(ATLANTA) -- Pregnant people and people who were recently pregnant or are trying to get pregnant need to prioritize getting vaccinated against COVID-19, according to an "urgent health advisory" released Wednesday by the Centers for Disease Control and Prevention (CDC).
Currently, only 31% of pregnant people in the U.S. have been vaccinated against the virus, and that number drops down to 15% for Black pregnant people, according to the CDC.
At the same time, more and more pregnant people are being hospitalized due to COVID-19, which causes a two-fold risk of admission into intensive care and a 70% increased risk of death for pregnant people, the agency said.
Amid a COVID-19 surge in the U.S. brought on by the more contagious delta variant, nearly two dozen pregnant people died due to the virus in August alone, according to the CDC.
Since the start of the pandemic, the CDC reports there have been more than 125,000 confirmed cases of COVID-19 in pregnant people, including more than 22,000 hospitalizations and 161 deaths.
"Pregnancy can be both a special time and also a stressful time – and pregnancy during a pandemic is an added concern for families," CDC Director Dr. Rochelle Walensky said in a statement. "I strongly encourage those who are pregnant or considering pregnancy to talk with their healthcare provider about the protective benefits of the COVID-19 vaccine to keep their babies and themselves safe.”
In August, the CDC strengthened its recommendation for COVID-19 vaccination during pregnancy, citing new evidence of safety with the vaccines.
The nation's two leading health organizations focused on the care of pregnant people -- American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) -- also issued new guidelines calling on all pregnant people to get vaccinated against COVID-19.
Here is what pregnant and breastfeeding people may want to know about the COVID-19 vaccines to help them make informed decisions.
1. When can pregnant people get a COVID-19 vaccine?
Everyone 12 years of age and older, including pregnant people, is now eligible to get a COVID-19 vaccination, according to the U.S. Centers for Disease Control and Prevention (CDC).
Pregnant people can get the COVID-19 vaccine at any point in their pregnancy, and the vaccine does not need to be spaced from other vaccines, like the flu shot or Tdap booster.
2. What is the science behind the COVID-19 vaccine?
Both the Pfizer and Moderna vaccines use mRNA technology, which does not enter the nucleus of the cells and doesn’t alter the human DNA. Instead, it sends a genetic instruction manual that prompts cells to create proteins that look like the virus a way for the body to learn and develop defenses against future infection.
They are the first mRNA vaccines, which are theoretically safe during pregnancy, because they do not contain a live virus.
The Johnson & Johnson vaccine uses an inactivated adenovirus vector, Ad26, that cannot replicate. The Ad26 vector carries a piece of DNA with instructions to make the SARS-CoV-2 spike protein that triggers an immune response.
This same type of vaccine has been authorized for Ebola, and has been studied extensively for other illnesses -- and for how it affects women who are pregnant or breastfeeding.
The CDC has concluded that pregnant people can receive the Johnson & Johnson one-shot vaccine after reviewing more than 200 pages of data provided by the company and the U.S. Food and Drug Administration (FDA).
Vaccine experts interviewed by ABC News said although pregnant women are advised against getting live-attenuated virus vaccines, such as the one for measles, mumps and rubella, because they can pose a theoretical risk of infection to the fetus, the Johnson & Johnson vaccine doesn't contain live virus and should be safe.
3. Are there studies on pregnant women and the COVID-19 vaccine?
In its new recommendation that all pregnant people get vaccinated, the CDC said in a statement, "A new analysis of current data from the v-safe pregnancy registry assessed vaccination early in pregnancy and did not find an increased risk for miscarriage among people who received an mRNA COVID-19 vaccine before 20 weeks of pregnancy."
"Miscarriage rates after receiving a COVID-19 vaccine were similar to the expected rate of miscarriage," the statement continued. "Additionally, previous findings from three safety monitoring systems did not find any safety concerns for pregnant people who were vaccinated late in pregnancy or for their babies."
In addition, two recent studies found Pfizer and Moderna's COVID-19 vaccines appear to be "completely safe" and effective for pregnant people, according to Dr. Francis Collins, director of the National Institutes of Health (NIH).
Collins wrote in a blog post that the Pfizer and Moderna vaccines, which both use mRNA technology, were found to provide in pregnant people the levels of antibodies and immune cells needed to protect them against COVID-19.
The vaccines were also found to likely offer protection as well to infants born to a vaccinated person, according to Collins.
"Overall, both studies show that COVID-19 mRNA vaccines are safe and effective in pregnancy, with the potential to benefit both mother and baby," he wrote, later adding, "While pregnant women are urged to consult with their obstetrician about vaccination, growing evidence suggests that the best way for women during pregnancy or while breastfeeding to protect themselves and their families against COVID-19 is to roll up their sleeves and get either one of the mRNA vaccines now authorized for emergency use."
One study cited by Collins in his blog post was led by researchers at Northwestern University studying people who had been fully vaccinated during pregnancy.
The study, published May 11 in the journal Obstetrics & Gynecology, is believed to be the first to examine the impact of the COVID-19 vaccines on the placenta, according to the university. Researchers found the vaccine had no impact on pregnancy and no impact on fertility, menstruation and puberty.
The second study cited by Collins, led by researchers at Beth Israel Deaconess Medical Center and Harvard Medical School, looked at more than 100 women who chose to get either the Pfizer or Moderna vaccines. Researchers found that the women's antibodies against COVID-19 after being fully vaccinated were also present in infant cord blood and breast milk, "suggesting that they were passed on to afford some protection to infants early in life," according to Collins.
An earlier study, a study published in the American Journal of Obstetrics & Gynecology in March found the Pfizer and Moderna vaccines are safe and effective in pregnant and lactating people and those people are able to pass protective antibodies to their newborns.
Researchers studied a group of 131 reproductive-age women who received the Pfizer or Moderna vaccine, including 84 pregnant, 31 lactating and 16 non-pregnant women and found antibody levels were similar in all three groups. No significant difference in vaccine side effects were found between pregnant and non-pregnant study participants.
The study had some limitations. It was small and participants were primarily white health care workers from a single city. On the other hand, it's the largest study of a group that was left out of initial vaccine trials.
4. What are health groups saying about the COVID-19 vaccine?
In their joint recommendation issued in July, ACOG and SMFM said pregnant people should "feel confident" in getting vaccinated against COVID-19.
"ACOG is recommending vaccination of pregnant individuals because we have evidence of the safe and effective use of the vaccine during pregnancy from many tens of thousands of reporting individuals, because we know that COVID-19 infection puts pregnant people at increased risk of severe complications, and because it is clear from the current vaccination rates that people need to feel confident in the safety and protective value of the COVID-19 vaccines,” ACOG president Dr. J. Martin Tucker said in a statement. “Pregnant individuals should feel confident that choosing COVID-19 vaccination not only protects them but also protects their families and communities.”
“COVID-19 vaccination is the best method to reduce maternal and fetal complications of COVID-19 infection among pregnant people,” Dr. William Grobman, president of SMFM, said in a statement announcing the new recommendation, also noting the vaccines are safe before, during and after pregnancy.
The World Health Organization (WHO) also says pregnant people can be vaccinated against COVID-19, adding, "in consultation with their healthcare provider."
"Limited data are currently available to assess the safety of COVID-19 vaccines in pregnancy. However, based on what we know about the kinds of vaccines being used, there is no specific reason for concern," WHO says on its website. "None of the COVID-19 vaccines authorized to date use live viruses, which are more likely to pose risks during pregnancy."
5. What will clinical trials be like for pregnant people?
Pfizer's phase 2/3 trial will enroll approximately 4,000 women within weeks 24-34 of their pregnancy, the company announced in a press release.
Half will get the vaccine, and half will get a placebo.
The study will include healthy, pregnant woman age 18 and older in the U.S., Canada, Argentina, Brazil, Chile, Mozambique, South Africa, the United Kingdom and Spain.
Participants in the vaccine group will receive two doses at 21 days apart -- and each woman will be followed for at least 7-10 months in order to continuously assess for safety in both participants and their infants.
Infants will also be assessed, up until 6 months of age, for transfer of protective antibodies from their vaccinated mother.
Women enrolled in the trial will be made aware of their vaccine status shortly after giving birth to allow those women who originally received placebo to be vaccinated while staying in the study.
6. Why weren't pregnant people included in early clinical trials?
Not recruiting parents-to-be in clinical trials and medical research is nothing new, according to Dr. Ruth Faden, the founder of the Johns Hopkins Berman Institute of Bioethics and a bioethicist who studies the ethics of pregnancy and vaccines.
"For a very long time, pregnant women were not included in biomedical research evaluation efforts or clinical trials, both for concerns about fetal development and what would be the implications of giving a pregnant women an experimental drug or vaccine and also for legal liability worries from manufacturers and pharmaceutical companies," Faden told "GMA" last month. "There’s a huge gap between what we know about the safety and effectiveness of a new drug or a new vaccine for the rest of the population and what we know about it specific to pregnancy."
In the case of the COVID-19 vaccines, health experts have only one of the three sources of evidence that are used to evaluate safety and efficacy during pregnancy: the data on non-pregnant people who were enrolled in the clinical trials, according to Faden.
From that, Faden said, health experts can try to glean what side effects may happen to people who are pregnant, but it is not an exact science.
However, it's considered typical -- and many argue ethically appropriate -- to study an unknown substance first in healthy adults and then progressively in broader and broader populations. Pregnant people and children are often tested later down the line because of concerns about potential long-term harm.
Some of the volunteers in prior COVID-19 vaccine trials that didn’t include pregnant women directly may still become pregnant during the trial. This will also give researchers some insights about the vaccine's safety among this group.
7. What risk factors should pregnant people consider?
A pregnant or breastfeeding person may consider a number of factors, including everything from the trimester, risk factors for COVID-19, ability to remain socially distanced in their lifestyle and occupation, guidance from federal and state officials and recommendations from a person's own physicians, experts say.
Similar to the flu vaccine, which was not tested on pregnant people in clinical trials, health experts are relying on continuously incoming data to make decisions around how safe the COVID-19 vaccines are during pregnancy.
Officials are doing the same for the general population, considering the speed at which the COVID-19 vaccines were developed, according to Faden.
The COVID-19 vaccines can be taken during any trimester.
8. Is COVID-19 more dangerous for pregnant people?
The CDC has shared data showing that pregnant people infected with COVID-19 are at an increased risk for "intensive care unit admission, invasive ventilation, extracorporeal membrane oxygenation, and death," compared to nonpregnant people.
Health experts say that with or without the vaccine, pregnant people need to continue to remain on high alert when it comes to COVID-19 by following safety protocols, including face mask wearing, social distancing and hand washing.