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Management of Hepatitis B and C during Pregnancy: Neonatal Implications

Katherine Pressman1, Stephanie Ros1

  • 1Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL.

Neoreviews
|December 31, 2022
PubMed

Insights

Increased rates of infants born with hepatitis B (HBV) and hepatitis C (HCV) have led to updated guidelines. Screening all pregnant individuals and managing newborns can significantly reduce vertical transmission risks.

Area of Science:

  • Hepatology
  • Obstetrics
  • Pediatrics

Background:

  • Rising incidence of perinatal transmission of hepatitis B virus (HBV) and hepatitis C virus (HCV).
  • Need for updated clinical guidelines for managing pregnant individuals and newborns exposed to HBV and HCV.

Purpose of the Study:

  • To summarize current recommendations for screening and management of HBV and HCV in pregnancy.
  • To highlight strategies for preventing vertical transmission.

Main Methods:

  • Review of current obstetric and pediatric guidelines.
  • Analysis of screening protocols for pregnant individuals.
  • Evaluation of management strategies for exposed infants.

Main Results:

  • All pregnant individuals should be screened for HBV and HCV in each pregnancy.
  • Timely medical care for pregnant persons and newborns is crucial.
  • Adherence to guidelines can significantly decrease vertical transmission rates.

Conclusions:

  • Universal screening for HBV and HCV during pregnancy is recommended.
  • Effective management protocols are essential for preventing perinatal infections.
  • Implementing updated guidelines can protect infants from chronic viral hepatitis.

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