Hepatitis (HBV, HCV, HEV) in pregnancy

Question 1

Hep B in pregnancy

Answer 1

always tested in all woman - vertical transmission 20%, but 90% if +ve for HbeAg

babies born with chronically mother or new acute hep b moher should get
vaccination at birth
HBV IVIG

C section doesnt help (does help if HIV+HepB)
NOT transmitted via breastfeeding

Question 2

Hep C in pregnancy

Answer 2

Detect antiHCV ab
confirm with PCR
Mx treatment contraindicated in preg

Question 3

Hep E in pregnancy

Answer 3

found in pork and shellfish - mothers should AVOID
can cause severe reaction if in 3rd trimester (fulminant hepatitis)

avoid pork and shelfish