Keywords
Gravidez
Complicações Infecciosas na Gravidez
Vacinas contra COVID-19
How to Cite
Abstract
Pregnancy changes a woman's physiology, placing her at greater risk in relation to Covid-19, with more serious developments, creating a greater need for adequate, effective and safe vaccination against Covid-19. However, the vaccines currently accepted for pregnant women are specific as category B. In the meantime, the objectives of the present study are to elucidate which vaccines against Covid-19 are safe for pregnant women, their adverse effects and the vaccination program. The currently safe vaccines for gestational administration are Pfizer and CoronaVac. Through studies carried out on animals, the vaccines did not show teratogenic effects, in addition to not demonstrating adverse effects. Pain at the injection site was the most frequently reported adverse effect. Vaccinations should preferably be carried out before the third trimester. Vaccination should be avoided during flu-like illness and should not be administered concomitantly with another vaccine. Vaccination of pregnant women must be subject to an individualized assessment, shared between the pregnant woman and her doctor.
References
- Furlan MC, Jurado SR, Uliana CH, Silva ME, Nagata LA, Maia AC. Revisión sistemática del embarazo y la infección por coronavirus: resultados maternos, fetales y neonatales. Rev Cuid [Internet]. 13 maio 2020 [citado 18 out 2023];11(2). Disponível em: https://doi.org/10.15649/cuidarte.1211.
- Quintana SM. We have Vaccine for COVID-19! What to Recommend for Pregnant Women? Rev Bras Ginecol Obstet RBGO Gynecol Obstet [Internet]. Fev 2021 [citado 18 out 2023];43(02):081-3. Disponível em: https://doi.org/10.1055/s-0041-1726090.
- ESTRELA FM, SILVA KK, CRUZ MA, GOMES NP. Gestantes no contexto da pandemia da Covid-19: reflexões e desafios. Physis [Internet]. 2020 [citado 18 out 2023];30(2). Disponível em: https://doi.org/10.1590/s0103-73312020300215.
- Martins MD, Freitas SL, Martins CS. Vacinação da Covid 19 nas gestantes e puérperas e lactantes. Rev Bras Anal Clin [Internet]. 2021 [citado 18 out 2023]. Disponível em: https://doi.org/10.21877/2448-3877.202100964.
- Roberto Cabar F. Reflections on the need for a vaccine strategy against COVID-19 for pregnant and postpartum women. Clinics [Internet]. 2021 [citado 1 out 2023];76:5. Disponível em: https://www.scielo.br/j/clin/a/6SyXddwnJSCxY96CZgZN6wy/?lang=en.
- Treulieb L. A vacinação de gestantes contra a Covid-19 é segura? Rev Arco [Internet]. 2022 [citado 4 out 2023]:6. Disponível em: https://www.ufsm.br/midias/arco/vacinacao-gestantes-covid-e-segura.
- Heath PT, Le Doare K, Khalil A. Inclusion of pregnant women in COVID-19 vaccine development. Lancet Infect Dis [Internet]. Set 2020 [citado 18 out 2023];20(9):1007-8. Disponível em: https://doi.org/10.1016/s1473-3099(20)30638-1.
- ESTRELA FM, SILVA KK, CRUZ MA, GOMES NP. Gestantes no contexto da pandemia da Covid-19: reflexões e desafios. Physis [Internet]. 2020 [citado 18 out 2023];30(2). Disponível em: https://doi.org/10.1590/s0103-73312020300215.
- Noronha Roriz B, Medeiros Pimenta W. OS EFEITOS DA COVID-19 NA GESTAÇÃO E NO PUERPÉRIO: REVISÃO NARRATIVA. 2021 [citado 5 out 2023]:17. Disponível em: https://repositorio.pucgoias.edu.br/jspui/bitstream/123456789/2538/1/TCC%20final%202021%20Bruna%20Roriz%20e%20Wanessa%20Medeiros.pdf.
- ASSOCIAÇÃO DE GINECOLOGIA E OBSTETRÍCIA DO ESTADO DO RIO DE JANEIRO. SOGISC: ORIENTAÇÃO PRÁTICA PARA PREVENÇÃO DE COVID-19 - GESTANTES E LACTANTES. 1 ed. Rio de Janeiro: • Sgorj | Sogisc, 2021. 10 p. Disponível em: https://sgorj.org.br/wp-content/uploads/2021-01-18-sgorj-campanha-vacinacao.pdf.
- Eduardo Oliva J. Uso de vacunas contra COVID-19 en embarazadas y mujeres que lactan. INST NAC SALUD [Internet]. 2022 [citado 16 out 2023]. Disponível em: https://docs.bvsalud.org/biblioref/2022/02/1358077/opinion-tecnica-vacunas-contra-covid-19-en-el-embarazo-actuali_950sj33.pdf
- Pulcineli Vieira Francisco R. POSICIONAMENTO SOGESP | VACINAÇÃO CONTRA COVID-19 PARA GESTANTES E PUÉRPERAS QUE TOMARAM A PRIMEIRA DOSE DE VACINA ASTRAZENECA/OXFORD. Assoc Obstet Ginecol Estado Sao Paulo [Internet]. 2021 [citado 8 out 2023]. Disponível em: https://www.sogesp.com.br/noticias/posicionamento-sogesp-vacinacao-contra-covid-19-para-gestantes-e-puerperas-que-tomaram-a-primeira-dose-de-vacina-astrazenecaoxford/.
- MINISTÉRIO DA SAÚDE. MANUAL DE RECOMENDAÇÕES PARA A ASSISTÊNCIA À GESTANTE E PUÉRPERA FRENTE À PANDEMIA DE COVID-19. Bibl Virtual Em Saude Minist Saude [Internet]. 2021 [citado 16 out 2023];2:86. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/manual_assistencia_gestante_puerpera_covid-19_2ed.pdf.
- SOEIRO, E. M. D. et al.. The challenges of the pandemic and the vaccination against covid-19 in pediatric patients with kidney disease. Brazilian Journal of Nephrology, v. 45, n. 2, p. 244–251, jun. 2023. Disponível em: https://www.scielo.br/j/jbn/a/FHzG5B5vMwRtX53hdrB336N/?lang=pt#
- Covid-19 e Vacinas na Gestação. Soc Bras Reprod Assist [Internet]. 2021 [citado 18 out 2023];(35). Disponível em: https://sbra.com.br/wp-content/uploads/2021/02/Caderno-Digital-Covid-19-e-vacinas-na-gestacao.pdf.
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Copyright (c) 2023 Káryta Lorrane Xavier Oliveira, Allan Caldas de Souza, Ana Flávia Ribeiro Vilela, Filipe de Oliveira Alcântara Paniago, Gloria Bernardi Torres, Juliana Serafim dos Reis , Karoline Nogueira Borges, Larissa Victorien de Souza Viana Belchior, Mabio Vigilato Vital, Monique Stéphany Vitor Souza , Natália Paulino Vilela Maciel