Hepatitis B and Prenancy Flashcards
How does Hepatitis B spread?
It spreads through the blood and other body fluids
What are babies that contract Hep B from their mother more at risk of?
Hepatocellular carcinoma
Cirrhosis
What would you give to a woman with hepatitis B and a high viral load?
Tenofovir monotherapy
When is tenofovir monotherapy given?
In the third trimester
Why is tenofovir monotherapy given?
To reduce risk of transmission to a baby
What type of vaccine is the hepatitis B vaccine?
Inactivated vaccine
Who can the hepatitis B vaccine be given to?
All women who are high risk
What women are considered high risk for hepatitis B?
IV drug users
Someone with a partner who is an IVDU
Someone with a partner who has HBV or HIV
Who is offered screening for Hep B?
All pregnant women
What form of delivery is usually recommended for someone with Hep B?
Vaginal delivery as it is normally safe
What are babies born to someone with Hep B given?
Hepatitis B IgG
Hep B vaccination
Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth with
When are babies given Hep B IgG and Hep B vaccine?
Within 24 hours of delivery
What should babies born to someone with Hep B be given after their initial antibodies and vaccine?
The babies should be given further vaccines
When are babies born to someone with Hep B given further doses of the vaccine?
4 weeks
8 weeks
12 months
Is breast feeding safe when the mother has Hepatitis B?
Yes
Hep b can’t be transmitted via breastfeeding
When is the testing for hepatitis B done in the baby?
At 1 year
Why are babies tested for Hepatitis B at one year even when they have had the vaccines?
To check if the intervention has been successful
Who is the intervention less likely to have been successful on
Premature and low birth weight babies- they have a poorer response to the vaccine
