Probability Of Normal Delivery In Hepatitis B Patients?
Good afternoon.. I want to ask if you should give birth normally or by cesarean for hepatitis B positive patients. Then whether the baby is positive for contracting the disease. Then it’s better to get treatment first or wait for the baby to be born and then get treatment. Because the gestational age has entered 8 months. Thank you. Please answer yes.
Hello Kurnia, thanks for the question for HealthReplies.com
Hepatitis B infection in pregnant women does not affect the mode of delivery later. Women with hepatitis B can still give birth normally. Basically, if you currently have acute hepatitis B infection (infection lasting less than 6 months), there is a 90% chance that your baby will also be infected with hepatitis B. Meanwhile, if you have chronic hepatitis B infection (infection persists for more than 6 months), 10 -20% chance that your baby will also be infected with hepatitis B.
Due to the high rate of infection from mother to baby, babies born to mothers with hepatitis B will receive special therapy after birth. Within a few hours after birth, the baby will be given the hepatitis B vaccine and Hepatitis B immunoglobulin. After that, the baby will still be given the Hepatitis B vaccine as usual. After the hepatitis B vaccination is complete, the baby will be examined to see if there is hepatitis B infection in the baby as well.
For yourself, hepatitis B treatment will depend on your HBeAg and viral load (the amount of virus in your blood). If you have high levels of the virus in your blood, your doctor may consider giving antiviral drugs in the third trimester to reduce the chances of infection in your baby.
You should discuss again with your obstetrician to find out more clearly the treatment plan for you and your baby. Meanwhile, ask people in your household, especially your sexual partner, to do a Hepatitis B examination and complete a hepatitis B vaccination.
That's all the information from me, I hope it's enough to answer
dr. Irna Cecilia