The member practices of Medical Health Associates are committed to providing a safe environment for our patients, their families as well as our providers and staff. We have followed closely and will work to follow the guidelines promoted by the Centers for Disease Control (CDC) and American Academy of Pediatrics (AAP).
COVID 19 Vaccine and Pregnancy Updates
- There is no evidence the COVID-19 vaccines aﬀect fertility. There are no scientifically credible concerns.
- The American College of Obstetrics and Gynecologists (ACOG) recommends vaccination for all eligible people who may consider future pregnancy.
- ACOG states that vaccines should not be withheld for pregnant persons. Current data show no increased risk from the vaccines.
- Pregnant individuals are at increased risk for severe illness from COVID-19 infection, including risk of ICU admission and death.
- There were no safety concerns found in studies in animals receiving the Moderna, Pﬁzer-BioNTech, or Johnson & Johnson’s Janssen COVID-19 vaccine before or during pregnancy.
- Ongoing monitoring of pregnant persons has shown no increased risk from the vaccines.
- When a pregnant person gets a vaccine, it may provide protection to the baby.
- If you are pregnant and have received a COVID-19 vaccine, please consider enrolling in V-safe’s pregnancy registry. V-safe is CDC’s smartphone-based tool that uses text messaging and web surveys to monitor for side eﬀects after vaccination.
- ACOG recommends the vaccine be oﬀered to lactating patients similar to non-lactating patients.
The ILI/COVID Working Group of Western New York was formed in response to local variation in approach to the diagnosis and treatment of Inﬂuenza-Like-Illness and COVID-19 in the region. It is a collaborative eﬀort of hospital systems, academic departments, independent practice associations, and insurers. The logos and signatures on this document represent the organizations’ support of this statement.
Legal Notice and Disclaimer: Please note that the information contained in these resources does not establish a standard of care, nor does it constitute legal or medical advice. These guidelines reﬂect the best available data at the time the information was prepared. The results of future studies may require revisions to the information in this guideline to reﬂect new data. This information is not intended to replace individual provider clinical judgment in the care of their patients. Neither this workgroup, or any contributor to this eﬀort, makes any representations or warranties, express or implied, with respect to the information provided herein or to its use.
Local experts at Kaleida health recommend pregnant and breastfeeding women receive the COVID 19 vaccine as the risk of COVID 19 infection outweighs any theoretical risk of the vaccine. Learn more here.
What about breastfeeding?*
The Society for Maternal-Fetal Medicine reports that there is no reason to believe that the vaccine affects the safety of breastmilk. When we have an infection or get a vaccine, our bodies make antibodies to fight the infection. Antibodies formed from vaccines given during pregnancy do pass into the breastmilk and then to the baby to help prevent infections. Since the vaccine does not contain the virus, there is no risk of breastmilk containing the virus.
American College of Obstetricians and Gynecologists (ACOG) recommends COVID-19 vaccines be offered to lactating individuals similar to non-lactating individuals when they meet criteria for receipt of the vaccine based on prioritization groups outlined by the ACIP. While lactating individuals were not included in most clinical trials, COVID-19 vaccines should not be withheld from lactating individuals who otherwise meet criteria for vaccination. Theoretical concerns regarding the safety of vaccinating lactating individuals do not outweigh the potential benefits of receiving the vaccine. There is no need to avoid initiation or discontinue breastfeeding in patients who receive a COVID-19 vaccine (ABM 20201).
*References: SMFM statement on COVID vaccination in pregnancy
As of April 6, 2021, those 16 years old and older are eligible to receive the COVID-19 vaccine. The providers of MHA fully endorse vaccination and strongly recommend that those who are eligible receive it. At this time we do not have the vaccine. We hope to have the vaccine soon. Please continue to check this site for updated information.
Access to COVID-19 testing is now available in our offices. Please contact your office for more details. Testing must be scheduled in advance. When you contact the office you will be asked if you are experiencing symptoms or have been or potentially have been exposed to COVID.
Excuses For Face Masks and Coverings
The member practices follow and encourage all to wear facial coverings and practice social distancing. We support guidelines to not write letters excusing patients from wearing masks. Children two and over should wear a mask in public places or when in the presence of someone with respiratory symptoms.
Please reach out to your Pediatrician with questions.
We are proud to announce that all of our physicians, nurse practitioners, and administrators have been or are in the process of becoming vaccinated against COVID 19.
See for yourself!
Screening For Return To Sports and Play After Covid-19 Infection In Pediatrics
The American Academy of Pediatrics recently issued interim guidelines on returning to sports after a COVID 19 infection. They recommend pediatricians and pediatric providers clear patients with a history of COVID 19 before they resume sports, training and physical education.
The guidelines are based on the potential for the COVID virus to cause inflammation of the heart muscle (myocarditis) that may result in scarring. The scarring can cause arrhythmias (irregular heart beat). This is not common but we do not have exact data of how often this occurs as the virus is new.
Going forward patients with a positive COVID 19 test will be offered an appointment for an office evaluation 10 -14 days or more after the positive test date, or 10 -14 days after the onset of symptoms. Patients will need to be fever free for 72 hours before they can be seen in the office.
The provider will review screening questions and perform a physical exam. Recommendations will be made based on information gathered at the visit.
We realize many children had COVID 19 before the recommendations were published and are already participating in gym or sports. We would be happy to see any patient in the office who has a history of COVID 19 infection, but especially those children over age 12. In addition, any child with complaints of chest pain, shortness of breath when playing, heart palpitations and fainting spells should have an evaluation in the office.
The AAP recognizes the importance of sports and play for all children and our goal is to allow them to return safely.
Please reach out with any questions. We are here to help!
The member practices of Medical Health Associates recommend the following valuable information, video, and websites.
Practice Hours of MHA Member Practices
Your practice’s hours may have changed. Visit your practice’s page to view the hours of operation for your member practice as well as operational specifics for each location. Your Pediatrician is available if you have questions or concerns.