Breastfeeding and COVID-19 Vaccination

Breastfeeding and wanting to get your COVID-19 vaccine?  Below is a summary of the guidance from several national societies.  (Updated 7/28/21)
 

U.S. Centers for Disease Control and Prevention

"Clinical trials for the COVID-19 vaccines currently authorized for use under an Emergency Use Authorization in the United States did not include people who are breastfeeding. Because the vaccines have not been studied on lactating people, there are no data available on the:

  • Safety of COVID-19 vaccines in lactating people
  • Effects of vaccination on the breastfed baby
  • Effects on milk production or excretion

Based on how these vaccines work in the body, COVID-19 vaccines are thought not to be a risk to lactating people or their breastfeeding babies. Therefore, lactating people can receive a COVID-19 vaccine. Recent reports have shown that breastfeeding people who have received COVID-19 mRNA vaccines have antibodies in their breastmilk, which could help protect their babies."
 

Academy of Breastfeeding Medicine

"The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19... there is little biological plausibility that the vaccine will cause harm, and antibodies to SARS-CoV-2 in milk may protect the breastfeeding child."
 

Infant Risk Center

"Similar to other medications, pregnant and/or breastfeeding women have not been widely included in studies to determine how well COVID-19 vaccines work or how safe they are. Based on research on women who chose to take the vaccine, we believe the risks that come with vaccination are low. The risk and benefit of the vaccine should be compared to each mother’s individual risk for getting COVID-19 as well as how well she is expected to tolerate the disease. Each mother and provider should discuss what choice fits their situation best."
 

American College of Obstetrics and Gynecology

“ACOG recommends COVID-19 vaccines be offered to lactating individuals. While lactating individuals were not included in most clinical trials, COVID-19 vaccines should not be withheld from lactating individuals who otherwise meet criteria for vaccination. Theoretical concerns regarding the safety of vaccinating lactating individuals do not outweigh the potential benefits of receiving the vaccine. There is no need to avoid initiation or discontinue breastfeeding in patients who receive a COVID-19 vaccine (ABM 2020).” 

The Carolina Global Breastfeeding Institute, Lactation and Infant Feeding in Emergencies (L.I.F.E.™) Initiative

has additional references and resources related to lactation and COVID-19

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