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Management of Hepatitis B Infection in Pregnancy
Marguerite L Bartholomew1, Men-Jean Lee
1Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, John A. Burns University of Hawaii School of Medicine, Honolulu, Hawaii.
Hepatitis B virus (HBV) can spread from mother to child during birth. Healthcare providers need strategies to identify infected women and prevent HBV perinatal transmission, especially with increasing global migration and advanced reproductive options.
Area of Science:
- Hepatology
- Infectious Diseases
- Women's Health
Background:
- Perinatal transmission is the primary hepatitis B virus (HBV) infection route globally.
- Sexual contact is the most common HBV transmission source in the United States.
- Increased immigration, globalization, and assisted reproductive technologies necessitate updated HBV management in pregnant women.
Purpose of the Study:
- To review evidence-based strategies for identifying HBV infection in women.
- To outline methods for reducing perinatal HBV transmission.
- To inform healthcare providers on managing HBV during pregnancy.
Main Methods:
- Review of current medical literature and clinical guidelines.
- Analysis of epidemiological data on HBV transmission routes.
- Synthesis of best practices for HBV screening and management in pregnant populations.
Main Results:
- Global HBV transmission predominantly occurs perinatally.
- US HBV transmission is primarily through sexual contact.
- Effective strategies exist for HBV identification and prevention of mother-to-child transmission.
Conclusions:
- Healthcare providers require awareness of HBV screening and management protocols for pregnant women.
- Proactive identification and management are crucial to prevent perinatal HBV transmission.
- Updated strategies are essential due to demographic and technological changes impacting women's health.
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