NACI issues new recommendation for vaccination of pregnant people


TORONTO – The National Advisory Committee on Immunization (NACI) has adjusted its guidance on pregnant people receiving the COVID-19 vaccine.

NACI now recommends that health care providers offer a full range of vaccines to pregnant people, including the COVID-19 vaccine, if they are in the intended age group and the benefits of vaccination outweigh the risk to both parents and the fetus .

The group, which advises the Public Health Agency of Canada, recommended the use of the Pfizer and Modern mRNA vaccines for those who are pregnant or breastfeeding. This recommendation is based on recent data published from the United States showing that mRNA vaccines are safe for pregnant people.

NACI states that treating vaccine-induced thrombotic thrombocytopenia (VITT) in pregnant people is more complicated than treating it in those who are not pregnant. Most up-to-date data indicate that VITT is not associated with mRNA vaccines.

Prior to Monday’s change in guidance, NACI recommended vaccines for pregnant people, but did not specify which type of vaccine they should use. The group also emphasized the need to take risks for both parents and fetuses, and informed consent.

Last December, the NACI stated that vaccines should not be routinely given to pregnant or lactating people unless benefited from potential risks and “if informed consent included discussion of insufficient evidence in this population is.”

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