Can pregnant women with continue their pregnancy?

Patient's question:

In 2005, a school physical examination revealed abnormal liver function and chronic hepatitis B. I have been treated at the Infectious Diseases Department of Shengli Oilfield Central Hospital ever since. I once had the "big three positive" (HBsAg, HBeAg, and anti-HBs), but now I have been "small three positive" for over four years. Since late 2008, I have been taking telbivudine and have not stopped taking it, having been on the medication for nearly four years. I became pregnant in late May 2012, and now I am five months pregnant and have not stopped taking the medication. The doctor here instructed me to take telbivudine throughout the entire pregnancy.

Doctor's answer:

For pregnant women with high viral load, antiviral treatment with telbivudine can be administered in the later stages of pregnancy to reduce the risk of fetal infection. Therefore, as long as liver function is normal, pregnancy is possible. However, regular follow-up during pregnancy is essential, and antiviral treatment may be necessary in the later stages if needed. Generally, doctors recommend personal hygiene and avoiding sexual activity for patients with signs of pregnancy complicated by hepatitis. Additionally, patients should create an environment conducive to emotional stability and stress relief. Wishing patients a healthy delivery.

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