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Pregnant - Hepatitis B

Dear Sir/ Madam,

Recently our family doctor diagnosed the Chronic Hepatitis B positive for my wife during her pregnancy Test in May-2007. Now she is 5 months old pregnant and her due date is 10-Dec-2007. We have no clue how she got this decease and our family is completely scared of this and in great pressure/tension and praying god to come out of this soup. Also we are worrying about the chances of getting this decease to our new born kid. Our family will be very thankful if any of you can help us and provide the treatment suggestions as we do not know what kind of treatment is required as of now. Her health Condition is normal so far and she is doing fine at her regular activities. Our Gynecologist is telling that there is no medication is required as of now and she has to be monitored every six months. But we are worrying about her future health condition and looking for treatment to cure this decease at this early stage. We are fine to come to any location in USA or any other country to get the complete cure for her and your advice will save our family. Please consider this as very important request and guide us. Thanks a lot....

Her Current lab results are given below.
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Hepatitis B surface antigen (HBsAg) - Positive
Hepatitis B e antigen (HBeAg) - Negative
Hepatitis B core antibody IgM (HBcAbIgM) - Negative
Hep B Core Ab, Tot - Positive
Hep Be Ab - Postive

Hep B Surface Ab       <3.0 mIU/ml

Protien, Total, Serum - 7.3 g/DL
Albumin, Serum - 4.5  g/DL
Bilirubin, Total - 0.3  mg/DL
Bilirubin, Direct - 0.1 mg/DL
Alkaline Phosphates, S - 44 IU/L
AST (SGOT) - 20 IU/L
ALT( SGPT) - 16 IU/L

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Thanking you
Sam
4 Responses
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Avatar universal
i find out that i have hepatitis B
i dont hepa profile and sgpt and sgot..
accoring to the doctor my liver enzymes is normal.
and just advice me to take essensially forte 3 times a day..is it helpfull to me?
but recently i feel pain in my right side which this is were my liver located..
is it normal or i need to go to doctor to consult this?please advice me
thanks you very much
Helpful - 0
Avatar universal
Thanks a lot Steven and Cocksparrow...Your answers gave us great relief and hope. Thanks again...
Helpful - 0
181575 tn?1250198786
CS provided excellent info and resources.  I would like to further clarify the shots that CS mentioned will PREVENT your baby from being infected with the HepB virus.   So the baby would have a 95% chance of nothing getting HepB at all.  Just ask your MD to prep for the shots, remind them right before delivery and after delivery.  So I don't think you have to worry.

Your wife probably does need to monitor her chronic HepB regularly for life (or until they find a cure, hopefully soon :)  Your wife is probably an inactive carrier, which is great.  She should also check her viral DNA to monitor for disease re-activation, which does happen for some inactive carriers, especially as they get older.  Take care and good luck!

  
Helpful - 0
Avatar universal
Being diagnosed with Hepatitis is a little scary isn’t it, especially when it involves a loved one.
While I have had HepB and cleared it thankfully (Having HepB and HepC together is not a good thing), I don’t know that much about it.
The good news is that your wifes bloods look good and ALTs are well within the normal range, mine are between 100-200, but then I have HepC rather than HepB

Your baby would have an excellent chance of NOT developing Chronic Hepatitis B If the following two medications are given immediately in the delivery room (or within the first 12 hours of life), then there is more than a 95% chance that a newborn will avoid a chronic HBV infection:
Hepatitis B Vaccine - first dose of the vaccine series
Hepatitis B immunoglobulin (HBIG) - 1 or 2 dose
See the following link http://www.hepb.org/patients/pregnacy_and_hbv.htm

While there are drugs used to treat HBV, I don’t think there is much in the way of an actual cure.
Interferon can eliminate the virus in some but this is not guaranteed.

I would suggest educating yourself on the virus. The following links would be good starting points
http://www.hepb.org/
http://www.medicinenet.com/hepatitis_b/article.htm
http://www.mayoclinic.com/health/hepatitis-b/DS00398/DSECTION=8
http://www.hbvadvocate.org/

Hope this eases some of your fears.
CS
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