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Update on Prenatal Laboratory Screening: Joint Commission Required Elements

Jared L Tepper1, Karen M Puopolo2,3,4

  • 1Department of Obstetrics and Gynecology and.

Neoreviews
|October 3, 2019
PubMed

Insights

Routine screening for pregnant women for infections like HIV, hepatitis B, syphilis, and group B Streptococcus is crucial. New guidelines mandate documentation and peripartum testing to prevent maternal and neonatal morbidity.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Infectious Disease Prevention

Background:

  • Routine prenatal screening for HIV, hepatitis B, syphilis, and group B Streptococcus is recommended by leading health organizations.
  • Inadequate prenatal care and screening for these pathogens occur in a significant number of US women.
  • Timely identification of maternal infection is critical for preventing vertical transmission and reducing maternal and neonatal morbidity.

Purpose of the Study:

  • To highlight the importance of timely screening and documentation of maternal infectious disease status.
  • To emphasize the role of labor and delivery units in identifying at-risk pregnant women and infants.
  • To outline new Joint Commission guidance aimed at optimizing maternal and neonatal health outcomes.

Main Methods:

  • Review of current recommendations from CDC, ACOG, and AAP for prenatal screening.
  • Analysis of Joint Commission's 2018 guidance on maternal disease status documentation.
  • Focus on peripartum testing for women with inadequate prenatal screening.

Main Results:

  • New Joint Commission guidance mandates documentation of maternal disease status and positive newborn results.
  • Immediate peripartum testing is required for pregnant women with inadequate screening.
  • These measures aim to facilitate timely interventions for maternal health and prevent perinatal transmission.

Conclusions:

  • Improved documentation and peripartum testing can enhance maternal and neonatal health outcomes.
  • Optimizing screening and timely interventions are key to preventing perinatal infections.
  • Adherence to new guidelines is essential for reducing maternal and neonatal morbidity.

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