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Re: maternal hep B From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Tue Sep 30 10:12:04 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: maternal hep B" Previous message: Debby Burroughs: "Re: maternal hep B" Maybe in reply to: Richard Chudacoff, MD: "maternal hep B" Next in thread: Richard Chudacoff, MD: "Re: maternal hep B" Reply: Richard Chudacoff, MD: "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 Next message: Richard Chudacoff, MD: "Re: maternal hep B" Previous message: Debby Burroughs: "Re: maternal hep B" Maybe in reply to: Richard Chudacoff, MD: "maternal hep B" Next in thread: Richard Chudacoff, MD: "Re: maternal hep B" Reply: Richard Chudacoff, MD: "Re: maternal hep B"

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