Hepatitis_B_Pregnancy_Flashcards

Question 1

What screening is offered to all pregnant women regarding Hepatitis B?

Answer 1

All pregnant women are offered screening for Hepatitis B.

Question 2

What should babies born to mothers who are chronically infected with Hepatitis B receive?

Answer 2

Babies born to mothers who are chronically infected with Hepatitis B should receive a complete course of vaccination and hepatitis B immunoglobulin.

Question 3

What should babies born to mothers who’ve had acute Hepatitis B during pregnancy receive?

Answer 3

Babies born to mothers who’ve had acute Hepatitis B during pregnancy should receive a complete course of vaccination and hepatitis B immunoglobulin.

Question 4

What treatments are being evaluated for Hepatitis B in the latter part of pregnancy?

Answer 4

Studies are currently evaluating the role of oral antiviral treatment (e.g., Lamivudine) in the latter part of pregnancy.

Question 5

Does caesarean section reduce vertical transmission rates of Hepatitis B?

Answer 5

There is little evidence to suggest caesarean section reduces vertical transmission rates of Hepatitis B.

Question 6

Can Hepatitis B be transmitted via breastfeeding?

Answer 6

Hepatitis B cannot be transmitted via breastfeeding (in contrast to HIV).

Question 7

summarise Hep. B in pregnancy

Answer 7

Hepatitis B and pregnancy

Basics
all pregnant women are offered screening for hepatitis B
babies born to mothers who are chronically infected with hepatitis B or to mothers who’ve had acute hepatitis B during pregnancy should receive a complete course of vaccination + hepatitis B immunoglobulin
studies are currently evaluating the role of oral antiviral treatment (e.g. Lamivudine) in the latter part of pregnancy
there is little evidence to suggest caesarean section reduces vertical transmission rates
hepatitis B cannot be transmitted via breastfeeding (in contrast to HIV)

Question 8

A hepatitis B serology positive woman gives birth to a healthy baby girl. The mother is surface antigen positive. What treatment should be given to the baby?

Hep B vaccine
Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth
0.5 millilitres of HBIG within 12 hours of birth only
Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth with a further hepatitis vaccine at 1-2 months and a further vaccine at 6 months
No treatment required

Answer 8

Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth with a further hepatitis vaccine at 1-2 months and a further vaccine at 6 months

This question tests your knowledge of the hepatitis B vaccine schedule in babies born at risk of developing hepatitis B. For babies who are born to mothers who are hepatitis B surface antigen positive, or are known to be high risk of hepatitis B, should receive the first dose of hepatitis B vaccine soon after birth and those born to mother’s who are surface antigen positive should also receive 0.5 millilitres of hepatitis B immunoglobulin within 12 hours of birth. The baby should then further receive a second dose of hepatitis B vaccine at 1-2 months and at 6 months.