Tetanus toxoid immunization is the process to build up immunity for prevention against tetanus infection (Idanati, 2005). Tetanus toxoid immunization is the process to build up immunity for prevention against tetanus infection. Tetanus vaccine is tetanus toxin that has been attenuated bacteria and then purified (Setiawan, 2006).




Tetanus occurs if the bacterium Clostridium tetani when spores enter the wound or the umbilical cord (newborn). Spores are generally present in the soil. Humans of all ages can get tetanus, but the disease is more common and serious nature of the newborn (neonatal tetanus). Neonatal tetanus is usually fatal, especially the rural areas are often found where the birth occurred at home without adequate sterile procedures. Tetanus can be prevented by immunization, Tetanus Toxoid (TT).Neonatal tetanus can be prevented by immunizing women of childbearing age (WUS), both during pregnancy and outside pregnancy. This will protect the mother and baby through the transfer of tetanus antibodies to the baby. Also importantly, the process of delivery assistance, clean (sterile) can prevent neonatal and maternal tetanus. Benefits of TT immunization of pregnant women a. Protect her newborn from neonatal tetanus (BKKBN, 2005; Chin, 2000). Neonatal tetanus Tetanus is a disease that occurs in neonates (infants younger than 1 month) caused by Clostridium tetani, the bacteria that release toxins (poisons) and attacks the central nervous system (Saifuddin et al, 2001). b. Protects the mother against the possibility of tetanus when injured (MOH, 2000) Both of these benefits is the way to achieve one of the objectives of the national immunization program against tetanus elimination of maternal and neonatal tetanus (MOH, 2004) Someone who never got a tetanus would not have kekbalan naturally and can be infected again, because it is necessary immunizations. To be protected for life from tetanus, individuals must earn 3 times the DPT as a baby, followed by a TT booster at primary school entry age (4-7 years), at the time of ABG (12-15 years), and when early adulthood (Total 6 times). While in Indonesia have been carried out tetanus elimination activities via the BIAS program, where elementary school children conducted classes 1,2 and 3 TT immunization. So that later we anak2 previously been involved BIAS already protected against tetanus lifetime. But if the distance last immunization received already sepeuluh years or more, it still needs to be done imuniasasi TT-booster during later pregnancy. If there is a wound that is suspected to be exposed to tetanus, it is necessary to be done if the provision of booster TT immunization received already exceeded last 5 years. While the TT immunization of pregnant women in Indonesia, usually given 2 times, because they have not been completely immunized (6 times). WUS is now there is a generation that has not undergone a complete Tetanus immunization. The first TT can be positive since in the know and TT are both pregnant at least 4 weeks after the first TT. While the final boundary of the second TT is at least 2 weeks before delivery. May be useful