STIKO adjusts vaccination recommendations for pregnant and breastfeeding people


The alterations can be found in the tenth update of the STIKO’s COVID-19 vaccination recommendation. According to the STIKO, if pregnancy has only been determined after the first vaccination, the second vaccination should only be carried out starting in the second trimester. Those interested can find answers to the most frequently asked questions about pregnancy, breastfeeding and the COVID-19 vaccination on an information sheet from the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe). According to the STIKO, severe courses of the disease and complications from a SARS-CoV-2 infection are rare in pregnant people. Nevertheless, pregnancy is a relevant risk factor for severe cases of COVID-19. In the case of other conditions such as obesity, arterial hypertension or diabetes, the risk is additionally increased. How well a vaccination protects pregnant people from the Delta variant is still unclear. No studies are currently available on this. It has only been proven that maternal anti-SARS-CoV-2 antibodies reach the fetus via the placenta. It is currently not clear whether this will lead to clinically relevant protection for the child. So far, no randomised controlled studies on the safety of COVID-19 mRNA vaccinations during pregnancy have been published.