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Re: OB: Varicella Vaccination From: Barbara Nicol MD (blnicol@ix.netcom.com) Sat Nov 4 11:50:11 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard W Lisse: "Re: triplet management" Previous message: Paul Prior MD: "Re: Factor V Leiden and OCs" In reply to: Garry Siegel: "OB: Varicella Vaccination" We have been screening like this for a year or more in our practice. It is very handy when a non-immune patient gets exposed; we already know that she needs VZIG (and she already knows that exposure is a Big Deal and calls right away). The postpartum vaccination is a bit more of a problem. The hospital doesn't want to carry it and so it doesn't happen automatically the way rubella vaccination does. We are also routinely asking our preconceptual patients this question. I understand that there is CDC support for this approach. Certainly, it makes sense to tackle varicella if we're going to screen and prevent rubella - have any of you seen a congenital rubella in the developed world recently? Yet one does see VZV in pregnancy. I want to add that I've greatly appreciated the misoprostol threads when I've had a chance to read the list. At Sat, 4 Nov 2000, Garry Siegel wrote: > >In listening to the ACOG Update tapes, the recent one on Vaccination >suggests that varicella immunity should be checked in pregnancy as >follows: > >Ask the pregnant woman if she has had chicken pox. If she says yes, >then no testing is done. If she says no, then about 15% of those will >not have immunity, and are vaccinated after delivery. > >Anyone doing that? > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- Barbara Nicol MD Everett WA USA Next message: Eberhard W Lisse: "Re: triplet management" Previous message: Paul Prior MD: "Re: Factor V Leiden and OCs" In reply to: Garry Siegel: "OB: Varicella Vaccination"

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