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WISCONSIN
PERINATAL HEPATITIS B
PREVENTION PROGRAM MANUALImmunization Program
Bureau of Communicable Diseases and Emergency Response
Division of Public Health
Wisconsin Department of Health Services
P44502
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How to fill out hepatitis b perinatal prevention

How to fill out hepatitis b perinatal prevention
01
To fill out the hepatitis B perinatal prevention form, follow these steps:
02
Ensure you have access to the form and necessary information.
03
Begin by providing your personal information, such as your full name, date of birth, and contact details.
04
Complete the section related to your medical history, including any known allergies, current medications, and previous hepatitis B vaccinations.
05
Provide information about your pregnancy status, including the expected due date and any complications you may have experienced.
06
Answer the questions regarding potential exposure to hepatitis B, such as if the biological father is a carrier or if you have had any risky behaviors.
07
Provide details about any previous hepatitis B testing and vaccination history.
08
Sign and date the form to confirm the accuracy of the information provided.
09
Submit the completed form to the appropriate healthcare provider or organization.
Who needs hepatitis b perinatal prevention?
01
Hepatitis B perinatal prevention is recommended for the following individuals:
02
- Pregnant women who are at risk of hepatitis B infection
03
- Pregnant women who have tested positive for hepatitis B surface antigen (HBsAg)
04
- Infants born to mothers who are HBsAg positive
05
- Infants born to mothers who have an unknown hepatitis B status
06
- Infants born to mothers with a history of diagnosed hepatitis B infection
07
- Healthcare providers may also recommend the prevention measures to other individuals who may be at risk or in specific situations.
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What is hepatitis b perinatal prevention?
Hepatitis B perinatal prevention aims to reduce the risk of mother-to-child transmission of the hepatitis B virus during pregnancy and childbirth.
Who is required to file hepatitis b perinatal prevention?
Healthcare providers who care for pregnant women are required to file hepatitis B perinatal prevention.
How to fill out hepatitis b perinatal prevention?
To fill out hepatitis B perinatal prevention, healthcare providers need to report on the mother's hepatitis B status, plan for prevention of vertical transmission, and vaccination status of the newborn.
What is the purpose of hepatitis b perinatal prevention?
The purpose of hepatitis B perinatal prevention is to prevent the transmission of the hepatitis B virus from a mother to her newborn baby.
What information must be reported on hepatitis b perinatal prevention?
Information such as the mother's hepatitis B status, plan for prevention of vertical transmission, and vaccination status of the newborn must be reported on hepatitis B perinatal prevention.
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