Updated Advice for the Care ofPregnant Women
Dear Obstetric Shared Care GPs,
CONNECTING YOU WITH THE NEWS YOU NEED FOR
GP OBSTETRIC SHARED CARE
Welcome to the August edition of the GP Obstetric Shared Care Program’s enews.
Thank you to those who attended our GP Obstetric Shared Care Accreditation Seminar last Saturday. It was wonderful to have so many of you join us at Ayres House for some great presentations. The presentations from the Seminar will be available for you to access online in the coming week, with the generous permission of all our speakers.
Congratulations to all the GPs, who following their attendance on
Saturday, have now become fully accredited to the GP Obstetric Shared Care Program.
Every news headline. Conversations with friends. The global SARS-CoV-2 pandemic and management of COVID-19 dominates our world, and the pipeline of research to testing to practice has never been as visible to the public and professionals alike.
Stay up to date with the latest information by clicking on the links below.
COVID-19 Vaccination for Pregnant Women
The College respects the role of government, health departments and health administrators in coordinating a national response in Australia and New Zealand. The purpose of this communiqué is to provide updated advice on the issue of vaccination for pregnant and breastfeeding women, and those planning pregnancy in Australia, in line with updated advice from The Australian Technical Advisory Group on Immunisation (ATAGI).
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) acknowledges the risk posed to the community, healthcare workers, and all patients, due to the COVID-19 pandemic. RANZCOG also recognises our responsibility to respond to this situation as a large organisation, and also as a medical college, and health leader.
- Pregnant women are a priority group for COVID-19 vaccination, and should be routinely offered the Pfizer vaccine (Comirnaty) or Spikevax (Moderna) at any stage of pregnancy.
- Pfizer (Comirnaty) and Spikevax (Moderna) are mRNA vaccines.
- Women who are trying to become pregnant do not need to delay vaccination or avoid becoming pregnant after vaccination.
- Real-world evidence has shown that the Pfizer and Moderna vaccines are safe for pregnant women.
- Pregnant women have a higher risk of severe illness from COVID-19.
- Their babies also have a higher risk of being born prematurely.
- COVID-19 vaccination may provide indirect protection to babies by transferring antibodies through the placenta (for pregnant women) or through breastmilk (for breastfeeding women).
What are the current recommendations for COVID-19 vaccine in pregnant women?
Pregnant women are a priority group for COVID-19 vaccination, and should be routinely offered Pfizer mRNA vaccine (Cominarty) or Spikevax (Moderna) at any stage of pregnancy.
Pregnant women with COVID-19 have a higher risk of severe illness compared to non-pregnant women with COVID-19 of the same age. This includes an increased risk of:
– admission to an intensive care unit
– invasive ventilation.
COVID-19 during pregnancy also increases the risk of complications for the baby including a higher risk of stillbirth and of being born prematurely.
Vaccination is the best way to reduce these risks.
Women who are trying to become pregnant can receive either Pfizer, Moderna or AstraZeneca vaccines and do not need to delay vaccination or avoid becoming pregnant after vaccination.
When is the best time to have a COVID-19 vaccine if I am pregnant?
It is recommended to have a COVID-19 vaccine as soon as you are offered one. Pfizer or Moderna vaccines can be given at any stage of pregnancy. Two doses of Pfizer or Moderna vaccine provides good protection against COVID-19, including against the Delta strain. It is recommended to have 2 doses of the vaccine, 3-6 weeks apart.
Recommendations for women who have already received a dose of AstraZeneca Vaccine.
Pregnant women who have already received a first dose of AstraZeneca vaccine can receive either the Pfizer vaccine or Moderna or the AstraZeneca vaccine for their second dose.
- Research has shown that mRNA vaccines (e.g Pfizer or Moderna) are safe for pregnant women.
- There is less available data on the safety of viral vector vaccines (e.g Astra Zeneca) in pregnancy, hence the current advice for Pfizer or Moderna. This advice is likely to change as more data on AstraZeneca becomes available.
What are the recommendations for breastfeeding women?
Vaccination is recommended for breastfeeding women. You do not need to stop breastfeeding before or after vaccination. Either Pfizer, Moderna or AstraZeneca vaccine is considered safe. The mRNA in Pfizer or Moderna is rapidly broken down in the body and does not appear to pass into breastmilk. The viral vector in AstraZeneca cannot cause infection.
