Perinatal Hepatitis B Prevention Pocket Guide - Prenatal
Pocket guide to assist prenatal health care providers with recommended strategies to prevent perinatal transmission of hepatitis B.
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Perinatal Hepatitis B Prevention Pocket Guide - Prenatal (PDF)
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Management of Pregnant Women
Prenatal HBsAg Testing
- Test ALL pregnant women during an early prenatal visit in EACH pregnancy, even if tested before or previously
- Send copy of lab report with the HBsAg-positive results to the delivery hospital and the infant’s health care provider.
- Report to MDH all HBsAg-positive women within one
working day of knowledge of the pregnancy.
- Refer for or provide HBsAg-positive women with counseling and medical management. Give the following information:
- Modes of hepatitis B transmission.
- Perinatal concerns (i.e., HBsAg-positive mothers may breastfeed, treatment of newborns for exposure to
- Prevention of hepatitis B to contacts, include testing
and/or hepatitis B vaccination for household, sexual, and needle-sharing contacts.
- Substance abuse treatment and/or mental health care if appropriate.
Management of Delivery and Infant
At admission for delivery:
- Review HBsAg status of all pregnant women. Perform STAT
testing if HBsAg result for the current pregnancy is
- Retest HBsAg-negative women (at time of hospital delivery)
if high-risk for infection.
- Place copy of maternal HBsAg results in labor/delivery record, infant’s delivery summary, and nursery medical record.
Infants born to HBsAg-positive mothers:
- Give hep B vaccine and HBIG within 12 hours of birth.
- Complete hep B vaccine series.
- Perform post-vaccination serology at 9-12 months.
Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection among Pregnant Women
- Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection among Pregnant Women (PDF)
Also found on the Perinatal Transmission website under "Scientific Tools and Resources." Attention: Non-MDH link