June 10 (UPI) — The American College of Obstetricians and Gynecologists released its recommended maternal vaccine schedule Wednesday, breaking for the first time on advice from the U.S. Center for Disease Control and Prevention.

The group advises four vaccines during pregnancy, including a COVID-19 shot; a flu shot; a tetanus, diphtheria and pertussis (Tdap) vaccine; and a vaccine that protects the fetus against respiratory syncytial virus, commonly called RSV.

“Changing national recommendations coupled with rampant vaccine misinformation are resulting in confusion for both patients and healthcare professionals,” Camille Clare, ACOG president, said in a statement.”It is incredibly important for the public to have access to reliable,evidence-based information on maternal immunizations from a trusted source.”

The schedule also includes additional vaccines for those with certain risk factors and for those postpartum and breastfeeding. Thirteen other medical societies, including the American Academy of Pediatrics, the American Academy of Family Physicians and the American College of Nurse-Midwives, endorsed the list.

The CDC, under the leadership of Health and Human Services Secretary Robert F. Kennedy Jr., a vaccine skeptic, changed its recommended maternal vaccine schedule last year, removing the flu and COVID-19 shots, The Hill reported.

In changing the schedule in 2025, the CDC did not its usual process of using a panel of vaccine experts to review studies and make advice. The American Academy of Pediatrics and some U.S. states have also broken with the new CDC guidelines.

“Immunization is an essential part of preventative care forpeople who are pregnant, postpartum and lactating — and for their infants,” ACOG said in its recommendations. “OB-GYNs can reduce the frequency of vaccine-preventable diseases by being aware of current vaccine recommendations, counseling patients to receive appropriate vaccines and integrating vaccination into routine clinical practice.”