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Hello doctor! I have pre-existing hepatitis B that is below the threshold of activity. I am currently pregnant, when I went to check, the doctor said the virus was active. The virus detection threshold was 30.10 copies, the plasma virus count was 7.50x10*8 copies, the plasma virus count was 1.50x10*9 IU/ml. But I haven't had yellow skin and eyes, so I don't need to take medicine. The doctor asked me now that I am 23 weeks pregnant, what is the percentage of transmission to the baby? How should I treat the disease? Thank you doctor.
H.T.D.T
Reply
Hello! There are many criteria to see if you are eligible for treatment based on the test:
Liver enzymes GOT, GPT. HBV-DNA (viral quantification) HBeAg (core antigen). Or ultrasound elastography of the liver. You are currently 23 weeks pregnant, there is medicine to treat hepatitis B in pregnant women. However, you should see a hepatobiliary specialist again to re-evaluate whether there is treatment or not.
If active hepatitis B has HBeAg (+), the possibility of transmitting it to the baby is higher. Currently, mothers with active hepatitis B should give birth in a place with anti-hepatitis B sera to indicate vaccination for children. baby within 24 hours of birth.
Thank you for sending your question to Vinmec Health System. Best regards!
Master, Doctor Nguyen Thi My - Doctor of Internal Medicine - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
