A pregnant woman received the first Tetanus Toxoid (TT) vaccine at four months of pregnancy. Now, she has come for a check-up in the eighth month. What should be done regarding the TT vaccine?

Correct option is B

Sol. According to World Health Organization (WHO) and National Immunization Guidelines, a pregnant woman who has received the first TT dose (TT1) at 4 months of pregnancy should receive the second dose (TT2) at least 4 weeks after TT1, preferably before the third trimester ends. Since the woman is now in her eighth month, she should be given TT2 to ensure protection against maternal and neonatal tetanus.
Explanation of each option:
· (a) TT vaccine will not be given. – Incorrect. The second dose (TT2) is essential to ensure full protection against neonatal tetanus. Without it, the immunity from TT1 may not be sufficient.
· (b) The second dose of the TT vaccine will be given. – Correct answer. TT2 should be administered at least 4 weeks after TT1 and before delivery to provide full maternal and neonatal protection.
· (c) Instead of 0.5 ml, a 1.0 ml dose of the TT vaccine will be given. – Incorrect. The recommended dose of TT is always 0.5 ml. Increasing the dose does not enhance immunity and is not recommended.
· (d) The TT vaccine will be given today, and the woman will be asked to return after 15 days for another TT dose. – Incorrect. TT2 is given at least 4 weeks after TT1, but an additional dose after 15 days is unnecessary. The next recommended booster would be TT Booster (TTB) in the next pregnancy.