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Perinatal hepatitis B: update & recommendations

J E Corrarino1

  • 1Suffolk County Department of Health Services, Hauppauge, New York, USA. janecorrarino@yahoo.com

MCN. the American Journal of Maternal Child Nursing
|September 25, 1998
PubMed
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A program to educate woman who test positive for the hepatitis B virus during the perinatal period.

MCN. The American journal of maternal child nursing·1999

Hepatitis B virus (HBV) infection is a global health concern, particularly perinatal transmission to infants. Understanding HBV and implementing CDC-recommended prevention strategies are crucial for nurses to protect families and children.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health Nursing

Background:

  • Hepatitis B virus (HBV) is a leading cause of chronic infectious disease worldwide.
  • Perinatal transmission is the primary route of HBV infection in infants and children.
  • Untreated infants born to HBV-positive mothers have a 90% risk of becoming lifelong carriers, facing severe health consequences like liver disease and cancer.

Purpose of the Study:

  • To underscore the importance of nurses understanding hepatitis B virus (HBV) for effective family care.
  • To highlight the critical role of nurses in preventing perinatal HBV transmission and managing affected populations.
  • To emphasize the need for integrating hospital- and community-based nursing practices for comprehensive HBV care.

Main Methods:

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  • Review of Centers for Disease Control and Prevention (CDC) prevention and treatment strategies for HBV.
  • Emphasis on the importance of screening pregnant women for HBV.
  • Outline of the recommended vaccination schedule including hepatitis B immunoglobulin (HBIG) and hepatitis B vaccine at birth, 1 month, and 6 months.

    • Main Results:

    • CDC guidelines provide a comprehensive strategy for HBV prevention and treatment.
    • Early intervention with HBIG and vaccination significantly reduces the risk of infant HBV infection.
    • Nurses are pivotal in implementing these strategies and coordinating care.

    Conclusions:

    • Nurses in perinatal and pediatric specialties must possess a thorough understanding of HBV.
    • Effective prevention of HBV transmission relies on adherence to vaccination schedules and screening protocols.
    • Strengthening the link between hospital and community nursing is essential for managing women and children affected by HBV.