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Hepatitis B and Pregnancy

Posted by Rifki Hakim Thursday, 15 November 2012


Hepatitis B is a disease of inflammation of the liver caused by the hepatitis B virus (HBV), in society, the disease is better known as liver disease. A person with acute hepatitis B virus infection has symptoms like loss of appetite, body feels weak, heartburn, nausea, vomiting, fever, urinary looks like a concentrated tea water and the eyes look yellow. Definitive diagnosis of patients suffering from hepatitis B if found positive HBsAg in the blood examination. Most of these diseases infectious through sexual contact, drug users who use contaminated needles, tattoos, and a blood transfusion. The incubation period of the virus starting exposure to cause symptoms ranging from 6 weeks to 6 months. If allowed to continue, it will take chronic disease and circumstances arise in which the liver cells will undergo hardening is called liver cirrhosis. Even on those frequent the cause of hepatitis B liver cancer. In both circumstances the patient's life expectancy would be very low.

In patients with hepatitis B, pregnancy will not aggravate hepatitis virus infection, but if there is an acute infection in pregnancy, particularly the third trimester (last) pregnancy, it can result in fulminant hepatitis that can lead to a high risk of death for both mother and baby.

The mother who suffered from chronic hepatitis B can still contain a prospective baby. But the most important is the hepatitis B virus titer controlled. Transmission of the virus from mother to baby can indeed happen. Transmission usually occurs through the placenta, blood and dirt contamination with the mother when labor, capital and direct contact with the baby after birth. For that consciousness in the womb to the doctor and check their knowledge is extremely important for pregnant women with this disease.

Prevention   

1. Screening pregnant women, screening of HBsAg in pregnant women carried out especially in areas where there is a high prevalence. Screening results will determine the next action for the mother as antiviral drug by a doctor if deemed necessary.

2. Immunization, transmission of hepatitis B from mother to the baby it turns out most can prevented by immunization. HB vaccination in babies given on days 0, age 1, and 6 months. 

Determining the type of labor will be determined by your doctor. In women with low viral titers, can give birth normally on the condition labor should not be left longer that is more than 16 hours. If labor lasts longer than the time it should be carried out Caesarean section. Similarly, in women with high titers (greater than 3.5 pg / mol), better labor carried out by surgery.

Breastfeeding is considered safe because numerous studies have shown that transmission through the digestive tract requires viral titers significantly higher than transmission through blood and wounds.  

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