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HepB and pregnancy
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HepB and pregnancy

I am seeking professional opinion with HepB and pregnancy. My sister,
who will be my gestational surrogate, and I both inherit HepB from our
parents. My fertility doctor is trying to figure out if we could go
through the surrogate process and wanted to get clearance from a MFM
specialist because he believes that the my sister could pass HepB to
baby.  He doesnt know much about HepB & pregnancy and suggested we
talk to a FMF.  I have talked to a Gastroenterologist and they stated
that there will be shots given to baby within hours after birth to
prevent transmission of HepB.  I'm seeking professional opinion of a
MFM specalist to see if clearence would even be possible.  I'm
desparate and do not want to waste a doctors time with other patients
if getting clearance is impossible.  My question is, if I were having
a consultation with you, would you give us clearance to proceed with
surrogate process?  if not, what suggustion do you have to get
clearance.
Any advice you have would greatly be appreciated.
603463_tn?1220630455
Hi!
Rather than going into a long detailed explanation, I will direct you to this very good site that I found: http://www.perinatology.com/exposures/Infection/HepatitisB.htm

I don't know your antibody status, but you can see that for women with both HbcAg positive and HbeAg positive, the transmission rate to the fetus is 90%.

Certainly if you/your sister were to conceive naturally, everything possible would be done to protect the fetus.  Your situation is a bit more complicated though,and requires a lengthy discussion of the risks and benefits with your Perinatologist.  The question which naturally comes to my mind is " could you find another surrogate?"

I know this is not a simple task, which is why I recommend having the discussion above. Certainly if you want to go to such lengths to have a baby, you will want the baby to be healthy!

Good luck!
Dr B
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