Wen | Jingma
We in China are a big country with hepatitis B:
According to the data, there are currently 93 million people carrying hepatitis B in China, of which women account for 41.6% to 47.6% of the total.
That's equivalent to nearly 40 million women who are hepatitis B carriers, and some of them haven't had children yet and need to have children, that would involve how to have a healthy baby?
Hepatitis B moms want to have a healthy baby, there are 6 key points in time to remember
The first critical point in time: the year before you try to conceive
Hepatitis B mother recommends that in the first half of the year to a year before pregnancy to go to the corresponding test, the main examination of hepatitis B two and a half, liver function and hepatitis B virus DNA, and even add liver B ultrasound, after the examination can go to the doctor for detailed consultation, see what they should pay attention to when pregnant, according to the doctor's medical advice to prepare for pregnancy.
In general, women with abnormal liver function may be treated until the liver function is normal before pregnancy.
The second key point in time: 24 to 28 weeks of pregnancy
If the mother is simply carrying the hepatitis B virus, the body's liver function and the DNA load of the hepatitis B virus are not too high, then the mother may be able to get pregnant smoothly, and wait until the child is born to block the mother and baby.
However, if the mother's hepatitis B virus DNA load is relatively high, antiviral therapy may be required.
The recommended time for antiviral therapy is to start at 24-28 weeks of pregnancy.
Statistical data have found that interventions performed before 28 weeks of pregnancy have a lower risk of mother-to-child transmission than interventions after 28 weeks of pregnancy.
Therefore, it is recommended to start antiviral therapy no later than 28 weeks.
The third key point in time: 12 hours after the birth of the child
Healthy children are recommended to inject hepatitis B vaccine within 24 hours after birth, but if the mother is a hepatitis B mother, then the child should be injected with hepatitis B vaccine as soon as possible 12 hours after birth, in addition to the injection of hepatitis B vaccine, the injection of hepatitis B immunoglobulin can help the child's body quickly establish immunization and prevent the child from being infected.
The fourth key point in time: one month after the birth of the child
The injection of hepatitis B vaccine needs to be strengthened, after the child is full moon, the second dose of hepatitis B vaccine is injected, if the mother is a hepatitis B mother, for the child's hepatitis B strengthening injection, we must seize the time, it is best not to postpone.
The fifth key point in time: 6 months after the birth of the child
The 3rd dose of hepatitis B vaccine reinforced injection is generally 6 months after the birth of the child, the hepatitis B vaccine is only one injection is not very effective, must be given three injections, so the mother must grasp the time, timely injection of hepatitis B vaccine for the child.
The sixth key point in time: 7 to 12 months after the birth of the child
Intravenous blood is drawn to detect hepatitis B surface antigen or hepatitis B DNA to find out whether there is a successful mother-to-child blockade, or if the child has unfortunately had mother-to-child transmission, and corresponding countermeasures should be carried out.
A large number of data show that as long as the corresponding countermeasures are carried out according to the relevant time points, 99% of the children can successfully carry out maternal and infant blockade.
That is to say, the mother has hepatitis B, but the child is also very healthy, so as long as the hepatitis B mother is correctly treated according to the above several time points, she can also give birth to a healthy child.
Reference: 2019 Edition of the Guidelines for the Prevention and Control of Mother-to-Child Transmission of Hepatitis B Virus in China.
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