phuluong2k
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29 y/o woman at 25 weeks of gestation, diagnosed with chronic hepatitis due to HCV, monogamous with her husband, pregnancy is otherwise uncomplicated.
Which of the following precautions she should take ?
A. Avoid breast feeding after birth
B. Schedule C section at delivery
C. Use condom when engages sex with her husband
D. Vaccination to HAV & HBV if not already immune
E. Treatment with Interferon & ribavirin
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| nisha
lil monkey
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anser: D. breast feeding, Csection have not considerably found to decrease any risk of transmission, and ribavirin is a teratogenic drug. NOTE: interferon is beneficial and benefits outweigh risks, it may be given antenatally.
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| phuluong2k
Forum Fanatic
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Yeah, you are right, but how about C ? it sounds logical.
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| chemamr
forum moderator
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i agree with D (itīs the answer given in UW). About C, i donīt know, maybe itīs because itīs not very cost-effective when the patient has a monogamous relationship, i mean, only 1 sexual partner they say the risk of infection is very low, so maybe thatīs the reason. Itīs more necessary and important the D.
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| frank100
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D sound good
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