Immunization Resources for Providers
Trusted resources to support evidence-based vaccination throughout pregnancy.
Maternal immunization is a routine component of high-quality person-centered prenatal care. This resource hub brings together the latest clinical guidance, counseling tools, and evidence to help midwives confidently recommend vaccines during pregnancy and support informed, person-centered conversations with birthing families.
2026 Maternal Immunization Schedule
Download the 2026 Maternal Immunization Schedule
The 2026 Maternal Immunization Schedule provides a quick reference for vaccines recommended during pregnancy. This collaborative schedule demonstrates an unprecedented level of agreement across obstetric care disciplines and provides clinicians with consistent, evidence-based recommendations for maternal immunization.
Developed through the collective expertise of:
- American College of Nurse-Midwives (ACNM)
- American College of Obstetricians and Gynecologists (ACOG)
- Society for Maternal-Fetal Medicine (SMFM)
- Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
- American Academy of Family Physicians (AAFP)
- National Association of Nurse Practitioners in Women’s Health (NPWH)
One schedule. One shared commitment to protecting pregnant people and newborns through evidence-based immunization.
What's New!
Stay up to date with the latest guidance from ACNM and national partners.
Featured Updates
- Meet our 2026 Immunization Champion: Sabyl Farmer
- American College of Nurse-Midwives Statement on Maternal Immunization (Updated July 2025)
- Call to Action: Obstetric Care Professionals Urge Recommended Vaccines During Pregnancy
- Webinar: Preparing for Respiratory Virus Season 2025: A Review of Maternal Immunization Guidance and Communication Strategies to Increase Vaccine Uptake and Confidence
Counseling Birthing People
Midwives are among the most trusted healthcare professionals. These resources support respectful, person-centered conversations that build confidence and help birthing people make informed decisions.
Infographic
Social Media Campaign
- Webinar series on effective conversations about vaccines
Clinical Resources
Explore recommendations, implementation tools, and educational resources from ACNM and partner organizations.
Clinical Guidance (I have posted the links, but let me know if we need some copy to describe what each resource is)
- SAVRR Council: https://www.izsummitpartners.org/wp-content/uploads/Fall_2026-27_respiratory_viral_season_SAVRR_Council_implementation_guidance.pdf
Resources for Birthing People
- ACNM: The Midwifery Model of Care: Evidence for Physiologic Birth – American College of Nurse Midwives
- SMFM: https://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024
Evidence
- Vaccine Integrity Project: https://vaxintegrity.cidrap.umn.edu/evidence-reviews and
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
Comments to CDC Advisory Committee on Immunization Practices Importance of Maternal Immunization
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.
- Promoting Effective Vaccine Conversations Online and Offline | American College of Nurse-Midwives
- Obstacles and Advances in Maternal Immunization During Pregnancy | American College of Nurse-Midwives
- Vaccines for the Fall/Winter Season
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.html
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: