of COVID-19 vaccinations.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | Coronavirus and the COVID-19 Vaccine

Military Health System Marks 1-Year Anniversary for COVID Vaccinations

Article
12/14/2021
FEmale Marine gets COVID 19 vaccination in left  arm at Camp LeJeune in December 2020

More than 6.4 million COVID-19 vaccine doses have been administered a year after first shots within MHS.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine | Coronavirus and the COVID-19 Vaccine

How Health Care for New Mothers is Improving Across the MHS

Article
11/24/2021
Photo of a medical provider checking out a pregnant woman

The post-partum hemorrhage bundle campaign trained all clinicians that provide OB services at military hospitals, giving them resources and tools to provide patients and staff information and/or training about PPH and how to respond in the event of a PPH event.

Recommended Content:

Women's Health | Postpartum Hemorrhage
<< < 1 2 3 4 5  ... > >> 
Showing results 31 - 45 Page 3 of 26
Refine your search
Last Updated: December 01, 2021

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.