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1-Page Summary of Ethics
A new generation of maternal vaccines primarily benefit the unborn child, not the pregnant woman.
Vaccines administered to pregnant women usually seek to protect the health of both the mother and child. Tetanus, hepatitis B, influenza and other vaccines help prevent complications during birth. Pertussis vaccine helps minimize infant infections because antibodies can be passed on from the mother to the fetus. Respiratory syncytial virus (RSV) and group B streptococcus are also being tested for preventing death in infants.
The new generation of maternal vaccines challenges traditional vaccination guidelines.
In the past, vaccination programs have focused on weighing the risks and benefits of vaccinating people. However, these programs can’t be justified by herd immunity because they’re targeted toward pregnant women.
Furthermore, the focus on the health benefits of vaccines to vaccinated individuals discounts the fact that maternal vaccination affects both mothers and infants. Some pregnant women may wish to get vaccinated as a preventative measure to protect their future child’s health without being able to prove that they will benefit from getting vaccinated. The current framework thus prevents them from exercising autonomy over whether or not they should get vaccinated.
Vaccination frameworks need to become more women-centric.
It is also important to include women in the process of creating new ethical guidelines for maternal vaccination.