Patient's question:
Mother is an HBV carrier with a high viral load. On the first day of the baby's birth, the neonatal department checked and confirmed no transmission of hepatitis B. Hello, is the result accurate after birth? The baby received immune globulin immediately after birth.Doctor's answer:
If the mother has chronic hepatitis B (), there is a risk of transmitting it to the newborn. Active immunity is required. Within 12 hours after birth, administer one dose of HBIG (the dose should be 3100 IU; in areas where economic conditions permit, a dose of 200 IU is sufficient). Administer the second dose of HBIG at 1 month of age, and simultaneously vaccinate with either 10mg or 20mg of recombinant yeast hepatitis B vaccine (CHO hepatitis B vaccine). Administer one dose of hepatitis B vaccine at 1 month and 6 months of age, respectively. This regimen—vaccinating with 2 doses of HBIG at 0-1 months and 1 dose of hepatitis B vaccine at 1, 2, and 6 months—can achieve a 97% or higher interruption of mother-to-child transmission.