Observation of the effect of the pregnancy complicated with the hepatitis B infection on the lying-in women and neonates

Xia, Bo; Liu, Ailing; Zhang, Ming; Xue, Hui Liang; Zhu, Yimin

doi:10.1016/j.sjbs.2019.08.020

Cited by 9 publications

(9 citation statements)

References 15 publications

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“…This information shows that experiencing complications during pregnancy is a risk factor for neonatal death incidence in healthcare facilities in Indonesia. This finding information reinforces the results of previous studies that found similar results [21][22][23] . It is necessary to strengthen the early identification of obstetric complications and urgent intervention to prevent neonatal mortality 24 .…”

Section: Tabel 2 the Results Of Binary Logistic Regression Of Neonatal Death Incidence In The Healthcare Facility Insupporting

confidence: 93%

Neonatal Death Incidence in Healthcare Facility in Indonesia: Does Antenatal Care Matter?

2021

IJFMT

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Despite having carried out maternity care in healthcare facilities, neonatal deaths still occur. A study was conducted to analyze the effect of antenatal care (ANC) on neonatal death incidence in healthcare facilities in Indonesia. The study used the 2017 IDHS data. With stratification and multistage random sampling, 13.104 women aged 15-49 years with live births in the last 5 years, who performed maternity care in the healthcare facility, were sampled. Apart from ANC, other independent variables analyzed were a type of place, age, education, wealth, employment, parity, and complication during pregnancy. The final stage employed a binary logistic regression test. The analysis found that women who made complete ANC visits during pregnancy (≥4 times) were 0.486 times more likely than women who did not complete ANC visits (<4 times) (OR 0.486; 95% CI 0.266-0.887). The results of this analysis inform that carrying out a complete ANC visit is a protective factor for women who perform maternity care in healthcare facilities in Indonesia from neonatal death incidence. Apart from ANC, 2 variables were also found to have a significant effect on neonatal death incidence in healthcare facilities in Indonesia. These two variables are the age group and complications during pregnancy. Meanwhile, education level, wealth status, employment status, and parity proved insignificant. It was concluded that ANC is a determinant of neonatal death incidence in the healthcare facility in Indonesia. Complete ANC visits are a protective factor for women who perform maternity care in healthcare facilities in Indonesia from neonatal death incidence.

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Section: Tabel 2 the Results Of Binary Logistic Regression Of Neonatal Death Incidence In The Healthcare Facility Insupporting

confidence: 93%

Neonatal Death Incidence in Healthcare Facility in Indonesia: Does Antenatal Care Matter?

2021

IJFMT

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“…In addition to increasing the risk of developing infectious diseases, other studies have investigated whether adhesions caused by tumours, or following caesarean delivery, could increase the probability of HBV infection. For example, Xiao et al found that in a hepatitis B infection group, the incidence of neonatal distress and asphyxia was significantly higher than that in a control group [29]. In another study, Sirilert [30] showed that the incidence of low birth weight was significantly higher among women with a positive HBeAg status relative risk (1.258, 95% CI 1.053-1.505); these results were consistent with those described in the present study.…”

Section: Discussionsupporting

confidence: 91%

“…For example, Xiao et al . found that in a hepatitis B infection group, the incidence of neonatal distress and asphyxia was significantly higher than that in a control group [ 29 ]. In another study, Sirilert [ 30 ] showed that the incidence of low birth weight was significantly higher among women with a positive HBeAg status relative risk (1.258, 95% CI 1.053–1.505); these results were consistent with those described in the present study.…”

