How to treat hepatitis B infection?

Hepatitis B positive pregnant women need comprehensive evaluation and monitoring, including hepatitis B DNA quantitative, liver function, hepatitis B five items, liver ultrasound and other examinations, consulting professional doctors, regular prenatal examination, determining delivery mode according to viral load, neonatal vaccination with hepatitis B vaccine and immunoglobulin, feeding guidance. Pregnant women who are positive for hepatitis B require thorough evaluation and monitoring to ensure maternal and fetal health. The following are the general steps for managing pregnant women who are positive for hepatitis B infection: 1. Perform a hepatitis B virus (HBV) DNA quantitative test: This can help determine the replication level of the virus and assess infectivity. 2. Test liver function: Including alanine aminotransferase (ALT), aspartate aminotransferase (AST) and other indicators to understand the functional status of the liver. 3. Hepatitis B five tests: Determine the specific conditions of hepatitis B infection, such as hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs), hepatitis B e antigen (HBeAg), hepatitis B e antibody (anti-HBe) and hepatitis B core antibody (Anti-HBc) positive or negative status. 4. Liver ultrasound examination: observe the structure and morphology of the liver, rule out the existence of liver disease. 5. Consult a professional doctor: consult with infectious diseases, hepatology or obstetrics and gynecology doctors in detail to understand the impact of hepatitis B infection on pregnant women and fetuses, as well as precautions during pregnancy. 6. Pregnancy monitoring: Pregnant women need regular prenatal examinations, including liver function monitoring, quantitative HBV DNA testing, etc., to detect any abnormalities in time. 7. Delivery mode: If the hepatitis B virus load is high, the doctor may recommend cesarean section to reduce the risk of hepatitis B infection in the fetus during delivery. 8. Newborn vaccination: Newborns need to be vaccinated with hepatitis B vaccine and hepatitis B immunoglobulin within 12 hours of birth to prevent hepatitis B infection. 9. Feeding instructions: For hepatitis B positive mothers, doctors will provide feeding instructions, recommending artificial feeding or nipple disinfection before feeding. It should be noted that each pregnant woman's situation may be different, and the treatment method should be adjusted according to individual circumstances. In addition, pregnant women with hepatitis B infection should follow the doctor's advice, actively cooperate with treatment and monitoring to ensure their own and fetal health. At the same time, family and society should also give pregnant women support and understanding, and pay attention to the health of pregnant women and fetuses.