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Published on: August 23, 2016
HBV or HCV and pregnancy
1Medical University of Białystok Department of Infectious Diseases and Hepatology
Despite effective anti-HBV prophylaxis, cases of acute and chronic inflammation are still occurring, including among pregnant women. Studies in Asia suggest considering antiviral treatment among pregnant women with viremia above 10 log6 copies / ml. Current guidelines exclude the use of caesarean section as a method to reduce the likelihood of neonatal infection. At the same time, there are no grounds to ban the breastfeeding of a baby born to an HBV-infected mother. HCV infection can adversely affect the course of pregnancy. As with HBV infection, caesarean section does not reduce the risk of infection. Also breastfeeding among these patients is not contraindicated. The inability to use appropriate prophylaxis in newborns is one of the reasons for the targeted treatment of HCV-infected women at the procreation age in the first place.
Despite effective anti-HBV prophylaxis, cases of acute and chronic inflammation are still occurring, including among pregnant women. Studies in Asia suggest considering antiviral treatment among pregnant women with viremia above 10 log6 copies / ml. Current guidelines exclude the use of caesarean section as a method to reduce the likelihood of neonatal infection. At the same time, there are no grounds to ban the breastfeeding of a baby born to an HBV-infected mother. HCV infection can adversely affect the course of pregnancy. As with HBV infection, caesarean section does not reduce the risk of infection. Also breastfeeding among these patients is not contraindicated. The inability to use appropriate prophylaxis in newborns is one of the reasons for the targeted treatment of HCV-infected women at the procreation age in the first place.
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