The original CDC guidance recommended the 3 shot hep b series to begin in the hospital because the child would get the second and third shots during the first year, with all the other shots.

This was in maybe the mid-90s. The reason given was that the hep b population (iv drug users, gay men, prostitutes) were not very compliant coming in for shot two or three, so let’s start it in the hospital before discharge!

I have friends who used an “alternative schedule” for shots…not giving hep b in the hospital after birth, for instance, and spacing them out more over a number of years.

But considering what has occurred in the past few years re Covid shots, I would be even more careful and concerned before they take a newborn and start giving immunizations.

But I changed my mind about circumcision in the past thirty years as well (from yes to no) so it’s a personal choice. It’s just something that you may not realize is standard unless you are very strong about refusing.

Congratulations on a new Pede in the world!