Perinatal Hepatitis B Prevention

Hepatitis B is an inflammatory liver disease caused by the hepatitis B virus which results in liver damage that can lead to cirrhosis and an increased risk of liver cancer.

By law, Hepatitis B infection is to be reported to the Vermont Department of Health. Women who are pregnant who have a positive test for Hepatitis B are also to be reported to the Vermont Department of Health. District health office nurses work with people with this infection, and their families, to understand the recommendations about vaccination, treatment and care.

The goal of the Perinatal Hepatitis B Prevention Program is to identify the Hepatitis B status of pregnant women, to communicate with those at high risk for transmitting Hepatitis B infection to their infants and to ensure access to Hepatitis B immune globulin and Hepatitis B vaccine.

Hepatitis B vaccine is available free of charge to hospitals participating in the VFC program from the Vermont Department of Health Immunization Program.

Treatment schedule for babies at high-risk for hepatitis B

HBIG and hepatitis B vaccine administered within 12 hours of birth (using different sites, usually each lateral thigh for injection)

Treatment Schedule


 Single Antigen Vaccine




Not to be used < 6 weeks of age
Use monovalent Hep B vaccine at birth


1 -2 months

2 months


6 months

4 months



6 months

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