The Must-Know Guide on Safe Vaccines During Pregnancy

Pregnancy is a delicate phase in a woman’s life, filled with excitement, anticipation, and naturally, concern for the well-being of both the mother and the baby. One aspect that often raises questions is vaccination during pregnancy. Dr. Ramya Sadaram demystifies this topic for you in this article.

The Three Vital Vaccines during Pregnancy

  1. TT Injection (Tetanus Toxoid)
    • When to take: TT Injection can be administered during the initial check-up after conception. However, it is typically given in the 5th and 7th months of pregnancy. This means the first dose is recommended after 16 weeks, with the second dose following 4 to 6 weeks later.
    • Special Mention: In many government hospitals, the TT Injection is given immediately after the first visit, often by the Anganwadi or ASHA workers. This approach ensures that the crucial TT dose is not overlooked. Rest assured, there’s no harm in receiving it this way.
    • Options for the Second Dose: You can choose between the plain TT Injection or its advanced version, Tdap Injection for the second dose.

TT vs. Tdap: What’s the Difference?

Both TT and Tdap injections are crucial vaccines administered during pregnancy. But what distinguishes one from the other?

  • TT Injection: This vaccine offers protection against a single disease.
  • Tdap Injection: A more comprehensive vaccine, Tdap shields against Tetanus, Diphtheria, and Pertussis. The beauty of the Tdap Injection lies in its dual protection. Not only does it safeguard the mother, but the antibodies formed also traverse through the placenta to the baby. This ensures that, upon birth, the baby is fortified against these ailments. Of particular concern is Pertussis; during a baby’s initial three months, this condition can escalate to encephalitis or pneumonia, both of which are perilous. Thus, by choosing the Tdap vaccine during pregnancy, mothers bestow their babies with a protective shield against Diphtheria, Pertussis, and Tetanus.

Timing of the Tdap Injection

The Tdap vaccine is ideally administered between the 28th to 32nd weeks of pregnancy. However, it’s essential to remember that even if you’ve received the first dose of the TT Injection, the second dose of the Tdap Injection should be delayed until the 7th month of pregnancy.

The Importance of the Influenza Vaccine during Pregnancy

The Influenza Vaccine is another vital shot recommended for expectant mothers. Here’s why:

  • Reduced Immunity in Pregnancy: Pregnant women often experience diminished immunity, making them more susceptible to seasonal flu. This vulnerability can lead to severe complications such as Acute Respiratory Distress Syndrome (ARDS).
  • When to Take the Influenza Vaccine: The ideal window for administering this vaccine is between the 20th to 24th weeks of pregnancy. Essentially, if there’s an external outbreak, you can and should get vaccinated without delay.
pregnant woman taking vaccine

To summarise, the three pivotal vaccines during pregnancy are:

  1. TT Injection
  2. Tdap Injection
  3. Influenza Vaccine

Addressing Concerns: Rabies Vaccine during Pregnancy

An often-raised query revolves around the safety of the Rabies Vaccine, especially after incidents like a dog or animal bite. To clarify, the Rabies Vaccine is entirely safe during pregnancy. Pregnant women need not harbour concerns about its administration.


Vaccination during pregnancy is not just about safeguarding the mother; it’s also about ensuring the baby starts life with the best possible protection against potential diseases. Always consult with your healthcare provider to make informed decisions.

Please, feel free to reach out to Dr. Ramya Sadaram, If you have any health-related queries or concerns. And if you found this information valuable, consider subscribing to her YouTube channel at for more insights.

Thank you for joining Dr. Ramya Sadaram on this journey to better health and safety during pregnancy.

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