1. Preparing for OB Clinicals: Administering T-dap, Influenza and
Preparing for OB Clinicals: Administering T-dap, Influenza and MMR Vaccines to the OB Patient

2. T-dap Vaccine
Consists of tetnus, diptheria and pertussis (whooping cough)
There has been a recent increase in pertussis in Maricopa county
Can be fatal in newborns; therefore the need to vaccinate the postpartum patient in order to protect her infant
javascript:;

3. Refrigerated Single-Dose Vial

4. Use the Deltoid Muscle in Postpartum
-Locate the acromion process -Inject 2-3 finger widths below -Use a 23 gauge needle; 1 inch in length -0.5 mL each dose -Aspirate

5. Use the Vastus Lateralis in L&D
Most shots given in the postpartum period using the deltoid muscle
However some may be given in L&D. If so, we administer in the vastus lateralis muscle
Why? Most patients have an epidural therefore no associated pain when given

6. Measles, Mumps and Rubella Vaccine (MMR)
Administered to postpartum women who were rubella non-immune during pregnancy
Not given during pregnancy due to the possible teratogenic effect on the fetus
Given just before discharge as patient may experience a low-grade temperature after receiving the shot
Patient teaching: Do not get pregnant for at least 3 months as the vaccine may be harmful/ teratogenic to the fetus

7. MMR Vaccine The vaccine comes in powder form
Needs to be reconstituted with sterile water/diluent

8. MMR Injection Site Use the fleshy, upper arm towards the back
This is a SQ injection
Use a 1 mL syringe
Chose a 25 gauge needle; 5/8” in length
Do not aspirate

9. Written Consent
T-dap usually does not require a consent. MMR always requires one. Confirm specific requirements with your agency
Remember, students cannot witness/sign consents

10. Influenza Vaccine IM injection given in the deltoid muscle
1 inch; 23 gauge needle
Aspirate
Check with agency regarding the need for a consent