臨床現場で直ぐに使える英語：産婦人科・助産師・女性総合編 – COVID-19 vaccines safe for pregnant women? ワクチンと妊産婦 #2

動画タイトル

Are COVID-19 vaccines safe for pregnant women?

妊婦ですが、コロナワクチンを打っても大丈夫ですか？

「問題提起」
動画を視聴した後に下記のトピックについて議論/回答出来るようにしよう。

• 患者（一般人）と専門家（プロ）の話し方の違い
• 会話特有の挿入フレーズに混乱

　「You know　えー、ほら、あの…」
　「feel like　～ような気がする」
　「I’m like　みたいな。」
　「like　みたいな。」
　「seems like　のようね」
　「um　えーと。」
　「gonna = going to」

動画を視聴した後に下記の設問に「〇かX」或いは「簡潔に」答えましょう。設問に「全問正解」なさった方には「Zoomレッスン90分」１回を無料でプレゼント。

連絡先と共にコメント欄からどしどしご応募ください。

1. OBGYNとは何の略ですか？
2. ロドルフさんの職業は？
3. ロドルフさんの懸念材料は？
4. ロドルフさんのお母さんについて（持病、検査結果、経過）教えてください。
5. ライリーさんの職業は？
6. ライリーさんは妊婦からの質問にどう答えてますか？
7. 全米生殖学会の妊婦のワクチン接種に関する見解は？
8. ファイザーワクチンの妊婦対象治験について、具体的に。
9. 治験ボランティアさんは参加理由についてどう述べてますか？
10. ロドルフさんはワクチンを打ちましたか？
11. ロドルフさんの赤ちゃんはどうなりましたか？

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妊婦一般

safe for pregnant women
安全な　妊婦にとって

at 31 weeks pregnant
31週　妊娠

expectant moms
出産予定　妊婦

she found out that she was expecting her second child
二人目の子供を身ごもっていることがわかる

expect/expectant/expectation　Word Family
予定する、予測する

due in april with a baby girl
予定　４月　女の子

plan to become pregnant
計画している　妊婦になる

seek to become pregnant
妊婦になると　強く望む

the american society for reproductive medicine
全米　学会　生殖　医療

give birth to a healthy baby boy
健康な男の子を　出産する

i was pregnant and i wanted to be careful and protect myself
and not catch the disease
妊娠しているので　注意深く　自分自身を守るよう　そして病気にかからないように　したい

obstetrician-gynecologist (OB/GYN)
産婦人科医

mother of four
四人の母親

go back to work
職場に戻る

go to daycare
保育施設に行く

コロナと妊婦とワクチン

test positive
テストで陽性になる

provide antibodies to newborns
新生児に　抗体を　提供する

cause problems for the mother or the infant or the fetus
母親　乳児　胎児に　問題を　起こす

we have not seen any safety signals in these women
安全上の　警告を　

pregnant women were excluded from early vaccine studies
除外される

i’m just going to wait and see
私は　取り敢えず　様子見するわ

i want more data before i get vaccinated
ワクチンをうつ前に　もっとデータが欲しい

we can say that …
我々が言えることは。。。。。

the problem with waiting and seeing is that you increase the risk that
you’re going to get covid while you’re waiting
様子見の　問題点は　待っている間に　コロナに掛かるリスクが上昇してしまう

pregnant women are at greater risk for severe outcomes
妊婦は　重篤な　予後の　リスク上昇

due to covet 19
～により

more likely to xxx
より～しそうだ

need an icu stay
ICUでの入院が必要だ

an increased risk of death
死亡リスク　上昇

ワクチン妊婦治験

now studies in pregnant women are underway
進行中

between their fifth and eighth month of pregnancy
妊娠5～８か月の間

after they give birth
出産後

volunteer to participate in the trial
治験に参加する

her second shot
2回目の注射

put yourself out and join a trial of a new medication
自らの身体を差し出して　新薬の治験に参加する

hey what’s going on
よー、調子はどう？（口語的表現）

she hopes that sharing her experience in the trial will help us wage some fears for other pregnant women
自分の治験の経験をシェアする
他の妊婦の　恐怖を　追い払う

i’m glad i get to be a part of this
一員になることが出来て　嬉しい

i’m like ….
私・・・・な感じ（口語的表現）

there are other women out there in my place
自分のような妊婦が他にも大勢いる

they’re maybe worried or they just have questions
多分　心配しているか　ちょっと聞きたいことがある

hopefully
希望的観測としては

hey she’s doing okay or she’s not worried about it maybe i shouldn’t be worried about it either
彼女は大丈夫だわ、彼女は全然心配していない
多分私も心配するべきでないんだわ

so i was just trying to set an example for women and for hispanic women in particular who are at higher risk
女性の前例を作りたかった　特にリスクの高いヒスパニックの女性にとって

what’s your message to pregnant women when it comes to the covet 19 vaccine
～に対しては・関しては

i say, “Get vaccinated, Protect yourself and protect your baby
ワクチンを受けて、自身と赤ちゃんを守りなさい　て言うわ

anxiety
（漠然とした）不安

uncertainty
（何が起こるかわからない）心配・不安

emotions of pregnancy
妊婦の感情

i was excited and happy
とっても嬉しい、ワクワクしている

felt a sense of relief
安堵の気持ち

i totally understand （スタンダード表現）um i get it （口語的表現）
あなたの気持ちよくわかるわ、そうよね

get sicker and sicker（口語的表現）
病気が悪化する

her condition quickly deteriorated
病状が　瞬く間に　悪化する

try to give her hope
病気の人に生きる希望を与えようとする

fight through
病気と闘う

make it through
容体が峠を越す

she stood at her bedside as she passed away in the icu
死の床に立つ

i was the physician who pronounced her
死亡宣告をした

a very caring individual
他人を気遣う人

she has done with her own patients
自分の患者の診察が終わる

i am grateful
感謝している

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Full Story

the covet 19 vaccine and pregnancy

a new study has determined the pfizer moderna vaccines are safe for pregnant women and even provide antibodies to newborns

