Congenital syphilis / rubella / GBS / COVID / HepB / CMV / toxoplasmosis surge / screening [developing]
Key Questions
When is syphilis screening recommended in pregnancy?
ACOG recommends screening at 28-32 weeks, with rates up 26%. Universal first/third trimester and delivery checks amid surges.
What vaccines are advised during pregnancy?
TDap at 27-36 weeks every pregnancy for pertussis; MMR preconception; COVID vaccine lowers infant hospitalization by 36% up to 6 months. HepB for unvaccinated mothers.
How to prevent toxoplasmosis during pregnancy?
Avoid raw meat, cat litter; serology testing key. Listeria prevention includes hard cheeses over soft ones.
What is UNITY NIPT for fetal antigens?
UNITY's expanded Red Blood Cell Fetal Antigen test at 9 weeks covers 99% antigens non-invasively, aiding HDFN/Rh prevention with titers/Dopplers.
When is GBS screening done?
GBS at 35-37 weeks; reinforce checklists with TDaP, HepB amid declines.
How does maternal COVID vaccination protect newborns?
Maternal vaccination prevents infant COVID hospitalization; ACOG supports as no neonatal vaccines exist.
What about CMV risks in pregnancy?
CMV common in first trimester; personal experiences highlight monitoring. Toxoplasmosis nursing education stresses prevention.
HepB vaccine guidelines for newborns and mothers?
CDC recommends HepB at birth for all newborns, and for unvaccinated mothers during pregnancy. No risk assessment needed per guidelines.
ACOG 1st/3rd/deliv + MMR precon/UNITY NIPT RBC antigens 9w 99% cov JAMA HDFN/Rh less titers/Dopplers/TDap 27-36wks every preg pertussis; COVID vax lower infant hosp; syph 28-32w (+26%)/GBS 35-37/TDap/HepB declines; CMV 1st tri/toxoplasmosis (serology/raw meat/cat litter/Listeria/discharge monitoring). Reinforce checklists amid surges.