What will happen if a person with chronic hepatitis B () becomes pregnant?

Patient's question:

Recently, I have been feeling unwell, having no appetite, nausea, and vomiting. I don't like greasy food, and my skin is also yellow, as are my eyes. I feel completely weak. After a thorough medical examination, I was diagnosed with hepatitis B, specifically the "big three positive" (HBeAg positive) type. I've been divorced for three years now, and I really want to have a child. However, I've heard that hepatitis B can be transmitted from mother to child. What should I do? What will happen if I, a big three positive hepatitis B patient, get pregnant?

Doctor's answer:

If liver function is normal, it will have no adverse effects on the baby or the mother. It is recommended that as a patient with chronic hepatitis B (HBeAg-positive), you undergo a thorough liver function test before pregnancy. Additionally, you should monitor your liver function regularly to ensure it remains within the normal range. If any issues arise, it is crucial to contact your doctor promptly. Otherwise, do not take medication casually, as it may harm the fetus. I pray for your safe motherhood and the well-being of your child. If you have any concerns, we can have a discussion.
When patients face difficulties with chronic hepatitis B (HBeAg-positive), timely symptomatic treatment should be implemented. Avoid delaying medical consultation. If chronic hepatitis B does not respond to treatment, it is essential to switch to a new treatment plan promptly.

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