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Cocooning is the administration of Tdap to previously unvaccinated family members and caregivers, and women in the immediate postpartum period, in order to provide a protective cocoon of immunity around the newborn. She is not sure what to do and has heard that she is supposed to get a Tdap vaccination in the third trimester.

Wound Management As part of standard wound management care to prevent tetanus, a tetanus toxoid-containing vaccine is recommended in a pregnant woman if 5 years or more have elapsed since her previous tetanus and diphtheria Td vaccination. If a Td booster vaccination is indicated during pregnancy ie, more than 10 years since the previous Td vaccination then obstetrician—gynecologists and other health care providers should administer the Tdap vaccine during pregnancy within the 27—weeks-of-gestation window 7.

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Therefore, giving the Tdap vaccine as early as possible in the 27—weeks-of-gestation window appears to be the best strategy 18 Confirm Cancel.

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