CDC says COVID-19 vaccine in pregnancy may protect babies after birth

Top US health group finds Pfizer and Moderna shots given to expecting mothers halve the rate of later coronavirus infection among their babies

A health worker administers a dose of a Pfizer COVID-19 vaccine during a vaccination clinic at the Reading Area Community College in Reading, Pennsylvania, Sept. 14, 2021. (Matt Rourke/AP)
A health worker administers a dose of a Pfizer COVID-19 vaccine during a vaccination clinic at the Reading Area Community College in Reading, Pennsylvania, Sept. 14, 2021. (Matt Rourke/AP)

COVID-19 vaccines during pregnancy can protect babies after they’re born and lead to fewer hospitalized infants, a US government study released Tuesday suggested.

The study is the first to show potential benefits to infants born to people who received two doses of Pfizer or Moderna vaccines during pregnancy, Centers for Disease Control and Prevention researchers said during a briefing.

It was already known that antibodies developed by COVID-19 vaccines transfer to the fetus through the umbilical cord. How that might affect infants after birth was uncertain.

“Until this study, we have not yet had data to demonstrate whether these antibodies might provide protection for the baby against COVID-19,” said Dr. Dana Meaney-Delman, an obstetrician and CDC researcher.

Infants in the study were treated at 20 hospitals in 17 states from July 2021 through mid-January, during surges involving the Delta and Omicron variants.

The researchers didn’t examine infection rates in infants. Instead, they looked at data on 176 children under 6 months who were hospitalized with COVID-19 and 203 in the hospital for some other condition. They also looked at the vaccination status of all the babies’ mothers.

Vaccination rates were much lower among mothers of the COVID-19 infants than among those whose infants were hospitalized with something else — 16% compared with 32%.

The results offer yet another reason for pregnant people to get vaccinated, the researchers said.

About two-thirds of pregnant people in the United States are fully vaccinated; most got the shots before pregnancy, CDC data show.

Other shots, including vaccines for flu and whooping cough, given in pregnancy are known to protect mothers and infants.

The study provides “another important piece of the puzzle,” said Dr. Denise Jamieson, OB-GYN chair at Emory University, who called it important news for babies who are too young to receive COVID-19 vaccinations. While shots are being studied for older infants and toddlers, none are on the horizon for infants younger than 6 months.

“It’s not surprising, but very reassuring,” Jamieson said.

Last week Israeli researchers published a study that found Pfizer’s coronavirus vaccines are completely safe for pregnant women’s fetuses and were not associated with any harmful outcome to newborns.

The study examined 17,000 pregnant women who were vaccinated, as well as 7,000 who were not, between March and October of 2021, using data provided by Maccabi Healthcare Services, Israel’s largest HMO.

The researchers looked at preterm births, hospitalizations, birth defects, and infant mortality, and found no significant difference between the two groups in any area.

The study showed the findings were also true in 2,000 newborns whose mothers were vaccinated in the first trimester — seen as the most sensitive period for fetuses.

The study was published in the peer-reviewed medical journal JAMA Pediatrics.

Initial clinical trials for the Pfizer-BioNTech vaccine did not include pregnant or lactating women. Despite the lack of data, Israel’s Health Ministry advised last year that pregnant women get the coronavirus vaccine after a number of women expecting a baby became seriously ill. Many nations’ health authorities followed suit.

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