Can a hepatitis carrier get pregnant?

For women to get pregnant, there are certain prerequisites, whether it is the family's economic conditions, the relationship between the couple, or another important point is their own conditions. Both men and women must ensure that they have no infectious diseases and meet the basic physical conditions for fertility, etc. Therefore, a premarital physical examination is an important and necessary step. Both men and women should be physically fit to have a baby before they can prepare to have a child. Hepatitis carriers are more concerned about fertility issues. Can hepatitis carriers get pregnant? Let’s take a look at it next.

1. Can a hepatitis carrier get pregnant?

Hepatitis B virus carriers with normal liver function who have not developed the disease during the six-month examination can become pregnant, and it will not have any effect on the fetus. If a hepatitis B virus carrier becomes pregnant during the onset of the disease, it will increase the burden on the liver, which will have an impact on both the pregnant woman and the fetus, and it is also possible to infect the child during this period. It is recommended to go to the hospital for a detailed examination and follow the doctor's advice.

2. Care of pregnant women with hepatitis B

1. Pregnant women with hepatitis B can also give birth to a healthy baby. Hepatitis B itself is an infectious disease, and mother-to-child transmission is a very important way of spreading the hepatitis B virus. Studies have shown that about 40% of babies born to mothers with hepatitis B are infected, and if the mother has "big three positive" blood test, the chance of infection will reach more than 90%. However, as long as active prevention and proper treatment measures are taken before pregnancy, during pregnancy, delivery and postpartum breastfeeding, more than 95% of babies born to mothers with hepatitis B can be protected from infection and a healthy baby can be safely conceived.

2. During pregnancy, the condition of pregnant women with hepatitis B may worsen, with obvious liver damage, rapid increase of transaminase and bilirubin, nausea, vomiting, fatigue and weakness. At this time, the pregnancy should be terminated and liver protection and antiviral treatment should be actively carried out.

3. Pregnant women with hepatitis B, especially those who develop acute hepatitis B, acute exacerbation of chronic hepatitis B, chronic hepatitis B (or C) and hepatitis E in late pregnancy, are unable to terminate the pregnancy early.

3. Pay attention to the following points before and after delivery

1. Pay attention to bed rest and strengthen nutrition. Eat more protein and fresh vegetables and fruits. If necessary, stay in hospital for observation and try to cure or control hepatitis before delivery.

2. Strive for natural delivery and shorten the labor process as much as possible. Try to avoid caesarean section to prevent factors such as anesthetics, surgical trauma, bleeding, etc. from damaging the liver, inducing heavy bleeding, and aggravating the condition;

3. Prevent postpartum hemorrhage. Before delivery, the coagulation time, prothrombin activity and platelets should be checked and any abnormalities should be corrected promptly;

4. Pay attention to the occurrence of miscarriage and stillbirth.

5. Block vertical transmission from mother to child. During delivery, pay attention to protect the baby from contamination by the mother's blood and vaginal secretions; immediately inject the baby with hepatitis B vaccine and high-titer hepatitis B immunoglobulin;

6. You still need to pay attention to rest and increase nutrition after delivery.