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Updates in Pediatrics
Editor: Jack Wolfsdorf, MD, FAAP

header with photos of various children
March 3, 2022 | Volume 13 | Issue 9
Durability of anti-spike antibodies (anti-S) in infants after maternal COVID-19 vaccination or natural infection
COVID-19 vaccination in pregnancy results in functional anti-S IgG antibodies in the mother (highest after late second and early third trimester) and are detectable and correlate with those found in the umbilical cord of the newborn at birth. These can protect the newborn and infant from COVID-19.
 
A prospective study of 77 vaccinated pregnant mothers and 12 with symptomatic Sars-CoV-2 infection during pregnancy examined anti-S IgG levels of infants of vaccinated mothers at birth, 2 months, and at 6 months, and compared them to blood samples from babies of infected mothers. 
 
Vaccinated mothers have significantly higher titers of anti-S IgG at delivery vs. natural infection (as well as higher cord blood levels). At 2 months after birth 98% of infants of vaccinated mothers have detectable antibodies. At 6 months post-birth 57% of infants born to vaccinated mothers have detectible antibodies compared to 8% of infants born to infected mothers.
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