We’ve updated our antenatal and newborn screening information for public and professionals following a change to the vaccination schedule for babies.
From this autumn, all babies will be offered a hexavalent (6 in 1) vaccine called Infanrix hexa® for their routine primary immunisations at 8, 12 and 16 weeks.
This vaccine replaces the Pediacel® and InfanrixIPV+Hib® (DTaP/IPV+Hib) vaccines.
As well as providing protection against diphtheria, tetanus, pertussis, polio and Hib (haemophilus influenza type b) it will also give babies protection against the hepatitis B virus.
Babies born on or after 1 August will be offered Infanrix hexa® from late September/early October. The personal child health record (red book) has been updated to include this new vaccine and will be available shortly.
To reflect this change, we’ve updated the infectious diseases in pregnancy screening programme information in our Screening Tests for You and Your Baby booklet which we give to all women when their pregnancy is booked. Other updated screening resources include:
- the infectious diseases in pregnancy screening programme handbook
- the hepatitis B screen positive leaflet
- the easy read version of Screening tests for you and your baby
- Screening tests for you and your baby: babies in special care units
We will update our professional resource cards soon.
Mothers with hepatitis B
Babies born to mothers who have hepatitis B will continue to need additional monovalent hepatitis B vaccine (and if indicated, hepatitis B immunoglobulin) at birth (within 24 hours) and another vaccination at 4 weeks of age.
Antenatal and newborn screening coordinators should put plans in place for babies at increased risk of hepatitis B to ensure:
- the vaccine and hepatitis B immunoglobulin are available for the delivery suite to access at the birth of the baby
- the hepatitis B insert page is available for the baby’s red book on delivery suite
- documentation sent with the immunoglobulin is completed and sent back to the PHE team at Colindale
- the vaccination and injection of antibodies are administered within 24 hours of birth
- the child health records department and baby’s GP are notified of this and the need for another vaccination at 4 weeks of age
The personal child health record (PCHR), incorporating the hepatitis B information, can be ordered and paid for in the usual way by contacting Harlow Printing.
You can read more information about the introduction of hexavalent vaccine on GOV.UK or by subscribing to the PHE Vaccine Update.
This article was updated on 7 May 2019 to make clear that the free PCHR inserts are no longer available as the hepatitis B pages are now incorporated in the full book.
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