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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Algorithm for hepatitis B virus during pregnancy

Algorithm for hepatitis B virus during pregnancy
Anti-HBc: hepatitis B core antibody; anti-HBe: hepatitis B e antibody; anti-HBs: hepatitis B surface antibody; HBeAg: hepatitis B e antigen; HBIG: hepatitis B immune globulin; HBsAg: hepatitis B surface antigen; HBV: hepatitis B virus.
* Check anti-HBs and anti-HBc if mother is at high risk for HBV infection (eg, injection drug user, sexual partner or household contact has chronic HBV). Mothers with no evidence of prior HBV infection (ie, negative for HBsAg, anti-HBs, and anti-HBc) should be vaccinated. In addition, such women should have HBsAg repeated late in pregnancy (approximately 28 weeks).
¶ Women who have a high HBV DNA (>200,000 int. units/mL), elevated aminotransferase levels, and/or a positive HBeAg should be referred to a hepatologist to see if early initiation of antiviral medications is needed.
Δ Start at 28 to 30 weeks gestation. We prefer tenofovir disoproxil fumarate rather than other antiviral agents. Refer to the topic on Hepatitis B and pregnancy for a more detailed discussion of treatment.
For those who continue antiviral therapy after delivery, the pros and cons of breastfeeding must be discussed with the mother. Refer to the topic on Hepatitis B and pregnancy for more detailed discussions of breastfeeding.
Graphic 87231 Version 9.0

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