Prenatal Resources

Letters from the California Department of Public Health (CDPH) to Physicians

• Clinician Health Advisory – Immunize Pregnant Women to Prevent Infant Pertussis in California (4-18-19)
• Implement Prenatal Tdap Program to Prevent Infant Pertussis in California (12-30-16)
• To Physicians about Infant Pertussis: Prevention, Evaluation and Treatment (8-3-16)

Letter from the California Conference of Local Health Officers to Local Health Dept. Staff

• Prenatal Tdap Immunizations and Prenatal Care Providers (12-11-17) with accompanying Template Letter for Prenatal Care Providers with Pregnant Patients that did not Receive Prenatal Tdap and Infants Developed Pertussis  

Educational Materials for Prenatal Care Providers

• Improving Prenatal Immunization Rates (Aliados Health)
• Provide the Best Prenatal Care to Prevent Pertussis (CDC)
• Making a Strong Vaccine Referral to Pregnant Women (CDC)
• Talking to Pregnant Women about Vaccines (CDC)
• Medical Board of California Newsletter (Spring 2017, pg. 15-16)
• Immunization Priorities to Prevent Infant Pertussis
• Infographic on prenatal vaccines and antibody transfer to infant - UPDATED!
• Infographic showing benefits of prenatal Tdap and flu immunizations (CIC)

 Provider Tools

• Prenatal Tdap/Influenza Immunization Declination Form – English and Spanish
  Use this form to document patient declinations. Please note: DHCS contracts require that Medi-Cal Managed Care Plans document patient refusal of the immunization in the form of a signed statement. (See Q17 in the Medi-Cal Coverage of Immunizations to learn more.)
• Gestational Wheel Order Form
  Use this form to order FREE gestational wheels, which include timing for Tdap and flu immunizations
• List of FREE Prenatal Tdap Immunization Resources for Prenatal Care Providers
• VIS Tdap Vaccine – English and Spanish (CDC)
• Toolkit for Prenatal Care Providers (CDC)

ACOG’s Tdap Immunization Toolkit  

• Commitee Opinion 741: Maternal Immunization (June 2018)
• Commitee Opinion 718: Update on Immunization and Pregnancy: Tetanus, Diphtheria, and Pertussis Vaccination (September 2017)
• Provider FAQs (Updated 2017)
• Patient Frequently Asked Questions (Updated 2017)
• Managing Costs
• Increasing Maternal Immunization Rates
• Integrating Immunizations into Routine Ob-Gyn Care​

Local Health Department Tools

• San Francisco’s Prenatal Tdap Vaccination Toolkit 
• San Diego’s Prenatal Tdap Vaccination Toolkit
• Stanislaus’s OB Provider Toolkit
• Stanislaus’s Pertussis Toolkit for Schools and Child Care Centers
• Orange’s prenatal care provider pre-and post-conference survey
• Alameda’s Best Practices for Raising Tdap Vaccination Rates among Pregnant Women
• Los Angeles’s CPSP Quality Assurance Tool

Tools for Medi-Cal Managed Care Plans

• Steps to Preventing Infant Pertussis: The Critical Role of Managed Care
• Template Letter from Plans to Physicians
• Email to Medi-Cal Managed Care Plan Medical Directors from DHCS: Use the new HEDIS prenatal immunization measure (August 2019)

FAQs: Medi-Cal Coverage of Immunizations 

• ​Pharmacy-Administered Vaccines in California 

Data and Reports

• CDPH Pertussis Reports (Look under Surveillance Reports)
• 2018-19 Maternal and Infant Health Assessment Survey: Prenatal Vaccinations in California
• 2016 Maternal and Infant Health Assessment Survey: Prenatal Vaccinations in California
• Infant Pertussis Cases and Incidence Rates, 2013-17
• New S, Winter K, Boyte R, et al. Barriers to Receipt of Prenatal Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine Among Mothers of Infants Aged <4 Months with Pertussis — California, 2016. MMWR Morb Mortal Wkly Rep 2018;67:1068–1071. 
• DHCS Learning Collaborative February 2019 Presentation: Protecting Infants from Pertussis: Strategies to Increase Maternal Immunization & Reduce the Gaps in Health Systems.

Patient Education Materials

Materials from the California Department of Public Health (CDPH):

• Perinatal Communicable Disease postcard style material  
• Expecting? Protect Yourself and Your Baby Against COVID-19, RSV, Flu, and Whooping Cough flyer (also in Spanish)
• Immunizations for a Healthy Pregnancy brochure (also in Spanish )
• Need A Ride? flyer
  Use this to promote Medi-Cal’s new transportation benefit 

Materials from the Centers for Disease Control and Prevention (CDC):

• You can start protecting your baby from whooping cough before birth flyer – English and Spanish 
• Protect Your Baby from the Start – English and Spanish

Materials from the California Immunization Coalition (CIC) and other partners

• Video presentation for WIC staff by Dr. Elizabeth Rosenblum 
• Tdap and Flu infographics from ACOG

Tools and Information for Pharmacists

• Shelf Talker featuring pregnant woman in English and Spanish (unbranded)
• Board Of Pharmacy Alert: Medi-Cal Expands Access to Adult Immunizations in Pharmacies (5/2017)
• Template letter (to be modified by pharmacists who want to reach prenatal care providers in their database)

For COVID-19 Resources, see COVID-19 Program Patient Resources for Pregnant People.