**12. Pregnancy and COVID-19 vaccines**

Clinical trials to determine safety and efficacy of SARS-CoV2 vaccines have excluded pregnant women and so data on safety of vaccines in pregnancy is sparse. However, the vaccines that are not live attenuated are generally considered safe in pregnancy. Also, the animal studies done for safety and efficacy of the current vaccines for SARS-CoV2 have not shown any evidence of teratogenicity. RCOG recommends that SARS-CoV2 vaccine should be offered to pregnant women at the same time as general population [34]. ACOG recommends that mRNA vaccines for SARS-CoV2 should not be withheld from pregnant women and should be offered to lactating women [35]. It would be prudent to make the decision regarding use of SARS-CoV2 vaccines in pregnancy keeping in mind the activity of virus in community, risks and potential severity of illness in woman, efficacy of vaccine and risks to mother and fetus due to vaccination [35].
