vewrtical transmission of hepatitis
#harrison #hepatitis #liver #medicine
Vertical spread of hepatitis B can now be prevented by passive and active immunization of the infant at birth, although addition of antiviral therapy during the third trimester of pregnancy is now recommended for mothers with levels of HBV DNA >200,000 IU/mL. Vertical spread of hepatitis C is uncommon, but there are no reliable means of prevention. Transmission is more common among HIV-co-infected mothers and is also linked to prolonged and difficult labor and delivery, early rupture of membranes, internal fetal monitoring, and a high viral load