Patient's question:
I am currently 28 weeks pregnant. I previously tested positive for hepatitis B (minor positive), which was inherited from my mother. Recently, during pregnancy, I tested positive for anti-HBs. I read in a book that it is recommended to receive high-efficiency immune globulin after 28 weeks, but my doctor said it is no longer recommended now. They advised that just getting the hepatitis B vaccine at birth is sufficient. Is that correct? What is the effectiveness of this prevention method? Can I breastfeed?Doctor's answer:
Hello, if a hepatitis B patient wants to have children, it is best to wait until the DNA turns negative before doing so, because if the DNA is positive, the (infectivity) will be greater. You are already pregnant, so you can only take precautions to prevent transmission.Advice: It is recommended that you get a DNA test. If it is positive, it is best to undergo antiviral treatment, which can reduce the risk of transmission. Additionally, within 24 hours after the child is born, they should be vaccinated with hepatitis B immune globulin and hepatitis B vaccine at different parts of their body to take precautions for prevention. This can significantly reduce the risk of transmission.