--
Richard Chudacoff, MD
640K ought to be enough for anybody.
Bill Gates
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Griffiths
Malcolm (RC9) Luton & Dunstable Hospital TR
Sent: Tuesday, September 30, 2003 10:14 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: maternal hep B
We screen all women for hep B at booking. Those positive have are recalled
for advice. Their partogram page in their notes is stamped and signed. This
prompts the midwife to inform the paed at birth of need for vaccination.
Follow up is supervised by public health.
Was mother high risk carrier?
This is a very rare sequence of events.
Malcolm Griffiths
Clinical director & consultant - obstetrics & gynaecology
Luton & Dunstable Hospital NHS Trust, Luton, LU4 0DZ, UK
Tel:+(44) 1582 497533 Fax: +(44) 1582 497376
-----Original Message-----
From: Richard Chudacoff, MD [mailto:rchudacoff@mylinuxisp.com]
Sent: 29 September 2003 23:57
To: Multiple recipients of list OB-GYN-L
Subject: maternal hep B
Interesting discussion today in the doctors lounge: 6-month-old infant
develops fulminate hepatitis and liver failure. Noted to have Hep B. Records
reviewed noted that mother was Hep B positive, but this was not acted upon
by OB. Aunts and grandmother are also Hep B positive-none with active
hepatitis. Infant never received hep vaccine in hospital, or by
pediatrician. Fingers have been pointed. Who, if anyone, has the majority of
the responsibility, and why did the checks and balances (vaccination in
hospital, review of records, pedi vaccination) fail?
Any comments?
--
Richard Chudacoff, MD, FACOG
Chudacoff Obstetrics & Gynecology, PLLC
15200 Southwest Freeway, #270
Sugar Land, TX 77478
Tel: 281-277-3900
Fax: 281-277-3901
rchudacoff@mylinuxisp.com
Richard.Chudacoff@obgyn.net
http://www.mdhub.com/281-277-3900
http://www.chudacoffobgyn.yourmd.com
