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Re: maternal hep B From: zygote@icsi.net Fri Oct 3 10:50:29 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terrence.Jones@kp.org: "Re: maternal hep B" Previous message: Terrence.Jones@kp.org: "Re: The Loss of the Right of Consent" In the United States, the concept of high risk has no application to HBsAg. All persons are tested to pick up the 50% or more who will be missed if the "HR" group only is screened! On 30 Sep 2003 at 10:14, Griffiths Malcolm (RC9 wrote: > 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 > Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Terrence.Jones@kp.org: "Re: maternal hep B" Previous message: Terrence.Jones@kp.org: "Re: The Loss of the Right of Consent"

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