Management and treatment of pregnant women with hepatitis B

摘要: Every year about 800 chronic hepatitis B infections are identified in the Netherlands as result of nationwide pregnancy screening. About one-third these newly discovered infections. In recent years there has been a marked increase treatment options for infection using antiviral drugs. Pregnant women can now be treated well. A pregnant woman with low viral load does not require immediate treatment, due to passive immunisation and active vaccination newborn chances perinatal transmission negligible. Treatment mother therefore postponed until after birth. However, when high (>10(9) copies/ml serum), still occur despite newborn. women, last trimester should considered. At present, experience treating HBV-infected only gained lamivudine. It appears that quantity circulating virus decreases treatment. always supervised by gastroenterologist or an infectiologist. Detection, referral child described several guidelines have recently updated harmonized each other. These include practice guideline from Dutch College General Practitioners, Centre Infectious Disease Control National Institute Public Health Environment, Society Gastroenterology.