Should pregnant women with hepatitis B have amniotic punctures?

The article was consulted professionally by Master, Dr Trinh Thi Thanh Huyen – Obstetrics and Gynecology Department – Share99 Hai Phong International Hospital.

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Hepatitis B is a viral infection. The disease can cause acute hepatitis and chronic hepatitis, if not treated in time, the disease can progress to cirrhosis, even liver cancer. The disease is not dangerous for the average person, but for pregnant women with hepatitis B there is a high risk of infecting the child. Many pregnant women think that if they have hepatitis B, they should not perform amniotic punctures.

1. What is amniotic puncture?

Amniotic puncture is a pre-birth screening procedure. To take samples of amniotic fluid for testing, tissue samples, this procedure requires deep penetration into the inside of the uterus.

When pregnancy is over 16 weeks of age, amniotic punctures may be invoked. By using a small needle, amniotic fluid will be drawn through the abdominal wall under the guidance of ultrasound.

The amniotic puncture procedure will tell about pre-birth genetic problems, and from there, after the baby is born, parents have appropriate care and treatment plans, avoiding the confusion and confusion. Some diseases can be treated before the birth of a baby.

2. Should pregnant women with hepatitis B have amniotic punctures?

hepatitis B virus

Hepatitis B virus can spread from mother to child during pregnancy

HBV virus is the cause of hepatitis B. The disease is not too dangerous for the average person, however, for pregnant women with hepatitis B, there is a high risk of infecting the baby.

The presence of HBsAg characterizes acute infection of HBV. Patients also have serum positive for viral egen (HBeAg) in the early stages of the disease.

HBeAg is often a sign that the virus has replicated. The appearance of HBeAg shows that the blood and body fluids of the person are highly contagious. The existence of HBsAg for at least 6 months characterizes chronic infection. Patients are at risk of developing chronic liver disease and liver cancer if HBsAg persists long-term.

The most common cause of jaundice during pregnancy is acute viral hepatitis. During the acute stage of infection, the majority of cases will not see the appearance of any symptoms, however, others may show signs of the disease, such as jaundice, urine of a dark color, vomiting, nausea, abdominal pain and fatigue. Patients with acute hepatitis may progress to acute liver failure, however, this is quite rare. Acute HBV infection is generally not serious for pregnant women and is not associated with the possibility of malformations or mortality. Therefore, there is no need to suspend pregnancy when you are infected with HBV during pregnancy.

Without advanced liver disease, pregnant women with chronic hepatitis B infection may generally be well tolerated, although an outbreak of hepatitis B may occur. No studies have yet identified the impact of HBV on the outcome of pregnancy.

Many women with hepatitis B are concerned that performing amniotic punctures will cause their child to become infected? Is that the reality?

In fact, after performing amniotic puncture, the risk of transmission of the virus from mother to child is quite low. However, this procedure may increase the risk of mother-to-child transmission of hepatitis B if the HBV DNA virus loads > 7,010 copies/ml (over 10 million copies/ml). Therefore, before deciding whether to choose to perform an amniotic puncture procedure, you need to consult carefully with your doctor.

Your child will be vaccinated after birth if the test results show that you are positive for the hepatitis B virus. If the viral content in the blood is high, you will be prescribed certain drugs to control the disease

mother-to-child transmission

Amniotic puncture reduces the risk of mother-to-baby transmission

Thus, it can be seen that the risk of post-amniotic HBV transmission is low, however the implementation of amniotic puncture for pregnant women with a viral load of more than 10 million copies / ml is a factor that increases the risk of HBV transmission. Therefore, avoid amniotic puncture when the HBV virus load is over 10 million copies / ml for pregnant women.

Share99 International Health Hub offers a full maternity care program for women from the very beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D ultrasounds, 4D routines and routine tests to ensure the mother is always healthy and the fetus develops comprehensively.

Obstetrics and Gynecology will be consulted and checked under the close supervision of experienced and professional obstetrician, helping mothers have more knowledge to protect their health during pregnancy as well as minimize complications affecting mothers and children.

For direct advice, please click the HOTLINE number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • What are false positives and false negatives?
  • Treatment of hepatitis B during pregnancy
  • How does hepatitis C transmission work?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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