Can pregnant women in the US get the Tdap vaccine to prevent Tetanus?
Pregnant women in the United States are advised to receive the Tdap vaccine during every pregnancy. This recommendation comes from major health groups like the Advisory Committee on Immunization Practices (ACIP) and the American College of Obstetricians and Gynecologists (ACOG). The goal is to build immunity in the mother so she can pass protective antibodies to the baby before birth.
What the research says
Official guidelines state that all pregnant women should get the Tdap shot during each pregnancy, ideally between 27 and 36 weeks of gestation 5. This timing helps ensure the baby receives the most antibodies against pertussis, which causes whooping cough, right after birth 4. While the vaccine primarily targets whooping cough, it also provides protection against tetanus and diphtheria for the mother 2.
Research shows that uptake varies, with about 41% of surveyed women reporting they had received the vaccine during their current pregnancy 5. Despite some concerns about safety, a significant majority of high-risk pregnant women planned to get the vaccine 4. Doctors often address these concerns by explaining that the vaccine is safe and that not getting it puts the fetus and newborn at risk 6.
What to ask your doctor
- When to get the Tdap shot during my pregnancy for the best protection.
- What are the specific risks of whooping cough for my newborn if I do not get vaccinated.
- How to address any safety concerns I have about getting the vaccine while pregnant.
- What other vaccines I should receive during my pregnancy to protect my baby.
This question is drawn from common patient questions about OB/GYN & Women's Health and answered using cited medical research. We do not provide individualized advice.