OB-GYN-L Messages for September, 2003: Re: maternal hep B

Re: maternal hep B

From:

Terrence.Jones@kp.org

Tue Sep 30 13:00:11 2003

As Dan pointed out - the answer is within Your "system's" protocol. At 6 months post-delivery, I'd wonder if the problem was less due to failure to vaccinate, than immunoprophylax (ie: HBIG)? An opportunity exists to upgrade the system, it would appear. Carpe Diem (start seizing). tj

"Braun, R. Daniel" <rbraun@iupui.edu> Sent by: ob-gyn-l@obgyn.net 09/30/2003 04:28 AM Please respond to ob-gyn-l

To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: RE: maternal hep B

That would depend on the systems for carrying out this treatment that have been set up in your Hospital. In our situation, the hospital computer spits out all the maternal data in a form that goes to the pediatrician. So if the test had been done, the results would have been delivered to the pediatrician automatically.

Dan -----Original Message----- From: Richard Chudacoff, MD [mailto:rchudacoff@mylinuxisp.com] Sent: Monday, September 29, 2003 5:57 PM 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

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As Dan pointed out - the answer is within Your "system's" protocol. At 6 months post-delivery, I'd wonder if the problem was less due to failure to vaccinate, than immunoprophylax (ie: HBIG)? An opportunity exists to upgrade the system, it would appear. Carpe Diem (start seizing). tj <table width0%> <tr valign=top> <td> <td>"Braun, R. Daniel" <rbraun@iupui.edu> Sent by: ob-gyn-l@obgyn.net 09/30/2003 04:28 AM Please respond to ob-gyn-l <td>                To:        Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>         cc:                 Subject:        RE: maternal hep B</table> That would depend on the systems for carrying out this treatment that have been set up in your Hospital. In our situation, the hospital computer spits out all the maternal data in a form that goes to the pediatrician. So if the test had been done, the results would have been delivered to the pediatrician automatically.   Dan -----Original Message----- From: Richard Chudacoff, MD [mailto:rchudacoff@mylinuxisp.com] Sent: Monday, September 29, 2003 5:57 PM 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   *****HIPAA Confidentiality Notice*****   The documents inside this electronic transmission contain confidential information belonging to the sender that is legally privileged.  This information is intended only for the use of the individual or entity named above.  The authorized recipient of this information is prohibited from disclosing this information to any other party and is required to destroy the information after its stated need has been fulfilled, unless otherwise required by law.   If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited.  If you received this electronic transmission in error, please notify the sender immediately to arrange for return.

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