Skip to contentSkip to main content
MomDoc
MomDoc MidwivesMomDoc Women For WomenMi DoctoraWomen's Health Research

TDaP Vaccine (Whooping Cough)

The Invisible Shield You Pass to Your Baby

TDaP Vaccine (Whooping Cough)

The Two-Month Vulnerability Window

Whooping cough (clinically known as pertussis) is a highly contagious respiratory disease. While adults might just experience it as a persistent, annoying cough, it is exceptionally dangerous, and potentially fatal, for infants.

Many babies with whooping cough don’t actually cough at all; instead, the disease causes them to silently stop breathing. About half of babies younger than 1 year old who contract whooping cough must be hospitalized, and the vast majority of severe outcomes occur in infants under two months of age.

Here is the crux of the issue: babies cannot receive their own whooping cough vaccine until they are exactly two months old.

This leaves a terrifying two-month "gap" in protection exactly when they are most vulnerable.

Closing the Gap: The Maternal Shield

You have the power to entirely close that gap before your baby takes their first breath.

When you receive the TDaP vaccine (which protects against Tetanus, Diphtheria, and Pertussis) during your third trimester, specifically between weeks 27 and 36, your body rapidly creates protective antibodies. Because you are still sharing a blood supply with your baby, these antibodies cross the placenta.

You are literally passing your immunity to your child. When they are born, they arrive already wearing an invisible shield of protection that will keep them safe until they are old enough to receive their own first round of childhood vaccines.

Why "Cocooning" Isn't Enough

You may have heard of a strategy called "cocooning," making sure the baby's father, grandparents, and anyone else who will hold the baby gets their TDaP booster.

While cocooning is an excellent secondary measure that everyone in the household should participate in, the CDC is clear: cocooning is not a replacement for maternal vaccination.

Relying solely on cocooning means relying on the assumption that every person at the grocery store, every visitor who stops by, and every friend of a friend is perfectly vaccinated. Additionally, cocooning does not give your baby direct physiological protection (antibodies). Getting the TDaP vaccine yourself is the only way to hardwire that protection into your baby's immune system prior to birth.

"Mom, only you can provide your newborn baby with the best protection possible against whooping cough. The antibodies you pass before birth are their first and best defense."

What to Expect at Your Appointment

At MomDoc, we seamlessly integrate the TDaP administration into your standard third-trimester prenatal visits. There is no need for a massive, separate consultation.

During your routine checkup (usually around week 28 to 32), your provider will discuss the vaccine with you in our Living Room environment. If you are ready, our medical assistants will administer the quick injection before you leave. It is a one-minute process that provides months of life-saving protection for your newborn.

Frequently Asked Questions

Is this vaccine safe for me and my baby?

Yes. The TDaP vaccine is comprehensively proven to be safe for both you and your baby. The most common side effects are mild and localized, like redness or soreness where the shot is given, which disappears in a few days. You cannot get whooping cough from the vaccine because it does not contain any live bacteria.

If I recently got this vaccine before I was pregnant, why do I need to get it again?

The amount of protective antibodies in your body is highest about two weeks after receiving the vaccine, but then steadily decreases over time. The vaccine is recommended during *every single pregnancy* to ensure that each specific newborn receives the absolute highest number of fresh antibodies from you.

Isn't whooping cough a disease of the past?

Unfortunately, no. Whooping cough is still very common in the United States, and we have recently seen some of the highest case numbers in 60 years. Typically, more than 1,000 babies younger than 2 months old are diagnosed with whooping cough each year.

Is it safe to breastfeed after getting the TDaP vaccine?

Yes, and in fact, it acts as a secondary layer of protection. When you get the TDaP vaccine during pregnancy, your breast milk will contain those protective antibodies, which you continue to share with your baby as soon as your milk comes in.

Does insurance cover the Tdap vaccine during pregnancy?

Yes. The Tdap vaccine is a recommended component of prenatal care and is covered by all insurance plans. Under the Affordable Care Act, recommended vaccines for pregnant patients carry no copay. If you are uninsured, ask your MomDoc provider about no-cost vaccine programs.