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Published on: August 23, 2016
Hepatitis C in pregnancy
Sangeeta Jain1, Nima Goharkhay, George Saade
1Division of Maternal Fetal Medicine, Department of Obstretics and Gynecology, University of Texas, Medical Branch, Galveston, Texas 77555-0587, USA.
Insights
Hepatitis C virus (HCV) is a leading cause of chronic liver disease. Maternal-fetal transmission is a significant concern, especially in co-infected women, with treatment contraindicated during pregnancy.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis C is a primary cause of chronic liver disease and liver transplantation in the US.
- Transfusion-related Hepatitis C virus (HCV) transmission has been minimized through blood product screening.
- Maternal-fetal transmission is now a predominant route of HCV infection.
Purpose of the Study:
- To provide an updated review of Hepatitis C virus (HCV).
- To discuss disease agent, risk factors, transmission, diagnosis, and treatment.
- To evaluate perinatal issues related to HCV.
Main Methods:
- Literature review of Hepatitis C virus (HCV).
- Analysis of epidemiological data on HCV transmission.
- Review of current diagnostic and treatment modalities for HCV.
Main Results:
- HCV is a major cause of chronic liver disease and liver transplantation.
- Maternal-fetal transmission is a key transmission route, particularly in HIV-coinfected women.
- HCV treatment during pregnancy is not recommended, despite increased chronic liver disease risk from perinatal transmission.
Conclusions:
- Hepatitis C virus (HCV) remains a significant public health concern.
- Further evaluation of perinatal transmission and management is necessary.
- Understanding risk factors and transmission is crucial for prevention and control.
Abstract:
Hepatitis C is the most common cause of chronic liver disease and liver transplantation, with 25,000 cases reported in the United States per year. By blood product screening, transfusion-related viral transmission has been virtually eliminated, and maternal fetal transmission is now one of the most important modes of transmission. Hepatitis C virus (HCV) infection is blood borne but only 25% of the infected pregnant women indicate a history of blood products transfusion or intravenous drug use. HCV transmission is 2- to 4-fold higher in women coinfected with HIV. Although cesarean delivery has not been shown to decrease perinatal transmission, it may have benefits in women with viremia at the time of delivery. During pregnancy, treatment of HCV is contraindicated, even though perinatal transmission is associated with a higher incidence of chronic liver disease. This review gives an update on the disease agent, risk factors, modes of transmission, diagnosis, treatment modalities, and perinatal issues that require further evaluation.
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