What happens if the first dose of hepattis B was not given within the first 24 hours?
All infants should receive their first dose of hepatitis B vaccine as soon as possible after birth, preferably within 24 hours.
When not feasible, the birth dose can still be effective in preventing perinatal transmission if given within 7 days, particularly within 3 days, although somewhat less than if given within 24 hours, but with declining effectiveness with each passing day. Even after 7 days, a late birth dose can be effective in preventing horizontal transmission and therefore remains beneficial.