Conflicting recommendations on COVID-19 vaccination for pregnant and breastfeeding individuals in Canada Breastfeeding Coronavirus Disease COVID Pregnancy Vaccination Gender DiscourseAnalysis Health Immunization socscimed AthabascaU DalhousieU
COVID-19 vaccination recommendations in pregnancy have been increasingly consistent across Australia, Europe, and North America. However, inconsistencies regarding vaccination in pregnancy were evident between national guidance in the early months of vaccination. In Canada, the National Advisory Committee on Immunization is responsible for making recommendations, but decisions on vaccine policy/funding are made by provinces and territories .
They performed a discourse analysis to examine intertextuality, social construction, and contradictions between/within texts. The authors noted that recommendations and discourses were discrepant and sometimes contradictory within texts, including in the same P/T. The Canadian Fertility and Andrology Society recommended vaccination in pregnancy, describing theoretical safety and preliminary evidence of maternal antibody transfer upon immunization.
Related StoriesLater, NACI updated the discretionary guidance in May 2021 to strongly recommend mRNA vaccines to pregnant and breastfeeding individuals. Vaccine manufacturers BioNTech, AstraZeneca, Janssen, and Moderna, stated in the product labels that the vaccine’s safety was not yet established in pregnant individuals.
Besides, five texts mentioned non-pharmacologic measures as an alternative to vaccination in pregnancy. Two texts suggested measures for everyone upon vaccination, and seven recommended additional safety measures for vaccinated pregnant individuals.
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