This Practice Advisory was developed by the American College of Obstetricians and Gynecologists in collaboration with Kevin A. Ault, MD, FACOG, and Laura E. Riley, MD, FACOG.
This Practice Advisory serves as an update to the American College of Obstetricians and Gynecologists (ACOG) Committee Opinion No. 741, Maternal Immunization, originally published in 2018 1 .
Immunization is an essential part of care for adults, including pregnant individuals. Since the publication of Committee Opinion No. 741, Maternal Immunization, the Centers for Disease Control and Prevention (CDC) has continued to release annual immunization schedules for children, adolescents, and adults. The CDC’s 2022 adult immunization schedule 2 includes several updates to immunization recommendations impacting pregnant individuals.
These updates include a universal recommendation for hepatitis B vaccination for all unvaccinated adults, including pregnant adults; changes to pneumococcal vaccine recommendations to reflect newly available vaccines; and added recommendations for COVID-19 vaccination.
Updated ACOG Recommendation
Based on the CDC’s 2022 adult immunization schedule and its supporting evidence of benefit, ACOG recommends hepatitis B vaccination for all unvaccinated pregnant adults 3 . Additionally, ACOG recommends pneumococcal vaccination for pregnant individuals at increased risk of severe pneumococcal disease 4 .
ACOG recommends COVID-19 vaccination for all pregnant individuals who were not vaccinated prior to pregnancy. Pregnant and recently pregnant people up to 6 weeks postpartum should receive a bivalent mRNA COVID-19 vaccine booster dose following the completion of their last COVID-19 primary vaccine dose or monovalent booster. COVID-19 vaccines are recommended for postpartum and lactating individuals who were not vaccinated prior to or during pregnancy 5 Table 1 .
Please contact [email protected] with any questions.
These materials are for information purposes only and are not meant to be comprehensive. Referral to these resources does not imply ACOG's endorsement of the organization, the organization’s website, or the content of the resource. The resources may change without notice.