Hepatitis B and Prenancy Flashcards

1
Q

How does Hepatitis B spread?

A

It spreads through the blood and other body fluids

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2
Q

What are babies that contract Hep B from their mother more at risk of?

A

Hepatocellular carcinoma

Cirrhosis

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3
Q

What would you give to a woman with hepatitis B and a high viral load?

A

Tenofovir monotherapy

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4
Q

When is tenofovir monotherapy given?

A

In the third trimester

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5
Q

Why is tenofovir monotherapy given?

A

To reduce risk of transmission to a baby

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6
Q

What type of vaccine is the hepatitis B vaccine?

A

Inactivated vaccine

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7
Q

Who can the hepatitis B vaccine be given to?

A

All women who are high risk

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8
Q

What women are considered high risk for hepatitis B?

A

IV drug users
Someone with a partner who is an IVDU
Someone with a partner who has HBV or HIV

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9
Q

Who is offered screening for Hep B?

A

All pregnant women

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10
Q

What form of delivery is usually recommended for someone with Hep B?

A

Vaginal delivery as it is normally safe

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11
Q

What are babies born to someone with Hep B given?

A

Hepatitis B IgG
Hep B vaccination

Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth with

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12
Q

When are babies given Hep B IgG and Hep B vaccine?

A

Within 24 hours of delivery

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13
Q

What should babies born to someone with Hep B be given after their initial antibodies and vaccine?

A

The babies should be given further vaccines

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14
Q

When are babies born to someone with Hep B given further doses of the vaccine?

A

4 weeks
8 weeks
12 months

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15
Q

Is breast feeding safe when the mother has Hepatitis B?

A

Yes

Hep b can’t be transmitted via breastfeeding

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16
Q

When is the testing for hepatitis B done in the baby?

A

At 1 year

17
Q

Why are babies tested for Hepatitis B at one year even when they have had the vaccines?

A

To check if the intervention has been successful

18
Q

Who is the intervention less likely to have been successful on

A

Premature and low birth weight babies- they have a poorer response to the vaccine