Patient's question:
Suffering from chronic hepatitis B for 3 years, I have never received any treatment. What preparations should I make before getting pregnant? What measures need to be taken during pregnancy and after delivery to prevent the child from carrying the hepatitis B virus?Doctor's answer:
Asymptomatic "big three positive" patients do not require treatment at this stage; instead, medical observation and monitoring should be implemented. If liver function is normal for more than one year, "big three positive" patients can become pregnant. However, it is recommended that pregnant women receive a dose of high-efficiency hepatitis B immune globulin two months after the 7th, 8th, or 9th month of pregnancy. After birth, the newborn should receive the first dose of high-efficiency hepatitis B immune globulin within 24 hours, along with a 30-microgram hepatitis B vaccine. Subsequently, a dose of high-efficiency hepatitis B immune globulin should be administered at the 23rd month, and a 30-microgram hepatitis B vaccine should be given at the 26th month. Generally, this approach can maximize the likelihood of preventing the child from becoming infected.