OB-GYNs release their own vaccine schedule, rejecting RFK Jr.’s meddling

妇产科医生发布独立疫苗接种时间表，抵制小罗伯特·肯尼迪的干预

For the first time, the American College of Obstetricians & Gynecologists (ACOG) has released its own recommendations for maternal vaccination, providing formal guidance that diverges from that of the Centers for Disease Control and Prevention amid unprecedented policy changes and meddling from anti-vaccine Health Secretary Robert F. Kennedy Jr.

美国妇产科医师学会（ACOG）首次发布了其独立的孕产妇疫苗接种建议。在反疫苗立场的卫生部长小罗伯特·肯尼迪（Robert F. Kennedy Jr.）进行前所未有的政策干预和调整之际，该学会提供了与美国疾病控制与预防中心（CDC）不同的正式指导意见。

ACOG President Camille Clare blamed “changing national recommendations coupled with rampant vaccine misinformation” for the confusion among patients and health care professionals about vaccines during pregnancy. “It is incredibly important for the public to have access to reliable, evidence-based information on maternal immunizations from a trusted source. ACOG is proud to be that source,” Clare said in a statement.

ACOG主席卡米尔·克莱尔（Camille Clare）表示，正是“不断变化的国家建议加上猖獗的疫苗错误信息”，导致患者和医疗专业人员对孕期疫苗接种感到困惑。克莱尔在一份声明中说：“公众能够从可信来源获得关于孕产妇免疫接种的可靠、循证信息至关重要。ACOG很自豪能成为这一来源。”

ACOG’s 2026 Maternal Immunization Schedule differs most significantly from the CDC’s current schedule by including recommendations for COVID-19 and seasonal influenza vaccines. Those vaccines have been dropped from the CDC’s recommendations under Kennedy, in conflict with scientific evidence and amid strong opposition from medical organizations.

ACOG的《2026年孕产妇免疫接种时间表》与CDC当前时间表最显著的区别在于，它包含了针对新冠肺炎（COVID-19）和季节性流感的疫苗建议。在肯尼迪的领导下，这些疫苗已被从CDC的建议中剔除，此举不仅违背了科学证据，也遭到了医疗机构的强烈反对。

Currently, the CDC recommends only two immunizations during pregnancy: Tdap (against tetanus, diphtheria, and pertussis) and RSV (against respiratory syncytial virus). ACOG’s new guidance recommends influenza, COVID-19, RSV, and Tdap vaccines. It also provides clear recommendations for additional vaccines for certain populations, as well as vaccinations recommended during postpartum and while breastfeeding.

目前，CDC仅建议在孕期接种两种疫苗：百日咳、白喉和破伤风联合疫苗（Tdap）以及呼吸道合胞病毒（RSV）疫苗。ACOG的新指南则建议接种流感、新冠、RSV和Tdap疫苗。此外，该指南还针对特定人群提供了额外疫苗的明确建议，并涵盖了产后及哺乳期的疫苗接种指导。

Medical organizations revolt

医疗机构的抗争

“Immunizations are an essential part of prepregnancy, prenatal, and postpartum care,” said ACOG Chief of Clinical Practice Christopher Zahn in a statement. “As OB-GYNs, we have the power to combat vaccine misinformation on our own platforms, help our patients make educated decisions, and increase confidence in vaccination overall.”

“免疫接种是孕前、产前和产后护理的重要组成部分，”ACOG临床实践负责人克里斯托弗·扎恩（Christopher Zahn）在声明中表示。“作为妇产科医生，我们有能力在自己的平台上打击疫苗错误信息，帮助患者做出明智的决定，并提高公众对疫苗接种的整体信心。”

Thirteen other medical organizations have already endorsed ACOG’s new vaccine recommendations, including the American Academy of Pediatrics (AAP), the American Academy of Family Physicians, the National Association of Nurse Practitioners in Women’s Health, and the American College of Nurse-Midwives.

包括美国儿科学会（AAP）、美国家庭医师学会、全国妇女健康执业护士协会以及美国护士助产士学院在内的13家医疗机构已经认可了ACOG的新疫苗建议。

AAP President Andrew Racine highlighted the need for such guidance, citing the vulnerability of babies. “Their immune systems are still developing, and in those first months of life, they rely on us—the adults around them—to help keep them safe. Maternal vaccines are one of the most effective ways to protect not only the mother but her newborn as well.”

AAP主席安德鲁·拉辛（Andrew Racine）强调了此类指导的必要性，并提到了婴儿的脆弱性。“他们的免疫系统仍在发育中，在生命的最初几个月里，他们依赖我们——身边的成年人——来保护他们的安全。孕产妇疫苗不仅是保护母亲，也是保护新生儿最有效的方法之一。”

Like ACOG, AAP has also released its own childhood vaccine schedule, which conflicts with the CDC’s schedule under Kennedy. And like AAP’s, its recommendations have been endorsed by a dozen other medical organizations, including the Infectious Diseases Society of America.

与ACOG一样，AAP也发布了自己的儿童疫苗接种时间表，该时间表与肯尼迪领导下的CDC时间表存在冲突。和AAP一样，其建议也得到了包括美国传染病学会（IDSA）在内的十几家医疗机构的支持。

The AAP has led the charge against Kennedy’s anti-vaccine agenda, spearheading a lawsuit against changes that Kennedy has made to federal vaccine recommendations and the Advisory Committee on Immunization Practices (ACIP), an influential panel of advisors the CDC relies on to set policy. That litigation, which is ongoing, led to a temporary injunction in March that reversed many changes to CDC’s vaccine schedule and blocked most of Kennedy’s hand-selected ACIP members.

AAP带头反对肯尼迪的反疫苗议程，并牵头对肯尼迪在联邦疫苗建议以及免疫实践咨询委员会（ACIP）——即CDC制定政策所依赖的有影响力的顾问小组——所做的变更提起了诉讼。该诉讼目前仍在进行中，并在3月份促成了一项临时禁令，推翻了CDC疫苗时间表的许多变更，并阻止了大多数由肯尼迪亲自挑选的ACIP成员履职。