The secrets of your vagina, exposed, and told like never before
Women
pregnant
are at present one of the main risk groups when getting Covid-19: have 4.2 times more likely to become
infected and 23 times more than admitted to hospital, according to data provided by
Carmen Cabezas,
Secretary of Public Health, of the Catalan Institute of Health.
Figures that support
vaccination
among those who are in the gestation period, despite the fear that it may cause.
But what happens when being
pregnant
is the goal?
Has the pandemic changed the protocols when it comes to undergoing treatment that helps to be a mother?
Yes and no, the experts answer.
On the one hand, "the medical protocol in reproduction techniques has not been modified," says
Estefanía Moreno,
gynecologist at Ginefiv, a clinic specialized in fertility, "but new security and continuous hygiene measures have been incorporated, among others. , request a PCR 24-48 hours before the patient is to receive sedation ".
And although the treatment remains the same and from the Spanish Fertility Society they encourage not to delay maternity plans due to the pandemic - "because time plays against; a decade ago the age of women who attended
reproduction
clinics
assisted, she
was 35 years old and now she is approaching 39 ", they warn-, the vaccine against the virus has changed some things and the questions are many.
When and how should we get vaccinated? Will it affect our treatment? And pregnancy and childbirth? Is there a 'better' vaccine than another? ... These are questions that add to the concern that this type of processes.
And that the experts answer.
The vaccine changes the deadlines
From the SEF they insist: "There is no evidence that the vaccine increases the risk of
infertility
and it is not believed that it interferes with the loss of pregnancy, fetal death or congenital anomalies. In the case of
assisted reproduction treatments
, women can be
vaccinated
during the preservation or in vitro fertilization processes, because it will not affect the oocytes or the stimulation process ", they assure.
However, they also recommend that insemination or
embryo
transfer should
not be carried out until two weeks after the administration of the second dose of the vaccine, due to the
side effects
that it can produce, "for example fever, which is associated with adverse results in
pregnancy,
"explains Estefanía Moreno.
But it is not necessary to interrupt "the study process, ovarian stimulation, the obtaining of gametes or the generation of embryos."
They also count
And what about the couple? Does it also influence when considering fertility treatment that the man is vaccinated?
Well yes, and a lot.
In fact, it is recommended that they delay
vaccination
until after semen samples are delivered.
"Not because the vaccine interferes with the quality of the seminal sample," explains
Estefanía Moreno,
"but because of the side effects it can have. Especially fever, which causes a lower amount of
sperm to be produced
and, in addition, they have decreased motility ".
One vaccine better than another?
Not better, but different, because depending on the vaccine we are given, we will need to wait more or less to start fertility treatment.
In the case of
Pfizer
or
Moderna
, it is not necessary "to delay until receiving the complete vaccination schedule, but if it is
AstraZeneca
or
Janssen
, as a precautionary measure, you have to wait two weeks after the administration of the complete vaccine to try to look for the pregnancy".
Will the pregnancy be different?
According to the data currently available, no, because "there is no greater risk of
spontaneous abortion
or
premature delivery
," says the gynecologist. In any case, as
pregnancy
"confers a state of hypercoagulability and the virus increases the risk of thrombi,
anticoagulant treatment
is recommended
to prevent them." In addition, so far "there is no evidence that the virus is transmitted from mother to child before or during childbirth, and neither with breastfeeding," the expert reassures. "Babies born to infected mothers in the third trimester have been negative, and studies of amniotic fluid, placenta and breast milk have also been negative," he says.
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