Section: Discussionmentioning

confidence: 99%

Maternal hepatitis B surface antigen carrier status and pregnancy outcome: a retrospective cohort study

et al. 2022

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To investigate the effect of maternal hepatitis B surface antigen (HBsAg) carrier status during pregnancy on pregnancy outcomes in a population of patients in Hangzhou, China. A retrospective cohort study was conducted to analyse data from 20 753 pregnant women who delivered at Hangzhou Women's Hospital between January 2015 and March 2020. Of these, 18 693 were normal pregnant women (the non-exposed group) and 735 were HBsAg carriers (the exposed group). We then analysed by binary multivariate logistic regression to determine the association between maternal HBsAg-positive and adverse pregnancy outcomes. The prevalence of HBsAg carriers was 3.78% and the odds ratio (OR) for maternal age in the exposed group was 1.081. Pregnant women who are HBsAg-positive in Hangzhou, China, are at higher risk of a range of adverse pregnancy outcomes, including intrahepatic cholestasis of pregnancy (ICP) (adjusted OR (aOR) 3.169), low birth weight (aOR 2.337), thrombocytopenia (aOR 2.226), fallopian cysts (aOR 1.610), caesarean scar pregnancy (aOR 1.283), foetal distress (aOR 1.414). Therefore, the obstetricians should pay particular attention to ICP, low birth weight, thrombocytopenia, fallopian cysts, caesarean scar, foetal distress in HBsAg-positive pregnant women.

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“…Thirty eligible articles concerning the effect of HBV infection on pregnancy complications were included to assess the effects of HBV on preterm birth 14–17,19–25,27,28,30–38,40–47 . The results revealed significantly higher rates of preterm birth among HBV+ women compared to HBV− women ( p < 0.01) [OR (95% CI) = 1.26 (1.14–1.40)].…”

Section: Resultsmentioning

confidence: 99%

“…Twelve investigations 15,16,19,20,24,31,32,35–37,44–46 assessed the effects of HBV infection on PROM. However, PROM rate was higher among HBV infected women, it was insignificant ( p = 0.53) [OR (95% CI) = 1.11 (0.79–1.55)].…”

Section: Resultsmentioning

confidence: 99%

The effects of hepatitis B virus infection on natural and IVF pregnancy: A meta‐analysis study

Farsimadan

Riahi

Muhammad

et al. 2021

Journal of Viral Hepatitis

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Background Hepatitis B virus (HBV) has been considered a significant cause of human reproductive failure in different studies; however, there is a considerable disagreement on the true impacts of HBV on female reproduction. This study has evaluated the impact of HBV infection on pregnancy complications in natural pregnancy and also on pregnancy outcomes in women undergoing in vitro fertilization (IVF) treatment. Method We searched Embase, Web of Science, PubMed and Google Scholar databases to identify the potentially relevant studies. Summary odds ratio (OR) or standardized mean difference (SMD) with 95% confidence interval (CI) was applied to assess the relationship. Heterogeneity testing, sensitivity analysis and publication bias testing were also performed. Results A total of 42 studies concerning the effect of HBV infection on the natural and IVF pregnancy were included in this study. Our meta‐analysis results revealed that HBV infection had a positive correlation to gestational diabetes mellitus (GDM) [OR = 1.32 (1.17–1.48) (p < 0.01)] and preterm birth [OR = 1.26 (1.14–1.40) (p < 0.01)] in natural pregnancy; however, HBV infection was not significantly associated with decreased fertility rates among the patients who underwent IVF. Conclusion This study revealed a strong association of GDM and preterm birth with higher rates of HBV infection in pregnant women. Also, our results suggested that HBV infection in patients undergoing IVF may not negatively influence the pregnancy outcome. It may be rational to conclude that IVF might be rather a safe and effective method for HBV+ females who desire to have children.

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Observation of the effect of the pregnancy complicated with the hepatitis B infection on the lying-in women and neonates

Cited by 9 publications

References 15 publications

Neonatal Death Incidence in Healthcare Facility in Indonesia: Does Antenatal Care Matter?

Neonatal Death Incidence in Healthcare Facility in Indonesia: Does Antenatal Care Matter?

Maternal hepatitis B surface antigen carrier status and pregnancy outcome: a retrospective cohort study

The effects of hepatitis B virus infection on natural and IVF pregnancy: A meta‐analysis study

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