but rampant misinformation and disinformation has spread online and may still be fueling distrust of the vaccine among some expectant moms

abc’s ariel reshef has this story

san antonio emergency room physician dr naieli rodolfo zayas spent last summer working in the icu treating the most severe covet covid19 patients too often watching them die from the insidious disease

this year has changed my life completely

at the height of quarantine she found out she was expecting her second child and like for so many pregnant women the pandemic brought on an avalanche of added anxiety

it just became a very difficult time for me and at the same time of course i was pregnant and i wanted to be careful and protect myself and not catch the disease

for dr rodolfo the weight of uncertainty compounding the already heightened emotions of pregnancy
and as she continued working on the front lines she also feared for her own mother a 57 year old on dialysis so when she got the call in june of 2020 that her mom had tested positive for the virus her heart sank

she called me and told me she was positive i became really concerned my mom had end-stage renal disease and she had liver disease and diabetes so i knew that this could be pretty bad and it was

did your mom know that you were pregnant

yes my mom knew i was pregnant when she was sick yes i was trying to give her hope or give her something to like hold on to so she could fight through and i think it became clear that she was just getting sicker and sicker

she watched as her mother’s condition quickly deteriorated and as she had done with her own
patients she stood at her mother’s bedside as she passed away

she was admitted and then passed away four days later in the icu i was the physician who pronounced her

for dr rodolfo after nearly a year of loss and grief she found a ray of hope in the form of
the fda authorized covet 19 vaccine at 31 weeks pregnant she got her first dose of the pfizer
vaccine in december

i basically you know was excited and happy and felt a sense of relief to get this vaccine of course it was a bittersweet sweet moment for me as well because i was thinking about my mother if she would have made it through she would have gotten the vaccine and she would still be here

but amid the vaccine rollout misinformation and in some cases disinformation about the vaccine and pregnancy have spread online fueling skepticism among some pregnant women

there’s nothing about these vaccines that make us concerned that they’re going to cause problems
either for the mother or the infant or the fetus and in addition to that i think that we also can say that now well over 40 000 pregnant women have been vaccinated and we have not seen any safety signals
in um in these women

dr laura riley is the chief ob gyn at new york presbyterian and weill cornell medicine
she says the conversation with her pregnant patients about the vaccine is a delicate but essential one
because pregnant women were excluded from early vaccine studies

what do you say to those pregnant women who say i’m just going to wait and see i want more data before i get vaccinated

i totally understand um i get it the problem with waiting and seeing is that you increase the risk
that you’re going to get covered while you’re waiting pregnant women are at greater risk for severe outcomes due to covet 19 and that means more likely to you know need an icu stay more likely to need
mechanical ventilation and also an increased risk of death

but now studies in pregnant women are underway and months of experience with the vaccines gives leading experts confidence that they are safe for pregnant women and those planning to become pregnant the american society for reproductive medicine issuing a statement reading in part

we stand by our recommendation that pregnant women and those seeking to become pregnant
should be vaccinated in february pfizer began clinical trials of its vaccine of 4000 pregnant women pfizer’s trial will be conducted in 44 study locations across the u.s participants will receive doses between their fifth and eighth month of pregnancy and will be studied for seven to ten months even after they give birth idaho mother of four ginger bennett volunteered to participate in the pfizer
trial she spoke exclusively with abc news before her second shot that’s it so why put yourself out there and join a trial of a new medication

to my knowledge i am the first pregnant woman in the state of idaho doing this test and i figure if i can show or tell something to these other women that are wondering hey what’s going on for me
then i want to show that to them

ginger is due in april with a baby girl and won’t know if she received a placebo or the actual vaccine until then but says she hopes that sharing her experience in the trial will help us wage some fears for other pregnant women

i’m glad i get to be a part of this because i’m like hey i know there are other women out there in my place and they’re just maybe they’re worried or maybe they just have questions and seeing this hopefully they’ll say hey she’s she’s doing okay or she’s not worried about it maybe i shouldn’t be worried about it either

and while recent polls show vaccine hesitancy has declined overall as more doses are administered dr rodolfo says it was important to her to share her story for other latinx women to see there’s a lot of hesitancy and misinformation also floating around so i was just trying to set an example for women and for hispanic women in particular who are at higher risk

in january dr rodolfo gave birth to a healthy baby boy named benny and she since found out he
has covid19 antibodies as a result of her vaccine

naeli what does it mean to you now to know that your newborn is protected with antibodies because of
your decision to get vaccinated

i am just just grateful that he was able to get these antibodies and that once i go back to work and he has to go to daycare he has that extra protection so i’m very very happy and very grateful that i made this decision

for the mom of two getting the shot was about more than protecting herself and her family did you feel like you were honoring your mother by getting vaccinated

my mother was a very caring individual and she always took care of herself and wanted to protect others so i know she would have been on board with getting the vaccine and in this way i felt like i was honoring her

what’s your message to pregnant women right now when it comes to the covet 19 vaccine

i think given how serious covet 19 could be in pregnancy and the fact that we’re getting more and
more safety data i say get vaccinated protect yourself and you know protect your baby

ariel reshef abc news new york our thanks to ariel for that