Hepatitis_B_Flashcards
What is the antenatal management for a pregnant woman with Hepatitis B?
Refer to a hepatologist and offer tenofovir to women with high HBV viral load (HBV DNA >107 IU/ml).
When should tenofovir be offered to pregnant women with Hepatitis B?
Start tenofovir in the 3rd trimester and stop 4-12 weeks after delivery unless the mother meets criteria for long-term treatment.
What monitoring is required for pregnant women taking tenofovir for Hepatitis B?
Monitor HBV viral load every 2 months and LFTs monthly.
What postnatal care should be offered to newborns of mothers with Hepatitis B?
Offer Hepatitis B Ig and Hepatitis B immunisation to the newborn.
What is the immunisation schedule for Hepatitis B in newborns?
The Hepatitis B immunisation schedule for newborns includes extra doses: at birth, 4 weeks, and 12 months.
How is the diagnosis of Hepatitis B in the neonate confirmed or denied?
Confirm or deny the diagnosis of Hepatitis B in the neonate with a blood test for serology (normally carried out at 12 months following completion of the immunisation schedule).
What is the advice regarding breastfeeding for mothers with Hepatitis B?
Encourage breastfeeding, as it carries no risk of transmission.
