Most women want to have a healthy baby who belongs to themselves.However, some people suffer from hepatitis B or other infectious diseases, and they are worried that they will transmit diseases to their children.Or some people find that they have hepatitis B after pregnancy, and they are even more entangled.
So, can I have a baby with hepatitis B?Will the baby infect hepatitis B?What should I do if I found infection with hepatitis B virus after pregnancy?How can I better block the spread of maternal and baby?
Director Wang Qiaolian, the obstetrics of the Maternal and Child Health Hospital of Xuzhou City, told reporters that she often encountered female friends who came to consult with such issues in the clinic.
Many infectious diseases can be spread through maternal and infants
It is understood that in 2006, a survey of hepatitis B serum epidemic in my country showed that the hypothyroidist virus virus surface antigen carving rate of 1-59 -year -old general population was 7.18%. Based on this, there were nearly 100 million chronic hepatitis B patients.The main reason for the high incidence of hepatitis B in my country is family propagation, which is mainly maternal and baby communication.If the mother is positive for hepatitis B E antigen and the children born have not injected hepatitis B vaccine, most of them will become a carrier of hepatitis B virus.Hepatitis B virus can also be detected in semen, so hepatitis B can also spread through sex.
Director Wang Qiaolian said that the spread of mothers and infants refers to the process of women infected with the fetus or babies in the process of pregnancy, childbirth or postpartum, and breastfeeding.HIV, syphilis, and viral hepatitis B are all infectious diseases, and can be transmitted to the next generation through maternal and infant communication.
Can he have a baby with hepatitis B?
So, can you give birth to a baby with hepatitis B?
Director Wang said that this is not the case. Some infectious diseases, including AIDS, can block maternal and baby infection through treatment, intervention, vaccination, etc.
Generally, as long as the liver function is normal, and the condition is stable within a certain period of time, regardless of whether hepatitis B and Primary Three Yang follow your doctor’s advice, you can get pregnant.It is best to check before pregnancy. If hepatitis B is large and the virus is high, there is an indicator of antiviral treatment, and an interferon or nucleoside drugs should be used under the guidance of a doctor.Women with interferon treatment, after half a year after stopping the drug, consider pregnancy after passing the examination, choose tool contraception during the drug period; women who take oral nucleoside drugs for long -term treatment are best to apply to Norofovir and other treatments.Used during pregnancy.
However, the following three abnormalities should not be pregnant:
The acute phase and hepatitis of hepatitis and hepatitis cannot be pregnant. Chronic activity type B hepatitis B should not be pregnant. This is for the sake of the mother’s health, and it also avoids the virus to the fetus after pregnancy.
What are the preparations for women in hepatitis B before pregnancy?
Director Wang said that women suffering from hepatitis B before pregnancy must first be diagnosed. Chronic hepatitis B virus (HBV) infection means that HBSAG positive lasts for more than 6 months.If the liver function is normal, it is called chronic HBV carrying; if the liver function is abnormal and other causes are excluded, the diagnosis is chronic hepatitis B.
Chronic HBV carriers need to review liver function every 6-12 months and other necessary examinations including hepatitis B virus DNA and liver ultrasound examination.HBV, which is planned to be pregnant, is infected with women. The best time to conceive is normal liver function, low level of serum HBV DNA, and no special changes in liver ultrasound.
Those with liver function have always been normal to get pregnant; those with abnormal liver function will return to normal after treatment, and after 6 months after discontinuation of the drugs used, the liver function can be pregnancy.During the treatment of antiviral virus, it is required to be evaluated by a specialist and obstetrician of the liver disease before considering pregnancy.
What do I need to pay attention to when she is pregnant?
So, what should be paid attention to for expectant mothers with hepatitis B?
Director Wang Qiaolian suggested that the following matters should be paid attention to:
1. Regularly go to the hospital for a pregnancy test:
During pregnancy, you should regularly go to the designated hospital for pregnancy examination, including the liver function series indicators, the liver ultrasonic examination, etc. to understand the liver changes.If the body feels uncomfortable and the liver function is obviously abnormal, you should go to Xuzhou infectious hospital or the infectious department of the comprehensive hospital for further diagnosis and treatment. If necessary, after the consultation of the obstetrics and doctors of the infection, decide whether to continue pregnancy.
2. Pregnancy treatment:
Once hepatitis B patients are pregnant, they should try to avoid using various drugs with hepatic toxicity, mild acute hepatitis, and those who have improved after active treatment can continue pregnancy.Chronic active hepatitis can increase after pregnancy, which is more harmful to mothers and children. After treatment, the effect should be considered to terminate pregnancy.Treatment mainly adopts liver protection, symptomatic, and support therapy.During the treatment, strict monitoring of liver function, coagulation function and other indicators.
Third, the sexual life of hepatitis B pregnant women should be controlled:
Pregnant women with hepatitis should pay more attention to rest, pay attention to restraint, and adjust to the condition of hepatitis and the size of the gestational week.The first 3 months of pregnancy should be avoided as much as possible.
For chronic HBV infection pregnant women, it is necessary to regularly follow up the re -examination of liver function and hepatitis B virus DNA.For the first time, the liver function is normal. Those who have no clinical symptoms of hepatitis B shall review the liver function once in 1-2 months.If the alanine aminotransferase (ALT) increases but does not exceed 2 times the normal, or bilirubin is increased, a specialist should be asked for consultation. In severe cases, you need to be hospitalized or terminate of pregnancy.HBV DNA copies of HBV DNA in the middle and late pregnancy (load ≥2*106IU/ml). After fully communicating with pregnant women and informed consent, antiviral treatment can be started at 24-28 weeks of pregnancy, which can reduce HBV maternal and infant transmission.
What kind of childbirth should be used for hepatitis B mothers?
Director Wang Qiaolian said that the latest research proves that after the formal prevention of chronic HBV infected with pregnant women, there is no difference between cesarean section and newborns HBV infection with natural delivery.In other words, cesarean section does not reduce HBV’s mother -to -child communication rate.
Therefore, it is not possible to choose a cesarean section for delivery for the purpose of blocking HBV maternal and infant communication.
What should I pay attention to after giving birth?Can I feed breast milk?
Postpartum newborn as soon as possible to vaccinate hepatitis B immunoglobulin and hepatitis B vaccine is the most effective measure to prevent HBV infection.Hepatitis B vaccine.
There are many people in HBSAG, husband and family members of pregnant women, HBSAG positive or hepatitis, liver cirrhosis and liver cancer, and the husband often has close contact during the growth of the baby. Newborns are also best injected with hepatitis B immunoglobulin (HBIG).Essence
The newborn of HBSAG -positive mothers, after formal prevention measures, regardless of whether HBEAG is positive, neonatal can be breastfeed without detecting whether there are HBV DNA in the milk.Compared to artificial feeding, breastfeeding does not increase the risk of newborn HBV infection.
HBSAG positive pregnant women, newborns need to follow up HBV serum signs on a regular basis to clarify whether the vaccination is successful and whether they need to strengthen immunity.
Text/Lei Ying Correspondent/Zhang Tong
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