Can I get pregnant if I have hepatitis B?

Hepatitis B is a common disease in life. Some women have hepatitis B but only discover it after they become pregnant. At this time, they are worried that it will affect the baby's health and that the hepatitis B virus will be transmitted to the baby, which will then cause problems with the baby's health. Faced with this problem, many families are worried and afraid. Hepatitis B is a disease that affects physical health. So can a woman get pregnant if she has hepatitis B?

Can a woman with hepatitis B get pregnant?

Mother-to-child transmission includes two aspects: one is vertical transmission and the other is horizontal transmission. Everyone has always believed that mother-to-child transmission is vertical transmission, but this is not the case. Only 10% is caused by intrauterine transmission, and only 10% is transmitted in the uterus during pregnancy, which is not very high. Hepatitis B virus will not affect the normal development of the fetus in the uterus, and the probability of transplacental infection is very low. However, if you continue to be pregnant, you must check the virus level every 1-2 months to detect abnormalities in time.

If it is an unexpected pregnancy, it does not mean that people with hepatitis B virus cannot have children if they get pregnant unexpectedly. Actually, it is not, because the probability of intrauterine transmission of hepatitis B is not particularly high. After birth, babies need to receive immunoglobulin, which can basically block the disease. In addition to routine prenatal examinations during pregnancy, liver function should also be monitored. If the obstetric situation permits, liver, gallbladder, and spleen ultrasound should be repeated. If you feel unwell, seek medical attention promptly and undergo various examinations to obtain a clear diagnosis. If liver function is confirmed to be abnormal or jaundice or B-ultrasound shows obvious abnormalities, timely and active treatment is required.

If the liver function is normal, immunoglobulin can be injected to prevent transmission to the fetus. Clinically, we have found that many hepatitis B patients become pregnant unexpectedly during antiviral treatment. If they want to have a child at this time, the hepatitis B virus may be transmitted to the fetus through the placenta, causing the infant to be born with the virus. Hepatitis B is mainly transmitted through blood, semen, and vaginal secretions when there is a wound on the skin or mucous membrane of the infected person. Of course, it can be transmitted through sexual intercourse. In addition, it is possible to transmit from mother to child or from father to child.

What to do if a hepatitis B patient becomes pregnant

Pregnant women who are carriers of the hepatitis B virus should go to the hospital for injections of immunoglobulin and hepatitis B immunoglobulin three months after pregnancy to reduce the risk of infection in the child. If a newborn is given an intramuscular injection of hepatitis B immunoglobulin within 48 hours after birth, and another injection two weeks later, and then combined with the hepatitis B vaccine, the protection rate for the infant can reach 70%-90%.

Hepatitis B carriers who are pregnant should regularly monitor liver function and hepatitis B DNA. If the viral load is too high, greater than 10 to the power of 6, drug blocking should be carried out at 24 to 28 weeks. After the child is born, hepatitis B vaccine and hepatitis B immunoglobulin should be given. In the absence of mother-to-child transmission of the virus, the following methods can be used to block mother-to-child transmission: Hepatitis B immunoglobulin should be injected together with the hepatitis B vaccine after the baby is born and one month after birth to effectively protect the fetus. Breastfeeding is possible as long as the mother's nipples are not cracked and bleeding. The mother washes her hands with soap and water before touching her child.