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Published on: August 23, 2016
Prevention and management of viral hepatitis in pregnancy
Martha W F Rac1, Jeanne S Sheffield1
1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9032, USA.
Insights
Viral hepatitis during pregnancy, especially HBV and HCV, poses risks to mothers and infants. Early detection and management of all five viral hepatitis types are crucial for optimizing outcomes and preventing transmission.
Area of Science:
- Hepatology
- Infectious Diseases
- Maternal-Fetal Medicine
Background:
- Hepatitis B virus (HBV) and Hepatitis C virus (HCV) are leading causes of chronic liver disease, cirrhosis, and liver cancer.
- Pregnancy with viral hepatitis can lead to adverse maternal and fetal outcomes.
- Early identification of viral hepatitis in pregnancy is vital for timely intervention.
Purpose of the Study:
- To review the prevention and management strategies for all five viral hepatitis syndromes (HAV-HEV) during pregnancy.
- To highlight the significance of early diagnosis in optimizing pregnancy outcomes.
- To discuss methods for minimizing perinatal transmission of viral hepatitis.
Main Methods:
- Literature review of current guidelines and research on viral hepatitis in pregnancy.
- Synthesis of information on prevention, diagnosis, and management protocols.
- Analysis of the impact of viral hepatitis on maternal and fetal health.
Main Results:
- HBV and HCV are the most prevalent causes of chronic hepatitis, contributing significantly to cirrhosis and liver cancer.
- Viral hepatitis infection during pregnancy can negatively affect both mother and fetus.
- Prompt identification enables effective management to improve pregnancy outcomes and reduce transmission.
Conclusions:
- Comprehensive management of all viral hepatitis types during pregnancy is essential.
- Early detection and intervention are key to mitigating risks associated with viral hepatitis in pregnancy.
- Effective strategies can optimize maternal and infant health and prevent perinatal transmission.
Abstract:
Of the 5 types of viral hepatitis (HAV-HEV), HBV and HCV are by far the most common causes of chronic hepatitis in both pregnant and nonpregnant populations, causing more than 50% of cirrhosis cases and 78% of cases of primary liver cancer. Infection during pregnancy can have adverse effects on both the mother and her fetus. For all 5 viral hepatitis syndromes, early identification allows appropriate measures to be taken to optimize pregnancy outcomes and minimize the risk of perinatal transmission. This article reviews the prevention and management of all 5 viral hepatitis syndromes during pregnancy.
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