EMGE recommends SARS-CoV-2 vaccination of pregnant women with comorbidities that increase the risk of serious disease and death in case infection (such as diabetes, heart and respiratory diseases and obesity, etc.) Vaccination is recommended during pregnancy in all trimesters. Regarding the choice of vaccine, the use of mRNA technology vaccines for pregnancy, as the available scientific data concern, mainly, this category of vaccines against SARS-CoV-2, but without excluding other types of vaccines.
H use of vaccines with inactivated viruses against SARS-CoV-2 is not expected to have side effects in pregnancy despite the lack of relevant data. Vaccination is not prohibited, with any type of vaccine of breastfeeding women. Breastfeeding is not a contraindication to maternal vaccination COVID-19 and may provide passive immunization in the neonate. EMGE recommends vaccination against SARS-CoV-2 with any type of vaccine, all women who are trying to conceive in the near future, or are in assisted reproduction procedures. It is not recommended to modify the pregnancy schedule based on the administration of any of the vaccines against COVID-19, no modification of the vaccination regimen is recommended if between receptions of the vaccine the recipient discovers that she is pregnant and is not recommended termination of pregnancy due to vaccination. An interval of 14 days between vaccination versus is recommended Covid-19 and other vaccines that must be given during pregnancy in accordance with the EMGE Guidelines, unless immediate vaccination is absolutely necessary (eg tetanus vaccination after trauma).