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Maryland’s Perinatal Hepatitis B Program

Mother and Child

Purpose of the Maryland Perinatal Hepatitis B Program

  • Ensure that all pregnant women are screened for hepatitis B surface antigen (HBsAg) during every pregnancy
  • Ensure that infants of HBsAg positive mothers are given the hepatitis B vaccine and hepatitis immune globulin HBIG at birth, preferably within 12 hours of birth.
  • Ensure that these babies receive two additional doses of hepatitis B vaccine at one month of age and six months of age, and a post-vaccination blood test
  • Remind mothers and doctors that these infants of mothers who are hepatitis B infected must have a post-vaccination blood test at 9 –15 months of age to ensure that the infant does have immunity to hepatitis B infection from receiving the three doses of vaccine.
  • Inform all household and sexual contacts of the hepatitis B infected woman that they should be blood tested for hepatitis B virus, and, if needed, receive three doses of hepatitis B vaccine.

DHMH Plan for Perinatal Hepatitis B Prevention (PDF)

What is Perinatal Hepatitis B?

Every Newborn Should Get Hepatitis B Vaccine Before Going Home


What To Do If You Are Exposed to Hepatitis B Infection

People who have hepatitis B virus in their blood can spread the infection to other people through blood and other body fluids. If you are the sex and/or household contact of a pregnant woman who is HBsAg-positive, contact your health care practitioner or local health jurisdiction for testing. If you do not have immunity to hepatitis B infection, either from having had three doses of vaccine or from having fully recovered from hepatitis B infection, you should receive three doses of hepatitis B vaccine now.

Vaccination against Hepatitis B

Hepatitis B Vaccine Information Statement (VIS). Federal law required its use.

Hepatitis B Vaccine Information Statement (VIS)

Hepatitis B and Pregnancy

“If You Test Positive for Hepatitis B During Pregnancy: Hepatitis B and You.” A computerized Powerpoint presentation for women who are pregnant or have just had a baby.

Perinatal Hepatitis B Prevention in Hospitals

DHMH Labor and Delivery Unit Guidelines

Childhood Vaccination Schedules and the Birth Dose of Hepatitis B Vaccine

"Give the Birth Dose! Providing all infants with hepatitis B vaccine saves lives."

An open letter from Immunization Action Coalition urging the following organizations to support the birth dose: ACIP, AAP, ACOG, NMA, National Asian Pacific Islander Task Force on Hepatitis B Prevention, AHA
Author: Deborah L. Wexler, MD, Executive Director
Source: Immunization Action Coalition.

Adoption from Abroad

Hepatitis Pamphlets and Brochures

Serology for Hepatitis B

Report of the Committee on Infectious Diseases, American Academy of Pediatrics.(Red Book 2000)

Hepatitis A, Hepatitis B, Hepatitis C, Learn the Difference

What the Physician can do to help the child who is a Hepatitis B Carrier


Center for Immunization (410) 767-6679

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