The COVID Vaccine in Pregnancy: What You Need to Know

Even after years of living with COVID-19, the risks of infection remain very real—especially during pregnancy.

We support many low risk families who simply want the best quality ultrasound imaging and coordination of care. Our providers have a combined 100 years of ultrasound experience.

Even after years of living with COVID-19, the risks of infection remain very real—especially during pregnancy. At Lancaster Maternal Fetal Medicine, our top priority is helping you protect yourself, your baby, and your family. That’s why we strongly recommend the COVID vaccine during pregnancy and while breastfeeding.

We know making this decision can feel overwhelming. There is an endless stream of information online, some reliable and some not. You deserve clear, evidence-based answers from experts who understand pregnancy and who care about your concerns.

Why Vaccination Matters More in Pregnancy

Pregnancy changes the way your body responds to illness. These changes put you at a higher risk of severe complications if you contract COVID-19. Pregnant and postpartum individuals are more likely than non-pregnant peers to require hospitalization, intensive care, or even ventilator support. Infection during pregnancy is also linked with preterm birth, stillbirth, and other serious complications.

The vaccine is one of the most effective ways to reduce these risks. By building immunity, you protect both yourself and your growing baby.

An optional, non-invasive blood screening test and ultrasound evaluation of the fetus to identify risks for specific chromosome abnormalities such as Down Syndrome.

What the Research Shows About Safety

More than 200,000 pregnant people worldwide have received COVID-19 vaccines. Their rates of side effects are no different from the general population. Large studies have confirmed that vaccination is safe in all stages of pregnancy and while breastfeeding.

Both the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) strongly recommend vaccination for those who are trying to conceive, currently pregnant, or nursing.

Protecting Your Baby, Too

One of the most reassuring findings about vaccination during pregnancy is that mothers pass protective antibodies to their babies. Antibodies have been found in umbilical cord blood and breast milk, suggesting newborns may gain early protection against the virus.

Common Myths, Debunked

Misinformation spreads quickly, especially on social media. Here are some of the most common myths—and the truth behind them:

  • “The vaccine causes infertility.” False. There is no evidence that any vaccine, including COVID vaccines, affects fertility in men or women.
  • “The vaccine could cause miscarriage.” False. In fact, infection with COVID-19—not vaccination—has been linked with higher risk of miscarriage and pregnancy loss.
  • “You can get COVID from the vaccine.” False. None of the COVID vaccines contain live virus, and they cannot cause infection.
  • “It has a microchip or makes you magnetic.” False. These are myths without scientific basis.

Special Considerations

Most people who are pregnant can safely receive the vaccine. The only exception is for those who have experienced a severe allergic reaction to a previous dose or an ingredient in the vaccine. In that case, talk with your provider about other ways to protect yourself.

Even if you consider yourself healthy and low-risk, COVID infection can still harm the placenta—the organ that nourishes your baby. Recent research has shown cases of SARS-CoV-2 placentitis, a condition where the virus causes widespread destruction of placental tissue. This can lead to stillbirth or neonatal death, even in otherwise healthy pregnancies. Vaccination is the most reliable way to reduce this risk.

Lancaster Maternal Fetal Medicine, Lancaster PA - Ultrasound & Pregnancy Services

Boosters and Timing

If you’re eligible for a booster, it’s recommended to receive it during pregnancy or postpartum. Staying up to date provides the strongest and longest-lasting protection.

Still Have Questions? Let’s Talk.

It’s normal to feel uncertain about a decision that affects you and your baby. At LMFM, we provide a judgment-free space to talk through your concerns. Bring us articles, links, or questions you’ve come across—we’re happy to review them with you.

You can also call us directly at 717-288-8118 or email info@lancastermfm.com. If you’d like another resource, visit MotherToBaby, where you can chat or email with experts about vaccine safety during pregnancy and breastfeeding.

Where to Get Vaccinated

Vaccines are widely available:

  • Visit vaccines.gov
  • Text your zip code to 438829
  • Call 800-232-0233
  • Or simply call our office—we’ll help you find a location.

The Bottom Line

If you are pregnant, planning to conceive, recently postpartum, or breastfeeding, getting vaccinated against COVID-19 is one of the most important steps you can take to protect yourself and your baby. The evidence is clear: the benefits far outweigh the risks.

We encourage you to talk with us about your concerns, trust the science, and make the choice that prioritizes your health and your baby’s future.

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