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...

The Delta Variant: A New Reason to Get Vaccinated

Video
6/25/2021
The Delta Variant: A New Reason to Get Vaccinated

Are you a service member age 18 to 30? Are you unvaccinated? You may be entitled to severe disease, hospitalization, and death. To avoid these options, get vaccinated today!

Recommended Content:

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

Got Your 6: June 26, 2021

Video
6/25/2021
Got Your 6:  June 26, 2021

‘Got Your 6’ is TRICARE’s COVID vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability.

Recommended Content:

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

COVID-19: Get Your Second Shot

Infographic
6/22/2021
COVID-19: Get Your Second Shot

You're not fully vaccinated - or protected - until two weeks after getting your second shot of the Pfizer or Moderna vaccine.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts

Got Your 6 - June 16, 2021

Video
6/16/2021
Got Your 6 - June 16, 2021

‘Got Your 6’ is TRICARE’s COVID vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability.

Recommended Content:

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

How COVID-19 Vaccines Work

Infographic
6/9/2021
How COVID-19 Vaccines Work

This graphic showing how the mRNA and viral vector vaccines work to educate beneficiaries about the COVID-19 vaccines. Graphics are informational and provide facts on how they work in our bodies.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

COVID-19 Vaccines Safety Monitoring

Infographic
6/9/2021
COVID-19 Vaccines Safety Monitoring

Graphic that assures beneficiaries that the COVID-19 vaccines are monitored for safety. Has information on how they are being reviewed. Graphics include doctors in a laboratory and a doctor with a shield fending off the virus.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Get to Know the COVID-19 Vaccines - Main Infographic

Infographic
6/9/2021
Get to Know the COVID-19 Vaccines - Main Infographic

This infographic pulls all three COVID-19 topics together in one graphic: Getting to Know the COVID-19 Vaccines, How they Work and Safety Monitoring

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Get to Know the COVID-19 Vaccines

Infographic
6/9/2021
Get to Know the COVID-19 Vaccines

This graphic that assures beneficiaries that the vaccines will not give you the virus, does not affect our DNA, and is safe. Graphics include a person receiving the vaccine and a comparison graphic of COVID-19 trials versus other trials.

Recommended Content:

Get to Know the COVID-19 Vaccines | Coronavirus and the COVID-19 Vaccine | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

VAX Facts about Getting the COVID Vaccine at the Same Time as Others

Publication
6/9/2021

Printable PDF of VAX Fact Infographic

Recommended Content:

Coronavirus and the COVID-19 Vaccine | COVID-19 Vax Facts

COVID-19 Vaccine Safety Monitoring

Publication
6/9/2021

The FDA and CDC continue to monitor the safety of COVID-19 vaccines. CDC has an independent group of experts that reviews all the safety data as it comes in and provides regular safety updates.

Recommended Content:

Get to Know the COVID-19 Vaccines | Coronavirus and the COVID-19 Vaccine | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

How COVID-19 Vaccines Work

Publication
6/9/2021

Learn how the different COVID-19 vaccines work.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Get to Know the COVID-19 Vaccines

Publication
6/9/2021

The Pfizer-BioNTech, Moderna, and Janssen (Johnson & Johnson) COVID-19 vaccines were developed to prevent infection from the virus that causes COVID-19.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Get to Know the COVID-19 Vaccines (Combined)

Publication
6/9/2021

The Pfizer-BioNTech, Moderna, and Janssen (Johnson & Johnson) COVID-19 vaccines were developed to prevent infection from the virus that causes COVID-19. Learn about the vaccines, how they work and safety precautions.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Get to Know the COVID-19 Vaccines | Getting the COVID-19 Vaccine | COVID-19 Vaccine Efforts

Got Your 6 - June 6, 2021

Video
6/7/2021
Got Your 6 - June 6, 2021

"Got Your 6" is TRICARE's COVID-19 vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability for a DoD-affiliated, and TRICARE beneficiary audience.

Recommended Content:

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

Facemask Required

Infographic
6/4/2021
Facemask Required

While the CDC relaxed mask requirements for vaccinated people, you're still required to wear masks in health care settings. Print this poster and put it around your facility to let patients and visitors know the requirements.

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Prevent COVID-19
<< < ... 6 7 8 9 10  ... > >> 
Showing results 76 - 90 Page 6 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.