Patient's question:
Patient Gender: Married couplePatient Age: Male 26 years, Female 23 years
Detailed Condition and Consultation Purpose: The husband's hepatitis B surface antigen (HBsAg) and items 1, 4, and 5 of the hepatitis B surface antibody (anti-HBs) test are positive, indicating "small three positive" (HBsAg, anti-HBe, and anti-HBc). His DNA and ultrasound tests are normal, and he is advised not to take medication. The wife's hepatitis B surface antibody (anti-HBs) and item 4 of the hepatitis B surface antigen (HBsAg) test are positive, suggesting she was previously infected and has developed antibodies without knowing, but the virus is still present in her body.
Question: The wife is pregnant in her fifth or sixth month. What preventive measures should be taken? Can children be infected with hepatitis B in this situation? Can breastfeeding be done after childbirth?
Current General Condition:
Doctor's answer:
Hello: If your wife has no other symptoms and normal liver function, she is completely fine. However, she should receive one dose of high-efficiency hepatitis B immune globulin during the seventh, eighth, and ninth months of pregnancy, and another dose within 24 hours after the child is born. This can significantly reduce the probability of mother-to-child transmission. Afterward, she can get vaccinated for hepatitis B at the health and disease prevention department and can breastfeed.For hepatitis B minor positive cases with normal liver function and no other symptoms, it can be considered as a healthy carrier of the hepatitis B virus, and no treatment is needed. The conversion to negativity is related to the body's immunity, and drug-induced conversion is extremely difficult. Do not believe in advertisements. Engage in moderate exercise to boost immunity, enhance nutrition, and avoid foods that harm the liver, such as alcohol, to prevent unnecessary burdens on the liver. Regularly check liver function.