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Louisiana Department of Health Office of Public Health PERINATAL HEPATITIS B SURVEILLANCE FORM Case# SECTION I: PRENATAL CARE Part A: Mother Information 1. Last Name 2. First Name 3. Address #2 4.

How to fill out perinatal hepatitis b surveillance

How to fill out perinatal hepatitis b surveillance

1. Obtain the necessary forms for perinatal hepatitis B surveillance.
2. Fill out the demographic information of the mother and newborn including their names, addresses, and contact information.
3. Provide details on the mother's hepatitis B status, including the date of the first positive test and any subsequent test results.
4. Input information on the newborn's hepatitis B vaccination status, including the dates and doses administered.
5. Include any additional information such as the mother's use of antiviral medication during pregnancy or any complications during delivery.
6. Ensure that all information is accurately recorded and legible.
7. Submit the completed form to the appropriate health department or surveillance system.

Who needs perinatal hepatitis b surveillance?

1. Perinatal hepatitis B surveillance is needed for all pregnant women who are known or suspected to be infected with hepatitis B virus (HBV).
2. Additionally, newborns of HBV-infected mothers require surveillance to monitor their hepatitis B vaccination status and to assess whether they have become infected with HBV.

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What is perinatal hepatitis b surveillance?

Perinatal hepatitis B surveillance is a public health initiative aimed at monitoring and preventing the transmission of hepatitis B virus (HBV) from mothers to their newborns during the perinatal period, which includes the time from the onset of labor to the end of the first week after birth.

Who is required to file perinatal hepatitis b surveillance?

Healthcare providers, including hospitals and clinics where births occur, are required to file perinatal hepatitis B surveillance reports to local or state health departments.

How to fill out perinatal hepatitis b surveillance?

To fill out perinatal hepatitis B surveillance, healthcare providers must complete the designated reporting form with information about the mother’s hepatitis B status, any preventative measures taken, and details about the newborn's vaccination and follow-up.

What is the purpose of perinatal hepatitis b surveillance?

The purpose of perinatal hepatitis B surveillance is to identify and reduce the number of infants infected with hepatitis B, ensuring they receive the necessary vaccinations and interventions to prevent chronic infection.

What information must be reported on perinatal hepatitis b surveillance?

Information that must be reported includes the mother's hepatitis B status (positive, negative, or unknown), the newborn's vaccination status, and any additional relevant health information.