Patient's question:
My wife has been diagnosed with hepatitis B for five years and has been under treatment. Last year, we got married, and now we want to have a child. However, she has been in the active viral replication phase of hepatitis B and has also been taking antiviral medication. This month, her period didn't come, and it seems like she might be pregnant. She is also worried about the risk of transmitting the disease to the child.Doctor's answer:
First, it needs to be confirmed whether the current liver condition is active or inactive. If it is active inflammation, antiviral treatment is required now. If it is inactive, no antiviral treatment is needed currently. If all the above tests indicate that the current liver condition is inactive, it may be possible to have a child, but it is necessary to undergo prenatal examinations in a specialized hospital. If necessary during the later stages of pregnancy, LAM can be administered to increase the risk of mother-to-child transmission.Once the child is born, they should receive dual automatic immunization with the hepatitis B vaccine and hepatitis B immune globulin, which will prevent the vast majority of cases from being infected with the hepatitis B virus.
For patients with chronic hepatitis B (CHB), in addition to active treatment, they also need to pay attention to maintaining a healthy diet and proper nutrition in daily life.