Patient's question:
Hepatitis B positive with high viral load and normal liver function, what should I do if I am pregnant? Can I have the child? Will it affect the child?Doctor's answer:
Based on the situation you described, it is suggested that the child can be kept, but there is a risk of infection. High serum HBV DNA load in early pregnancy patients is one of the high-risk factors for mother-to-child transmission of HBV. Standard hepatitis B immunoprophylaxis for newborns and effective antiviral treatment for the mother can significantly reduce the incidence of HBV mother-to-child transmission.If the HBV DNA load is greater than 2×10^6 IU/mL in the second or third trimester of early pregnancy, after weighing the pros and cons, antiviral treatment can be initiated between the 24th and 28th weeks of early pregnancy. It is recommended to stop medication 1 to 3 months after delivery, and breastfeeding can be resumed after stopping the medication.
Follow your doctor's advice. Best wishes!