Patient's question:
Hello everyone, my current girlfriend has hepatitis B, which has been present for over a decade (discovered in elementary school). Currently, her test results show that items 1 and 5 in the two pairs and a half test are positive, while liver function tests and DNA tests are normal. I would like to ask the experts if she will also be a hepatitis B patient in the future when she has children? What are the chances of her giving birth to a healthy baby? Additionally: What is the likelihood of her transmitting it to me? Through what pathways could it be transmitted? Skin contact, kissing, sexual intercourse, sharing utensils, saliva, etc. – can these methods transmit the virus? We have been dating for less than three months, and we recently learned that she has hepatitis B (my situation: I just had liver function and two pairs and a half tests yesterday, and the results were...)Doctor's answer:
Hello! Your girlfriend is just a carrier of the virus, with extremely low transmissibility. Moreover, you have already developed hepatitis B antibodies, so there should generally be no problem. Hepatitis B is primarily transmitted through blood and body fluids, so it's advisable to take routine protective measures and isolate personal items.Hepatitis B virus carriers should not have children, and this decision should be carefully considered by both partners and the entire family. If pregnancy is confirmed, it's essential to maintain good prenatal care and take effective preventive measures. The current preventive approach involves monthly injections of high-titer hepatitis B immune globulin during the woman's pregnancy between the 6th and 10th months, provided there are no other contraindications. After delivery, further immunization is administered to newborns and infants. Generally, such active vaccination can reduce the risk of mother-to-child transmission of hepatitis B to below 20%, with a relatively ideal preventive effect.
I hope my answer is helpful to you!