COVID & Pregnancy: Unethical CDC Shot Guidance?
- A proposal by Health and Human Services Secretary Robert Kennedy to discontinue the government's recommendation for healthy pregnant women to receive the COVID vaccine is drawing criticism.
- Critics argue that pregnant women have historically been overlooked in biomedical research and development, leading to detrimental consequences for maternal and child health.
- Initially, many countries, including the U.S., excluded pregnant women from COVID-19 vaccine rollouts, despite objections from medical organizations.
COVID Vaccine Recommendation for Pregnant Women Faces Scrutiny
Updated June 03, 2025
A proposal by Health and Human Services Secretary Robert Kennedy to discontinue the government’s recommendation for healthy pregnant women to receive the COVID vaccine is drawing criticism. Experts warn this move could undermine decades of progress in safeguarding the health of both pregnant individuals and their children.
Critics argue that pregnant women have historically been overlooked in biomedical research and development, leading to detrimental consequences for maternal and child health. Despite efforts to address this gap, including the PREVENT project, vaccine developers seemingly made little effort to generate data specific to pregnancy during the COVID-19 pandemic.
Initially, many countries, including the U.S., excluded pregnant women from COVID-19 vaccine rollouts, despite objections from medical organizations. The American Collage of Obstetricians and Gynecologists, among others, emphasized the heightened risk faced by pregnant women and newborns from COVID-19, coupled with the absence of biological evidence suggesting harm from the vaccines.
Data later revealed alarming hospitalization rates among pregnant women infected with COVID-19, along with increased risks of preterm labor and stillbirths.Maternal antibodies were also found to protect newborns. While the U.S. eventually prioritized pregnant women for vaccination, the initial delay had lasting repercussions.
The COVID vaccine, along with the flu vaccine, became a routine recommendation during pregnancy, aimed at protecting both the mother and the newborn. Tho,Kennedy’s stance threatens to reverse this progress,potentially endangering the health of pregnant women and infants. No new evidence has emerged to justify this shift, according to experts.
Millions of pregnant women have safely received COVID mRNA vaccines over the past four years. Vaccination during pregnancy boosts COVID antibody levels, offering greater protection to infants through placental transfer. This maternal vaccination is crucial, as babies under six months are too young to be vaccinated themselves but are at high risk of serious illness.
Treating healthy pregnant women differently from othre high-risk groups, such as those with asthma or diabetes, is considered unethical. Pregnancy,like these conditions,is a recognized risk factor for severe COVID-19 outcomes. Denying infants the protection afforded by maternal vaccination is also deemed unethical, as COVID-19 in pregnancy elevates the risk of stillbirth and preterm birth.
Requiring randomized clinical trials as a prerequisite for recommending COVID vaccines during pregnancy is also viewed as unethical. Withholding a proven beneficial intervention from research participants, as would occur in a placebo-controlled vaccine trial, violates essential research ethics principles.
The current CDC website presents conflicting information,with some sections correctly highlighting the risks of COVID-19 infection for mothers and babies and the safety of COVID-19 vaccines during pregnancy. However, the entry for pregnant women on the CDC’s Adult Immunization Schedule lacks guidance. The CDC’s Advisory Committee on Immunization Practices is expected to address this issue at a meeting later this month.
Ultimately, each pregnant woman will decide whether to get vaccinated.Clear and consistent messaging from professional societies and public health agencies is crucial to support informed decision-making.
What’s next
The CDC’s Advisory committee on Immunization Practices will convene later in June to discuss the COVID vaccine recommendation for pregnant women. Their guidance will likely influence the federal government’s final position.
