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), antibody to hepatitis B core antigen (anti-HBc), and antibody to hepatitis B surface antigen (anti-HBs) are positive, indicating "small three positive," while DNA and ultrasound tests are normal, suggesting no need for medication. The wife's hepatitis B surface antigen (HBsAg) and antibody to hepatitis B core antigen (anti-HBc) are positive, indicating a past infection with antibodies developed without knowing, but the virus is still present in her body.
Question: The wife is 5-6 months pregnant. What preventive measures should be taken in this case? 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 perfectly fine. However, she should receive an injection of high-efficiency hepatitis B immune globulin during the seventh, eighth, and ninth months of pregnancy, and the child should also receive an injection within 24 hours after birth. 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 carrier of the hepatitis B virus without the need for treatment. The clearance of the virus depends on the body's immunity, and drug-induced clearance is extremely difficult. Do not believe in advertisements. Engage in moderate exercise to boost immunity, enhance nutrition, and avoid foods harmful to the liver, such as alcohol, to prevent unnecessary burdens on the liver. Regularly check liver function.