Why pregnant women should complete five doses of tetanus vaccine —Gynaecologists

Maternal health experts are strongly advising pregnant women in Nigeria to adhere to and complete the full five-dose tetanus toxoid (TT) vaccination schedule, even extending beyond childbirth, to achieve lifelong immunity. This vaccination is highlighted as an essential component of antenatal care, providing critical protection for both mother and child against the bacteria responsible for tetanus.

Gynaecologists noted that while maternal and neonatal tetanus cases have decreased due to improved immunisation coverage, the disease remains a significant and preventable threat. Pregnant women are particularly vulnerable during childbirth, especially if deliveries occur in unclean environments or with unsterilised instruments. The experts also addressed and refuted common myths surrounding the TT vaccine, asserting there is no scientific evidence linking it to miscarriage, infertility, large babies, or an increased likelihood of Cesarean deliveries.

According to the World Health Organization (WHO), tetanus is caused by the bacterium Clostridium tetani entering a wound or cut, with symptoms typically appearing within 14 days. The disease is not contagious between individuals but is preventable through vaccination. The WHO reports that most tetanus cases occur in newborns and mothers who have not been adequately vaccinated, though global efforts have significantly reduced neonatal tetanus deaths since 2000.

In Nigeria, the National Primary Health Care Development Agency has warned that tetanus and diphtheria pose threats to pregnant women, underscoring the necessity of immunisation for their safety and that of their babies. Previous reports have indicated vaccine hesitancy among pregnant women and a preference for traditional birth attendants, leading to a resurgence of tetanus infections. Dr. Olanrewaju Jimoh, a Consultant Obstetrician and Gynaecologist, emphasized the vaccine's dual protection: "Tetanus toxoid vaccination is very important in pregnancy and to pregnant women because it offers protection or immunity against tetanus for both the mother and baby."

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Tetanus toxoid vaccination is very important in pregnancy and to pregnant women because it offers protection or immunity against tetanus for both the mother and baby. The woman receives the tetanus toxoid, and it provides protection from the organism causing tetanus for the woman not to have tetanus. It also protects