CURRENT Practice Guidelines in Primary Care 2014 (Lange) by Esherick Joseph S. & Clark Daniel S. & Slater Evan D

Author:Esherick, Joseph S. & Clark, Daniel S. & Slater, Evan D. [Esherick, Joseph S.]
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2014-01-17T00:00:00+00:00

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Postpartum Interventions

1. Treat all infants born to HBV-positive women with hepatitis B immunoglobulin (HBIG) and initiate HBV vaccine series within 12 hours of life.

2. All women with a positive tuberculosis skin test and no evidence of active disease should receive a postpartum chest x-ray; treat with isoniazid 300 mg PO daily for 9 months if chest x-ray is negative.

3. Administer a Tdap booster if tetanus status is unknown or the last Td (tetanus-diphtheria) vaccine was more than 10 years ago.

4. Administer an MMR vaccine to all rubella nonimmune women.

5. Offer HPV vaccine to all women ≤26 weeks who have not been immunized.

6. Initiate contraception.

7. Repeat Pap smear at 6-week postpartum check.

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