Immunization Resources for Providers

Immunization during pregnancy is one of the most effective ways to stay healthy in pregnancy and protect the baby in the first months.

The following schedule should be recommended to all pregnant people:

Vaccine	Timing	Recommended Season
Tdap	27-36 weeks	All year
COVID	Any week	All year, especially in the fall
Flu	Any week	During flu season, ideally before November
RSV	32-36 weeks	September to January

ACNM recommends that all midwives counsel pregnant people about getting these vaccines during pregnancy.

As members of the Maternal Immunization Task Force, we work to build partnerships and improve collaboration between healthcare professionals, community-based organizations, administrators, and researchers. As professional organizations whose members care for pregnant people, we affirm the importance of recommending and advocating that pregnant people receive all recommended vaccines at the appropriate time during each pregnancy. The current increase in hesitancy about the safety and efficacy of vaccines has created an environment that calls for our urgent commitment to discussing the evidence-based benefits of vaccination with pregnant people. Check out our partners’ websites for more resources on immunization during pregnancy.

Preparing for Respiratory Virus Season: A Review of Maternal Immunization Guidance and Communication Strategies to Increase Vaccine Uptake and Confidence

Prepare your clinic for the upcoming respiratory virus season with expert insights and actionable tools. Hear the latest guidance on COVID-19, flu, and RSV vaccination and learn effective communication strategies to address vaccine hesitancy and educate pregnant patients.

Expert Panelists:

Komkwuan P. Paruchabutr, DNP, FNP-BC, WHNP-BC, CNM, FACNM, FNAP

Geeta Swamy, MD, FACOG

Todd Wolynn, MD, MMM, FAAP

The panel explored common patient concerns and offer best practices for communicating with and educating the public about respiratory viruses and maternal vaccines.

Hosted by: AAFP, ACNM, ACOG, AWHONN, NPWH, and SMFM

American College of Nurse-Midwives Statement on Maternal Immunization: Updated July 2025

The American College of Nurse-Midwives (ACNM) reaffirms the strong recommendation that all individuals who are pregnant, planning pregnancy, or postpartum receive the recommended vaccines to protect themselves and their babies from serious illness. Maternal immunization is one of the safest, most effective ways to reduce the risk of life-threatening infections in both pregnant individuals and newborns, particularly in the first few vulnerable months of life.

Call to Action: Obstetric Care Professionals Urge Recommended Vaccines during Pregnancy

The Maternal Immunization Task Force urges providers to continuing to offer the following vaccines in pregnancy: influenza;

tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap); COVID-19; and respiratory syncytial

virus (RSV). These vaccines have demonstrated safety and efficacy profiles, leading to their recommendation

during pregnancy. The ongoing decrease in vaccination rates in this population calls for

our urgent commitment to discuss the evidence-based benefits of vaccinating pregnant people and enabling

seamless access.

Comments to CDC Advisory Committee on Immunization Practices Importance of Maternal Immunization

June 20, 2025 release by the American Academy of Family Physicians; American College of Nurse-Midwives; American College of Obstetricians and Gynecologists; Association of Women’s Health, Obstetric

and Neonatal Nurses; The National Association of Nurse Practitioners in Women’s Health; and the Society for

Maternal-Fetal Medicine.

ACNM immunization campaigns

New 2025 Social Media Immunization Campaign

ACNM is excited to announce the launch of our new maternal immunization campaign. Geared to highlight midwives as trusted professionals for recommending immunizations in pregnancy and beyond, the campaign is free for download.

Person-centered immunization campaign

ACNM is excited to share our immunization in pregnancy campaign developed in 2022 and updated in 2024, encouraging pregnant people to get four essential vaccines: Tdap, COVID, flu, and RSV using neuroscience to optimize effectiveness.

In a world where misinformation is commonplace and where deliberate disinformation campaigns are on the rise, it can be very difficult for people to discern a true threat from important information for their health and well-being. This new campaign uses effective messaging to help people to make informed decisions regarding their health.

Download the campaign here:

Infographic

Social media campaign

Addressing vaccine hesitancy with motivational interviewing

Download our updated guide on talking to pregnant people about vaccines.

Additional resources for pregnancy immunization

CDC “How I recommend vaccination”

In this video, Carol Hayes highlights how midwives can make strong vaccine recommendations, and answers questions related to vaccination in pregnancy.

In 2024, ACNM held a webinar series focused on improving midwives and providers understanding of how to promote effective conversations around vaccines, and how to understand the evidence on vaccines in pregnancy and early newborn period. These webinars are free and open to the public.

For more information and resources about vaccines during pregnancy, please visit the resource websites from our partners in the Maternal Immunization Task Force: ACOG: https://www.acog.org/womens-health/infographics/vaccines-during-pregnancy SMFM: https://www.smfm.org/respiratory-disease-season AAFP: https://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines.html AWHONN: https://www.awhonn.org/education/vaccination/ NPWH: https://npwh.org/page/Maternal-Health-Immunization-Toolkit

The evidence for pregnancy immunization

The Advisory Committee on Immunization Practices (ACIP) provides advice and guidance to the Director of the CDC regarding the use of vaccines and related agents to reduce vaccine-preventable diseases in the civilian population of the United States. Recommendations made by the ACIP are reviewed by the CDC Director and, if adopted, are published as official CDC/HHS recommendations in the Morbidity and Mortality Weekly Report (MMWR).

https://www.cdc.gov/acip/CDC_AAref_Val=https://www.cdc.gov/vaccines/acip/index.ht

Learn more about Vaccine Recommendations and Guidelines of the ACIP:

COVID-19 ACIP Vaccine Recommendations

Tdap ACIP Vaccine Recommendations

Influenza ACIP Vaccine Recommendations

NEW recommendation: RSV vaccine in pregnancy:

2024-25 updated RSV recommendations:

The CDC has published these resources to help midwives and other providers understand current recommendations on RSV vaccination during pregnancy. The CDC recommends a respiratory syncytial virus (RSV) vaccine for pregnant people during weeks 32 through 36 of pregnancy during September through January. However, in subsequent pregnancies, if a pregnant person already received the Abrysvo (maternal vaccine), CDC recommends that their newborns receive the monoclonal antibody for RSV. For more guidance and information, please visit the CDC websites:

RSV Vaccine Guidance for Pregnant Women

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Immunization Resources for Providers