Once you have protection from the vaccine, you are less likely to give whooping cough to your newborn while caring for him. But remember, your baby will still be at risk for catching whooping cough from others. Learn why Laura decided to get the whooping cough vaccine in her 3rd trimester of pregnancy and how her baby girl was born with some protection against the disease.
Also available on YouTube. A Tdap vaccine is very safe for pregnant women and their babies. You cannot get whooping cough from a Tdap vaccine. Getting the vaccine during pregnancy will not increase your risk for pregnancy complications. Learn more about safety and side effects. Experts do not know what level of whooping cough antibodies is needed to protect anyone, including babies, from getting sick.
That is why CDC recommends all women get a Tdap vaccine during each pregnancy — even women with some antibodies due to a previous infection or vaccine. The goal is to give each baby the greatest number of protective antibodies possible.
You can pass some whooping cough antibodies to your baby by breastfeeding. By getting a Tdap vaccine during your pregnancy, you will have these antibodies in your breast milk as soon as your milk comes in. However, your baby will not get protective antibodies immediately if you wait until your baby is born to get the vaccine.
This is because it takes about 2 weeks for your body to create antibodies. Learn more about the health benefits of breastfeeding.
Clin Infect Dis. Top of Page. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Browse all questions. Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information. This information is designed as an educational aid for the public. It offers current information and opinions related to women's health.
It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. To maximize the passive antibody transfer to the infant, you should administer Tdap during the early part of gestational weeks 27 through The level of pertussis antibodies decreases over time, so you should administer Tdap during every pregnancy in order to transfer the greatest number of protective antibodies to each infant.
Postpartum Tdap administration only provides protection to the mother — it does not provide immunity to the infant. It takes about 2 weeks after Tdap receipt for the mother to have protection against pertussis, thereby putting her at risk for contracting and spreading the disease to her vulnerable newborn during this time. Once the mother has protection, she is less likely to transmit pertussis to her infant. However, the newborn remains at risk of contracting pertussis from others, including siblings, grandparents, and other caregivers.
You should vaccinate pregnant women with Tdap during pregnancy to help prevent more infant hospitalizations and deaths from pertussis than would be prevented by postpartum vaccination. The only time a woman should be administered the vaccine postpartum is if she has never received Tdap before. Repeat postpartum vaccination is not an ACIP recommendation. However, full implementation of cocooning has proven to be a challenge, limiting its impact as an independent prevention strategy.
Even though cocooning alone may not be sufficient, ACIP continues to recommend this strategy for all those with expected close contact with infants younger than 1 year of age.
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