Can any1 Ans?

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Can any1 Ans?

Author

5 Posts

Alee
Forum Newbie

Topics: 10
Posts: 24

09/01/08 - 08:52 AM

#1

Lets say labs of a preg woman in her 3rd trimester shows
HBs Ag +ve
HBe Ag +ve
theres 95% chance that fetus is gona acquire this right.Lets say Dx was made in 3rd trimester.How r v gona manage this lady?
I dn kno its Ans any 1 who ans this in detail.I shal b thankful.

Jackofknives
Ipwnpoker.com
avatar

Topics: 91
Posts: 740

09/01/08 - 12:45 PM

#2

The mother has acute Hep B, for which there is no treatment. Hep B does not cross placent, thus no prenatal care is warranted. Infants acquire Hep B through contact with mother's blood at birth and through breast feeding. C section may reduce rate of infection, more importantly, post-exposure HBIG for the infants.

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Alee
Forum Newbie

Topics: 10
Posts: 24

09/01/08 - 05:23 PM

#3

Yes C-sec does make sense but transplacental transmission can occur as per USMLE World p/305

ngaybinhyen
Forum Guru

Topics: 23
Posts: 657

09/02/08 - 12:12 AM

#4

This is new
as far as I know, HBV transmission is during labor and delivery
at least, nothing needs to be taken care of during pregnancy

management:

1. C-section
2. postnatal tight vaccin schedule + HBIG

Alee
Forum Newbie

Topics: 10
Posts: 24

09/02/08 - 01:28 AM

#5

Thanks alot.Very helpful answers.

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