It definitely is the capture theory. I went through all of this with QLD public health when Hep B was introduced as a blanket immunisation. I asked why all babies were being treated as though they were all in the highest risk group and was told by public health that it was to capture as many as possible while women were in hospital regardless of their risk status.

Another interesting thing - a developing fetus is meant to have low levels of vitamin K to minimise the chance of a clot dislodging in tiny vessels during fetal development - a clot can mean that a limb or even a hemisphere of the brain does not grow. Mother Nature is amazing isn't she?
Regards, Lynne
----- Original Message ----- From: "Judy Chapman" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, May 26, 2006 9:03 AM
Subject: Re: [ozmidwifery] Hep B, vit K


As far as I am award it IS the capture theory. Stick thousands
of babies with Hep B vax to maybe save one.
For those who do consent at our hospital we give on the day of
the Neonatal screening. One of our midwives has looked into the
perinatal data in Qld and found that there were not figures for
babies who missed the birth dose and caught Hep B in the first
few months.
We work on the premise that if it says on the hospital supplied
literature that babies may feel unwell and need extra fluids
after an immunisation, why are we doing that before they even
know how to suckle properly? Birth dose is classified as given
in the first week. The pressure to give 'at birth', before the
poor kid has had time to even draw breath properly, is so they
don't get lost in the system.
With midwifery clinics we are aware of women who live high risk
lifestyles and are at risk of defaulting when it may not be best
to do so and we just make sure that it is done before they go
home if it is before the neonatal screening.
Cheers
Judy

--- Justine Caines <[EMAIL PROTECTED]> wrote:
Dear Mary and Amanda

Exactly Mary!

Amanda have you read Sara Wickham's work on Vit K?

What is the consent process for Hep B, Are parents aware of
the specific
populations of risk?

I must say the Hep B at birth really shocks me.  What are the
risk factors
for babies who are not in contact with those in high risk
groups such as
those already infected or sex workers and intravenous drug
users?

It seems like a capture theory to me and I worry about the
level of informed
consent.

JC


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