Check status under “Health Maintenance” or “Immunizations” tab in Epic.
- •Rh negative: order RhIG Post Natal/Trauma Evaluation with postpartum orders. F/U infant’s blood type and RhIg. Order Rhophylac (Rhogam) if infant is Rh+. Order extra Rhogam if RhIg is positive.
- •Rubella: if equivocal or non-immune, order PP MMR vaccine. NOTE: live-attenuated vaccine — contraindicated if patient is on immunosuppressive agent (e.g., many patients with IBD or SLE).
- •Tdap: recommended for all patients in 3rd trimester of each pregnancy. If NOT vaccinated during pregnancy, give PP only if not received in last 10 years.
- •Varicella: if non-immune, patient can receive inpatient or with PCP.
- •Flu: recommended during flu season. If not received with prenatal care, give postpartum.
- •COVID: vaccines + boosters available postpartum.