Can I get the COVID-19 vaccine when I'm trying to get pregnant? What are the implications? The 6 questions you care about most >

How long will it take to have children after getting the COVID-19 vaccine? Can couples who are trying to conceive or are planning to do "IVF" get vaccinated? What should I do if I get the first shot of the new crown vaccine and get pregnant?

When "preparing for pregnancy" meets "new crown vaccination," many young couples said they were very troubled.

Today, I will answer in detail the 6 questions that couples who are trying to become pregnant recently want to know.

Question One

Can people who are trying to conceive get the COVID-19 vaccine? How long will it take to have children after getting the COVID-19 vaccine?

answer

The covid-19 vaccine currently administered on the mainland is an inactivated virus vaccine. An inactivated vaccine is when a virus or bacteria is cultured and then inactivated with heat or a chemical agent (usually formalin). Inactivated vaccines make the recipient produce an immune response based on humoral immunity, due to the weak cellular immunity, it needs to be inoculated many times, and the antibodies it produces have the effect of neutralizing and removing pathogenic microorganisms and their toxins. But over time, the antibody concentration in the body will gradually decrease. Therefore, some inactivated vaccines require regular intensification.

In general, the current inactivated vaccines in clinical use in mainland China are only antigenic, but lose their infectious activity, and in animal models of vaccines studied, vaccines do not show toxicity to pregnant animals. However, due to the fact that the phase III clinical trial of the new crown vaccine excluded pregnant and lactating women, there is a lack of data on the safety of the vaccine during pregnancy. The contraindications in the instructions require that pregnant and lactating women should not be vaccinated. Considering that the current research data on the safety of offspring after vaccination are not sufficient, men and women with child planning within 3 months are recommended to postpone the COVID-19 vaccine. If a woman who is trying to conceive has been vaccinated against COVID-19, the pregnancy time can be postponed appropriately, referring to other inactivated vaccines, it is recommended to get pregnant after 3 months of vaccination.

Patients who are preparing for IVF fertility can postpone entering the cycle after 3 months if they have not yet started the cycle and want to be vaccinated against COVID-19. If you have already started taking the medication, you need to fully communicate with your doctor before making the next decision. If the egg retrieval and embryo freezing stages have been completed, and the thaw transfer is planned, it is recommended to complete the vaccination 3 months later.

Question two

What are the effects of vaccination? What do I need to be aware of to get vaccinated?

answer

At present, there have been no reports of serious complications caused by the new crown vaccine in the population receiving inactivated COVID-19 vaccines on the mainland, and some people will have symptoms similar to colds.

In addition, judging from the previous use of inactivated virus vaccines such as influenza virus vaccines, there is actually no adverse effect on pregnancy itself. But because the new crown virus is a very new virus, scientists and medical workers around the world are still actively studying it. Therefore, in the precautions for the injection of the new crown vaccine, there will be suggestions and opinions for people planning to become pregnant and pregnant women, and we can implement them in accordance with the relevant provisions of the different types of vaccines used. Just after receiving the COVID-19 vaccine, it may cause serum IgM to be positive, and you need to be prepared for COVID-19 screening.

Question three

Can women be vaccinated against COVID-19 during their menstrual period?

answer

Women can be vaccinated during menstruation.

Question four

What if I didn't get the COVID-19 vaccine before the IVF and got infected during pregnancy?

answer

According to current research on COVID-19, there is no evidence that pregnancy alone increases the risk of COVID-19 infection and death. Since women of childbearing age are generally relatively young, infected with new crown pneumonia during pregnancy, and the risk of developing severe disease is relatively small, as long as they can get timely and effective medical treatment, the impact on pregnancy outcomes and life safety is limited, so there is no need to worry too much.

At present, the mainland belongs to the low-endemic area of the new crown epidemic in the world, the epidemic prevention and control is normalized, and fertility should not be affected by the epidemic. However, everyone should strictly implement the requirements of epidemic prevention and control, such as reducing mobility, living regularly, wearing masks according to regulations, washing hands and disinfecting, especially paying attention to the disinfection of the outer packaging of express delivery goods, especially fresh products.

Question five

Can the COVID-19 vaccine be given with other vaccines (e.g., HPV vaccine, rabies vaccine, flu vaccine, etc.)?

answer

At present, the new crown vaccine used in the mainland is a virus inactivated vaccine, and the normal vaccination of inactivated vaccine can be vaccinated at the same time as other vaccines, but the research and development time of the new crown vaccine is not long, and the relevant data of simultaneous vaccination with other vaccines has not yet been available. Therefore, for the sake of caution, the COVID-19 vaccine and other vaccines need to be given separately at intervals of more than 14 days.

Question six

What should I do if I get the first shot of the new crown vaccine and get pregnant?

answer

It is not yet possible to determine exactly what the COVID-19 vaccine will do on the fetus. However, judging from the previous use of inactivated virus vaccines such as influenza virus vaccines, there is actually no adverse effect on pregnancy itself.

It is recommended that pregnant women who find themselves pregnant after vaccination should strengthen psychological intervention while doing close monitoring. Because the emotional fluctuations caused by nervous concerns may have a far greater impact on the fetus than the impact of the COVID-19 vaccine on pregnant women itself.

At the same time, according to the experience of previous pregnant women's vaccination, pregnant women with little risk of infection are recommended not to be given a second dose. In principle, at this time, it is better to be conservative in the case of uncertainties. However, if it is a high-risk occupation of infection, or a pregnant woman who is prone to develop severe illness after infection, it can be fully discussed with the doctor and decided.

Tips

1. At present, the mainland is a low-endemic area of the new crown epidemic, the epidemic prevention and control is normalized, and fertility should not be affected by the epidemic.

2. Personal protective measures such as wearing masks, maintaining social distancing, and washing hands frequently are still the simplest, most acceptable and most effective protective measures for individuals to prevent infection.

3. Couples who are trying to become pregnant are recommended to get pregnant after 3 months of vaccination

END

Editor: Zhang Xiaoli Review: Gao Yuan