Patient's question:
This time I went to the hospital to apply for a prenatal checkup card and found that I have hepatitis B surface antigen (HBsAg) positive. I would like to know if this will affect the child and what treatment should be done. Medical history and treatment effectiveness: I have never had this disease before. What kind of help do I need: Will it affect the child? How should I be treated?Doctor's answer:
Hello, according to the situation you described, you should have regular prenatal check-ups to monitor the baby's condition in a timely manner. It is recommended that the first dose of hepatitis B immune globulin be administered within 2 hours after the baby is born. For babies born to mothers with chronic hepatitis B (HBsAg positive, HBeAg positive), the second dose of immune globulin is recommended to be given one month later. For mothers with chronic hepatitis B (HBsAg positive, HBeAg negative), their babies do not need the second dose. For mothers with chronic hepatitis B (HBsAg positive, HBeAg negative), as long as their liver function is normal and their condition is stable, they can have normal pregnancy and childbirth. Since the hepatitis B virus cannot pass through the placenta to the fetus, the fetus will not be infected with hepatitis B. The so-called vertical transmission from mother to child refers to the passive absorption of maternal blood and secretions during delivery, which leads to hepatitis B infection. As long as the baby receives hepatitis B immune globulin and hepatitis B vaccine within six hours after birth, it can block the transmission of hepatitis B to the next generation. Once the baby develops a high-titer hepatitis B surface antibody, it will not be infected with hepatitis B in the future. If you are currently pregnant, hepatitis B treatment cannot be performed, as these medications have a significant impact on the fetus.