Maternal and Neonatal Tetanus
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
- Pregnant women not vaccinated against tetanus in childhood or adolescence should receive at least 2 doses of tetanus vaccine (TT), before giving birth.
- The 1st dose should be administered before at 27 weeks of pregnancy. The second dose should be administered at least 4 weeks after the 1st dose and ideally at least 2 weeks before the due date to maximize the maternal antibody response and passive antibody transfer to the infant. 3rd dose is given at least 6 months after TT3 or during next pregnancy. 4th dose is given 1 year after TT4 or during another pregnancy.
- Once administered, these five doses confer lifelong protection.
