Does a hepatitis B carrier need to get the hepatitis B vaccine during pregnancy?

Patient's question:

I was diagnosed with hepatitis B surface antigen positive (HBsAg positive) during high school. I took some medication afterward, but during multiple follow-up tests, the result remained positive. The doctor said that my condition is not contagious and that as long as I avoid alcohol, smoking, and maintain good rest, the condition will not worsen. Six months ago, I had another check-up, and the result was still HBsAg positive. Now I am planning to have a child. I heard that it is possible to get the hepatitis B vaccine during pregnancy to prevent the child from becoming HBsAg positive in the future. Is this?

Doctor's answer:

Hello, you need to check liver function and viral DNA. And liver function should be checked regularly during pregnancy. Your husband should check the hepatitis B surface antigen, antibody, core antibody, e antigen, and e antibody (HBsAg, anti-HBs, anti-HBe, anti-HBe). If there are no antibodies, he needs to get vaccinated. You should receive a dose of hepatitis B immune globulin each month during the 7th, 8th, and 9th months of pregnancy. After the baby is born, they should also receive a dose of hepatitis B immune globulin immediately. The first dose of hepatitis B vaccine should be given three days after birth, followed by the second dose one month later and the third dose six months later. This regimen has a 95% or higher chance of giving birth to a healthy baby.

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