Is TT Immunization in Pregnancy Enough in Indian settings?

India has a fairly large share in the maternal mortalities of the world. There are many aspects of a healthy pregnancy and immunization is one of them. Maternal immunization protects not just the mother but also imparts protection to the newborn. India introduced TT immunization for pregnant females in 1983. Due to sustained efforts of healthcare providers, training of nurses and midwives about clean delivery practices, strong campaigning of institutional deliveries, maternal and neonatal focused programs and a good coverage of pregnant women with TT immunization - India was finally declared free of maternal and neonatal tetanus on 15th May, 2015. Pertussis continues to be a serious public health problem in India. Pertussis is more dangerous in infancy and leads to substantial morbidity and mortality. The damage is particularly higher when the infant is only weeks old and still haven’t received the primary immunization. Thus there is a need to introduce Tdap vaccine for pregnant women so that pertussis burden in infancy can reduce. An important cause of morbidity and mortality in pregnancy is influenza. Thus, influenza vaccine is the second vaccine that needs to be given to pregnant women. Keywords: Maternal mortality; Tdap; Influenza; Neonatal tetanus; Maternal tetanu