Guidelines for pregnancy of hepatitis B mother: how should we review?

As the saying goes, "Three years of pregnancy", pregnancy will indeed bring great changes to women.Under normal circumstances, pregnancy will cause a certain burden on the body. If it is a chronic hepatitis B carried the patient’s pregnancy, will the situation be more serious?

In fact, the adverse effects of pregnancy on chronic hepatitis B carriers are not obvious.Sometimes the situation of liver palms and unprecedented small spiders in pregnant women will be afraid that it is severe liver cirrhosis. In fact, this is likely to be caused by the increase in estrogen levels in the pregnancy, and it will generally disappear naturally after delivery.

Let ’s take a look at some changes in patients with chronic hepatitis B with patients, and popularize some precautions during pregnancy.

During pregnancy, the pregnant women’s liver function (ALT and AST) carried by chronic hepatitis B are generally within the normal range.

If its serum rosin enzyme is elevated, it also means the condition of liver injury.

When pregnant women have fatty liver, transaminase also increases.

Cologium rigidase can be slightly higher in the third trimester.

The level of serum bilirubin and total bile acids are also within normal range.

The effects of alkaline phosphatase during pregnancy will gradually increase since pregnancy and reach the peak during childbirth, but rarely exceed 4 times the normal upper limit. Generally, it will return to normal at 2-8 weeks after delivery.

The blood level of urea uric may decrease due to increased excretion.

Cholesterol and triglycerides are generally rising slightly.

A fetal protein will also be increased due to the influence of the fetus.

When the carriers of hepatitis B virus are pregnant, it is necessary to pay attention to the regular review of liver function and hepatitis B virus DNA in 3 months to observe its changes.

Those with normal liver function, review once every 3 months;

If you find that the liver function ALT is within 90U/L, you can review it once in two months;

If the liver function ALT needs to be observed closely at 90 ~ 200U/L, it is best to review the liver function once a month, and you can choose the appropriate liver protection medicine under the guidance of a doctor.

If liver function ALT needs to protect liver protection above 200U/L or more, review once every two weeks. If ALT is above 300U/L, antiviral treatment is needed. At the same timeSecond-rate.

Anti -virus treatment during pregnancy can choose drugs that have no effect on fetal and pregnant women and high safety, such as choosing to be dopstine.You can continue pregnancy during the medication.

The fetus can be stopped and breastfeed after birth, but it still needs to be reviewed on a regular basis. If a rebound occurs, the liver function is abnormal, and liver protection or antiviral treatment is performed according to the situation.

The above is the precautions of chronic hepatitis B carriers during pregnancy. As for patients with acute hepatitis B, antiviral treatment does not need to be performed. It does not matter that the commonly used enzyme -lowering drugs are commonly used after 3 months of pregnancy.

Infection of hepatitis B virus during pregnancy can produce healthy babies, but hepatitis may cause premature birth. The impact of acute hepatitis on the fetus during pregnancy should be based on the patient’s pregnancy and the severity of the patient’s condition during the occurrence of acute hepatitis.

In short, a number of examination results during pregnancy may occur from some fluctuations during pregnancy. At this time, you don’t have to be too anxious. Ask the doctor if it is a normal pregnancy change. If you need to use the medicine, you need to follow the doctor’s advice.

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