Prenatal Care Providers

Older adults
  • Prenatal Care Providers play an important role in our program by screening all pregnant women for Hepatitis B and reporting positive Hepatitis B labs to public health.

  • Our program reviews Hepatitis B labs daily and is in contact with local providers to determine pregnancy status.

  • Since 1996, the U.S. Preventive Services Task Force (USPSTF) has recommended the screening of pregnant women for Hepatitis B.
    • The current recommendation from the USPSTF is “screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit."
      (Grade A)
  • By reporting your Hepatitis B positive pregnant patients to us, you help us identify women at risk faster.

6 Actions to Complete

1) Order Hepatitis B surface antigen laboratory testing

2) Contact us if you have a Hepatitis B positive pregnant woman under your care

3) Order Hepatitis B Virus DNA (HBV DNA) quantitative testing to determine woman's level of infectivity

  • HBV DNA ≥ 200,000 IU/mL is associated with an increased risk of perinatal transmission of Hepatitis B virus
  • All Hepatitis B positive women should be referred to a specialist to see if any further evaluation and/or treatment is warranted

4) Document a clear note in patient's prenatal record indicating patient's Hepatitis B positive status

5) Send patient's positive Hepatitis B surface antigen lab to the planned delivery hospital

6) Notify and educate your patient they will receive a call about our program from a nurse case manager

  • Provide them our program brochure found here in multiple languages
  • Inform your patient of the importance of the Hepatitis B vaccine and post-vaccination serology testing for their child
  • Educate your patient that breastfeeding is safe once their infant has received the Hepatitis B vaccine and Hepatitis B Immune Globulin after birth 

Resources and Additional Information

We really appreciate your assistance and continued cooperation to help make the perinatal Hepatitis B prevention program a success in San Diego County.

Please find some additional resources below from CDC and CDPH regarding prenatal care providers guidance.

Perinatal Hepatitis B Prenatal Care Brochure

If you have any questions, please do not hesitate to contact us at 866-358-2966 and select 'option 5' to speak to a public health nurse or email us at