Can patients with hepatitis B () undergo amniocentesis?

Patient's question:

I had my first comprehensive check-up at the hospital when I was 16 weeks pregnant and personally requested a Down syndrome screening. The result was 1:288, which is considered high risk. The doctor recommended that I have an amniocentesis at 20 weeks for an accurate diagnosis. However, I had been diagnosed with hepatitis B () before pregnancy, and at 19 weeks, I consulted a specialist in maternal liver disease. The expert suggested that if I underwent an amniocentesis, it would significantly increase the likelihood of the hepatitis B virus infecting the fetus and advised against the procedure. I am now very anxious, as there are only a few days left before my scheduled. What should I do to be most beneficial for the baby? Thank you very much. Please provide details of previous diagnoses and treatment history and their effectiveness.

Doctor's answer:

It is recommended that you have an amniocentesis done at a formal, large hospital.

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