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Pregnancy and the COVID-19 vaccine: what to expect after receiving the shot



MONTREAL – Now that Quebec has unveiled the possibility of vaccinating pregnant women in the countryside, obstetricians are working to answer a number of questions from patients about safety and side effects.

While some are still hesitant to get a vaccine against COVID-19, Montreal resident Poulamy Roychoudhary, now seven months pregnant, decided early.

“My doctor recommended it, but even before I did, I knew I would take it when it was provided,” said McGill University sociology professor.

She made an appointment online on Wednesday night, the first day of pregnancy was a priority.

Quebec made the decision about ten days after the Society of Obstetricians and Gynecologists of Canada (SOGC) raised the alarm about “the daily wave of pregnant women and people coming to intensive care units in Ontario, many of whom need ventilators.”

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Roychoudhari said she had booked her stroke for next week and “while I fell asleep, I felt really, really happy. I thought, “Oh, well, that’s stressful!”

But although he was greatly relieved, the academician still had some questions about the possible side effects of the vaccine.

So do the many patients of Dr. Gabriel Cashier, an obstetrician-gynecologist at St. Mary’s Hospital, which specializes in high-risk pregnancies and offers some guidelines below.

NOTE: Pregnant women should talk to their doctors for medical advice.

IS IT SAFE FOR PREGNANT WOMEN TO TAKE ONE OF THE AVAILABLE COVID-19 VACCINES?

“Vaccines with mRNAs such as Pfizer and Moderna are the ones recommended during pregnancy, given the more reliable safety data available,” said Kassir.

However, it is important to have access to the vaccine in a timely manner, Cashier explained, although they prefer mRNA vaccines.

ARE THERE CONTRAINDICATIONS RELATED TO RECEIVING PFIZER OR MODERN VACCINES DURING PREGNANCY?

According to Kasir, there are no special restrictions for pregnant women. As with anyone else in the population, if someone has a known allergy to a component of Pfizer or Moderna vaccines, such as polyethylene glycol, they should not receive them, she explained.

The cashier said she was often tested for the risks of other allergies: eggs, seafood, latex, but said pregnant patients with these allergies were eligible for COVID vaccination.

AT WHAT STAGE OF PREGNANCY IS THE BEST TIME TO GET VACCINATED?

“The patient can get it at any time, at any time, regardless of gestational age,” said Kasir, although it is preferable to receive it before the third trimester, as the last stage of pregnancy is a “risk factor for more severe infection.” of COVID-19. “

WHAT HAPPENS IF YOU HAVE TO TAKE OTHER TYPES OF VACCINES AROUND THE SAME TIME?

It is recommended that you wait 14 days after receiving a different type of vaccine before receiving the COVID-19 vaccine based on limited data, the cashier said.

The opposite situation requires a different strategy. If a pregnant woman receives a vaccine against COVID-19, “then the other vaccines should be delayed by 28 days. One exception is if someone has been exposed after hepatitis B and needs it [hepatitis B] vaccine, “said the specialist.

There is also no need for a “necessary delay if a pregnant woman is to receive the WinRho vaccine, if it is Rh negative,” the cashier said.

WHAT ARE THE POSSIBLE SIDE EFFECTS DURING PREGNANCY?

Injection site pain is the most common complaint so far and pregnancy-specific complications should not be expected, the obstetrician-gynecologist said.

The cashier said, “On the contrary, fatigue, muscle aches, fever, chills are actually less common in pregnant patients in a large database in the United States, and the same study showed that the vaccine during pregnancy does not increase the risk of miscarriage. , premature birth, malformations or even problems with the baby’s growth. “

IS A VACCINE SAFE FOR WOMEN WHO ARE CREAMING?

The COVID-19 vaccine is “recommended for breastfeeding women” after they are allowed to receive it in Quebec, the cashier said. In addition to offering maternal protection for the mother, immunity can also be granted to the newborn through breast milk.

There is no need to stop or delay breastfeeding due to vaccination, according to the cashier, a position maintained by the SOGC.

CAN THE VACCINE PRODUCE SIDE EFFECTS IN FEED CREAM?

Some recent studies show that breastfed babies can develop a fever after their mothers are vaccinated.

A study conducted in Israel, “showed four babies who were eventually diagnosed with a low fever, but all followed a mild course, and most importantly, there were no serious adverse effects that occurred in either the mother or the mother. the baby, “said the specialist.

MONTREAL TESTS ON VACCINES AND PREGNANCY

At the beginning of the pandemic, the CONCEPTION study, based at Ste-Justine Hospital in Montreal, focused on the effects of the pandemic on pregnant women, involving about 4,000 participants in the process.

The first phase examines the impact of the health crisis on their mental health and prematurity levels.

Researchers will now look at taking the vaccine, how many pregnant patients will eventually receive the vaccine, and gather information on any side effects.

“Now that the government has given the green light, we really want to include those women who have received the vaccine and some of them who are pregnant and have not yet received the vaccine,” said Anik Berard, a perinatal epidemiologist and university professor. Montreal.

Thus, the team resumes its recruitment efforts to find as many new pregnant participants as possible.

Those interested in registering can call the coordinator for free at 1-866-220-2654 or send an email to etude.conception.study@gmail.com.

“Moving forward is essential to have local data,” Berard said, so that “decision-makers” in Quebec can base their analysis on how the province’s pregnant population has been affected, rather than extrapolated from studies conducted in other countries. countries.




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