Sabtu, 26 Oktober 2013

Hepatitis B in Pregnancy


Overview of hepatitis B

Hepatitis B is an inflammation of the liver disease caused by hepatitis B virus ( HBV ), in the society of this disease 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 water looks like dark tea and eyes look yellow. Definitive diagnosis of patients suffering from hepatitis B HBsAg positive when found in the blood examination. Most of the disease is transmitted through sexual contact, drug users who use needles contaminated, tattoos, and blood transfusions. The incubation period from exposure to cause symptoms ranging from 6 weeks to 6 months. If allowed to continue, it will take chronic illness and circumstances arise in which the cells will experience hardening of the liver called cirrhosis. Not infrequently the cause of hepatitis B liver cancer. At both the state of a patient's life expectancy would be very low.
Hepatitis B in pregnancy

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 which can lead to higher risk of death for both mother and baby.

The mother who suffered from chronic hepatitis B can still contain a potential baby. But the important thing is that hepatitis B virus titers were controlled. Transmission of the virus from mother to baby can indeed occur. Transmission usually occurs through the placenta, blood and dirt contamination with the mother when childbirth, as well as direct contact with the baby's mother after childbirth. For that consciousness in the womb to the doctor and check their considerable knowledge is important for pregnant women with this disease.
prevention

    Screening pregnant women, maternal HBsAg screening is done primarily in areas where there is a high prevalence. Screening results will determine the next action for the mother such as antiviral medication by a doctor if necessary.
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    Immunization, it turns out the transmission of hepatitis B from mother to infant can largely be prevented by immunization. HB vaccination in infants given on days 0, age 1, and 6 months.

Maternity and breastfeeding

Determination of the type of delivery will be determined by your doctor. In women with low viral titers, normal delivery can not be allowed provided that delivery time is over 16 hours. If the delivery takes more than the time it should be done immediately Caesarean section. Similarly, in women with high titers (greater than 3.5 pg / mol ), better labor done with surgery.

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

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