Thanks Helen, I too don't totally agree with the capture theory and know
that it is a debatable topic but that was the information I was looking for
thankyou
From: "Helen and Graham" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: Re: [ozmidwifery] Hep B, vit K
Date: Fri, 26 May 2006 11:44:12 +1000
Just to add to the debate the NHMRC immunization handbook does recommend it
be "given as soon as the baby is physiologically stable and preferably
within the first 24 hours". Rationales for giving it included preventing
vertical transmission from the mother (recognizing that there may be errors
or delays in maternal testing or reporting, and horizontal transmission
from other household contacts). I wondered if there could be considered a
small risk from staff handling the baby e.g. whilst performing neonatal
screening tests etc???? It doesn't say that though.
We give it either with the NNST or just before discharge. We have just
been having this same conversation/debate at work, as some midwives are
calling the birth dose an optional extra dose which is why I looked into
it.
Everything we do has risk/benefits and immunization debates bring out
strong feelings on both sides. I am just pointing out the current National
policy on the topic. The NHMRC Immunization Handbook can be downloaded in
full at http://www9.health.gov.au/immhandbook/pdf/handbook.pdf if that
helps.
Helen
----- Original Message ----- From: "Judy Chapman" <[EMAIL PROTECTED]>
To: <[email protected]>
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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