Patient's question:
I am pregnant and have hepatitis B with a positive. Do I need to take medication during pregnancy? I contracted it when I was 11 years old, and it hasn't flared up in over ten years. During my prenatal checkup, the doctor said I don't need to take medication now, but I still feel a bit uneasy. Is it really true that with a positive, I don't need to get the hepatitis B immune globulin during pregnancy?Doctor's answer:
Women who are positive for hepatitis B (whether they have the "big three" or "small three" strain) can marry or conceive as long as their liver function is normal. Those with hepatitis B can marry but must wait until their liver function returns to normal before giving birth. After delivery, high-dose immunoglobulin should be administered every four weeks starting from the 28th week of pregnancy until labor. Immediately after the baby is born (in the hospital), high-dose immunoglobulin should be administered, followed by another dose two weeks later. By the time the baby is one month old, they should be vaccinated with the hepatitis B vaccine. This approach can reduce the risk of fetal infection to below 5%. The "big three" strain of hepatitis B is difficult to recover from. Friends of patients should always maintain an optimistic attitude and face it with a positive mindset, as only this can boost the patient's confidence in fighting the disease and ensure recovery.