Hepatitis B in pregnancy – Review of literature and guideline proposal

Vertical mother-to-fetus transmission of hepatitis B virus (HBV) is a concern of public health global policies. The transmission rate can be substantially influenced by the good function of the maternal screening programs and by the vaccination of newborns as well. Also, the appropriate treatment of...

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Bibliographic Details
Main Authors: Corina Grigoriu, Roxana Bohiltea, Gina Calinescu, Andra Magdalena Balan, Doru Campean, Irina Horhoianu, Tiberiu Augustin Georgescu, Bianca Margareta Mihai, Irina Maria Vladareanu, Nicolae Bacalbasa
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2021-12-01
Series:Romanian Journal of Infectious Diseases
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Online Access:https://rjid.com.ro/articles/2021.4/RJID_2021_4_Art-02.pdf
Description
Summary:Vertical mother-to-fetus transmission of hepatitis B virus (HBV) is a concern of public health global policies. The transmission rate can be substantially influenced by the good function of the maternal screening programs and by the vaccination of newborns as well. Also, the appropriate treatment of pregnant women and the administration of anti-HBV immunoglobulin immediately after birth come up with the decrease of HBV transmission rate. Acute viral hepatitis during pregnancy constitutes the main cause of jaundice recognized in pregnant women. It has generally a mild course during pregnancy, without significantly influencing the health state of the mother. In the context of immunological adaptation in pregnancy, the condition of the pregnant woman with chronic HBV infection without notable hepatic dysfunction generally has a good evolution. However, there are some possible clinical consequences like hepatic flares and progression of liver disease. The paper presents a review of literature and guideline proposals to prevent vertical transmission of hepatitis B virus and to provide the best possible care for pregnant women with hepatitis B infection.
ISSN:1454-3389
2069-6051