Hepatitis B Elimination - Preventing Vertical Transmission is must

V. Malhotra
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Abstract

The proportion of babies that became HBV chronic carriers is about 10% to 30% for mothers who are HBsAg positive but HBeAg negative. However, the incidence of perinatal infections is higher, i.e. 70% to 90%, when the mother is also HBeAg positive [3]. There are three possible routes of transmission of HBV from infected mothers to infants: transplacental transmission of HBV in utero, natal transmission during delivery or post-natal transmission during care of infant or through breast milk [4]. Though several studies on epidemiology of viral hepatitis in pregnancy are available, there is paucity of data on maternal to child transmission (MTCT) of HBV during pregnancy.
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消除乙型肝炎-防止垂直传播是必须的
对于HBsAg阳性但HBeAg阴性的母亲,婴儿成为HBV慢性携带者的比例约为10%至30%。然而,当母亲也是HBeAg阳性[3]时,围产期感染的发生率更高,为70%至90%。乙型肝炎病毒从受感染的母亲传播给婴儿有三种可能的途径:乙型肝炎病毒在子宫内经胎盘传播、分娩时的出生传播或婴儿护理期间的产后传播或通过母乳传播。虽然有几项关于妊娠期病毒性肝炎流行病学的研究,但缺乏关于妊娠期HBV母婴传播(MTCT)的数据。
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