Since the liver is also responsible for producing bile, another form of detoxification that is metabolically necessary for the breakdown and assimilation of fats and proteins from your food, it is exceedingly important that your liver be properly maintained.
ACIP says safety data show Tdap is safe for both the mother and fetus and that any potential risks are likely to be small. The most common side effects reported were pain, redness and swelling at the site of the injection. Fever, headache and muscle pain were also reported, but there were no serious adverse events linked to the vaccine.
Thus, since that recommendation was published many pregnant women have begun to receive Tdap vaccine during pregnancy. Additionally, in special situations, such as maternal exposure to pertussis during pregnancy and outbreak situations, many pregnant women received Tdap prior to the June 2011 ACIP recommendation.