Management of viral hepatitis A, C, D and E in pregnancy

被引：15
作者：
Seto, Mimi Tin-yan [1 ]
Cheung, Ka Wang [1 ]
Hung, Ivan F. N. [2 ]
机构：
[1] Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, Hong Kong, Peoples R China
[2] Univ Hong Kong, Dept Med, Hong Kong, Peoples R China
来源：
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY | 2020年 / 68卷
关键词：
Hepatitis A; Hepatitis C; Hepatitis D; Hepatitis E; Pregnancy; Vaccination; VERTICAL TRANSMISSION; RISK-FACTORS; VIRUS-INFECTION; UNITED-STATES; CLINICAL-MANIFESTATIONS; A OUTBREAK; WOMEN; HCV; SEROPREVALENCE; EPIDEMIOLOGY;
D O I：
10.1016/j.bpobgyn.2020.03.009
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Viral hepatitis can cause significant maternal and neonatal morbidity and mortality. Hepatitis A and E mainly present as acute hepatitis during pregnancy, while hepatitis C and D are usually found as chronic infection in pregnant women. Hepatitis A remains self-limiting during pregnancy while hepatitis E has a higher prevalence and manifests with a rigorous course in pregnant women. Screening of hepatitis C during pregnancy and its subsequent management during pregnancy are still a debatable topic. New treatments of hepatitis C and E require further evaluation for use in pregnancy. This review summarizes the prevalence, clinical manifestations, maternal, foetal and neonatal effects, and the management of hepatitis A, C, D and E viral infection during pregnancy. (C) 2020 Published by Elsevier Ltd.
引用
收藏
页码：44 / 53
页数：10
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