Hepatitis B is a viral infection of the liver caused by the hepatitis B virus. Hepatitis B can lead to lifelong (chronic) infection and can cause serious liver damage (cirrhosis or liver cancer) and death. Perinatal is the time around the birth of an infant, usually five months before and one month after the birth. Hepatitis B can be transmitted from a mother who has hepatitis B to the infant during birth. This is called perinatal hepatitis B.
The Indiana Perinatal Hepatitis B Prevention Program (PHBPP) is a resource for the surveillance and control of perinatal hepatitis B infection. The primary goal of the program is to prevent perinatal transmission of hepatitis B infection by identifying and providing case management to infected pregnant women to ensure initiation of post-exposure disease prevention to their newborns, completion of the hepatitis B vaccination series and post-vaccination testing.
One of the strategies to accomplish the goal is to conduct record review of birthing hospitals’ maternal and newborn records in order to evaluate policies and procedures in the prevention of perinatal hepatitis B transmission. PHBPP reviewed 70 pairs of mother and infant records from 2009 at Parkview Whitley Hospital. Based on the data collected, a report was provided to the Family Birthing Center OB manager.
Parkview Whitley Hospital was recognized as a result of:
Its established written policies and standing orders in the prevention of PHB transmission.
The hospital did very well in documenting the hepatitis B status in the mother (100 percent) and infant (93 percent) chart.
Hospital is enrolled in Vaccines for Children Program (VFC) and Children and Hoosiers Immunization Registry Program (CHIRP).
Documentation of hepatitis B consent/refusal to vaccinate form (98 percent).