Other treatments in pregnancy
Pregnant women should continue to receive pertussis and influenza vaccination during pregnancy, noting the advice to space vaccine injections by at least one week.
The administration of Anti-D should continue as per usual indications and timing is not affected aby vaccination.
RANZCOG advice aligns with that issued by ATAGI.
Please note: When using the eligibility checker, pregnant women should tick ‘no’ to AstraZeneca and keep going to the end.
Pregnant women should get vaccinated and continue to follow the current guidelines to prevent the spread of COVID-19 after they are vaccinated. This includes hand hygiene, masks where social distancing cannot be maintained, testing when symptoms are present and isolation, when appropriate.
RANZCOG emphasises the importance of inclusion of pregnant and breastfeeding women in clinical trials of COVID-19 vaccines to develop evidence-based advice regarding safety and efficacy.
It is not routinely recommended to co-administer COVID-19 vaccine with other vaccines. The minimum recommended interval between COVID-19 vaccine and any other vaccine (including influenza vaccine and whooping cough vaccines) is 7 days.
All medical advice should be patient-centered and take into account each individual’s personal considerations and preferences.
The circumstances of the COVID-19 pandemic are unprecedented, and knowledge is rapidly evolving. RANZCOG will continue to monitor available data and issue updated advice as evidence emerges.
A National coronavirus Hotline (1800 020 080) is available to find relevant vaccination clinics. Eligibility for vaccination is determined by the Australian Government and the New Zealand Ministry of Health, and local jurisdictions, and is not within the authority of RANZCOG.
MyAus COVID-19 app
RANZCOG recognises the importance of ensuring multicultural communities throughout Australia have the information they need about the COVID-19 vaccination program, and would recommend members encourage their patients use the Migration Council Australia’s MyAus COVID-19 app.
The Council developed MyAus COVID-19 – a multilingual app for Australia’s culturally and linguistically diverse communities about COVID-19, its impact and available support.
MyAus COVID-19 app supports access to information in a user-friendly format, including via short animations. The app is supported by the Australian Government and is currently available in 29 community languages. Available for iPhones and Android.
Talking COVID-19 Vaccines Information For Women
This resource is available to download and print:
Continuing Professional Development
Facts and Fertility
Presented by the GP Obstetric Shared Care Program
Date: Thursday 23rd September 2021
Time: 6.00pm – 9.15pm
Venue: The Healthy Living Precinct, Welland
Complimentary dinner provided. Free parking.
6 CPD Program points allocated in the RACGP CPD Program for the 2020-2022 triennium
6 CPD Program points allocated in the GP OSC Program for the 2020-2022 triennium
Contraception Update and Introducing the New Progestogen-Only Contraceptive Pill
Date: Wednesday 8th September 2021
Time: 6.30pm – 8.30pm
Venue: Oceanique, 9 Barcoo Road, West Beach
Speaker: Dr Amy Moten
Complimentary dinner provided. Free parking.
COVID 19 Vaccine Hesitancy & Side Effects Management Workshops
This session will assist GPs and Pharmacists with COVID 19 Vaccine Hesitancy and Side Effects Management. Hear from Haematologist, Immunologist, Communications Specialist, AstraZeneca Medical Specialist and a GP Facilitator.
Choose your date and location
GPPA/OSC CPD points can be claimed for these learning modules. Please email Leanne for allocation of your points.
Please remember to ensure that your antenatal women have booked into ‘Shared Care’, and that you have received a letter of confirmation stating your patient has been accepted into ‘Shared Care’ at the relevant public hospital.
Can you help us find out the ideal amount of iodine needed in pregnancy for baby’s brain development?
Please complete this form indicating whether you are interested in inviting your pregnant women who are less than 13 weeks into their pregnancy to take part in this research.
GP Partners Australia is committed to building upon its strong foundations and achievements, strengthening its valued partnerships and future-proofing its services to the community, including providing strong advocacy, training, education and support for GPs and women participating in the GP Obstetric Shared Care Program, for years to come.
Thank you for continuing to support the GP Obstetric Shared Care Program.
Don’t forget to visit our GP Partners Australia website for further updates and resources www.gppaustralia.org.au
We trust this – and future updates – will be of help to you during these crazy times.
If you have any questions or require additional information please do not hesitate to contact the GP Obstetric Shared Care Program Manager – Leanne at firstname.lastname@example.org