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Staying Healthy

Immunizations and Screenings for Pregnancy Care

Immunizations/Vaccines Guidelines*
(Not a Guarantee of Benefit Coverage)
Td/Tdap
(Tetanus, diphtheria, pertussis)
In pregnancy, when indicated, give Td in late 2nd or 3rd Trimester (after 20 weeks’ gestation).
If not administered during pregnancy, give Tdap in immediate postpartum period.
HepB (Hepatitis B)
All pregnant females should be tested for HBsAg during first trimester.
Pregnant women who are identified as being at risk for infection during pregnancy (e.g.,
having more than one sex partner during the previous 6 months, been evaluated or treated
for an STD, recent or current injection drug use, or having had an HBsAg-positive sex
partner) should be vaccinated.
Influenza (Flu)
Annually during flu season
Inactivated influenza vaccine (TIV) is recommended for pregnant women.
For additional influenza vaccination information, visit CDC website: http://www.cdc.gov/
vaccines/vpd-vac/flu/default.htm.
HIV Testing
For all pregnant women during first prenatal visit
Chlamydia, Gonorrhea,
Syphilis Screenings
For all pregnant women during first prenatal visit
Diabetes Screening
For pregnant women during 24 and 28 weeks of pregnancy
Bacteriuria, Asymptomatic
Screen for asymptomatic bacteriuria with urine culture for pregnant women at 12 to 16
weeks of gestation or at the first prenatal visit.
Iron Deficiency Anemia
Routine screening for iron deficiency anemia in asymptomatic pregnant women
Rh (D) Incompatibility
 
Rh(D) blood typing and antibody testing for all pregnant women during their first
prenatal visit.
Repeated Rh(D) antibody testing for all unsensitized Rh(D)-negative women at 24 to 28
weeks of gestation.
Screening, Education
and Counseling
 
Alcohol misuse and tobacco use screening and counseling during prenatal visits.
Breastfeeding education during prenatal and postpartum visits.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*http://www.cdc.gov/vaccines/pubs/preg-guide.htm#hepb

Molina Healthcare’s Preventive Health Guidelines are adopted from the Centers for Disease Control, Department of Health and Human Services, National Center for Immunization and Respiratory Disease, the American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists and the 2014 HEDIS® Guidelines. Molina Healthcare recommends that clinical judgments be applied and that the treatments provided to members deviate from the guidelines when individual patient considerations and specific clinical situations dictate. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication; however they should be used with the clear understanding that continued research may result in new knowledge and recommendations. We recommend that the medical records contain appropriate documentation for clinical decisions.

HEDIS® is a registered trademark of the National Committee for Quality Assurance.

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