Study on prevalence of hepatitis B in pregnant women and its effect on maternal and fetal outcome at tertiary care centre

Mishra, Sunita; Purandre, Priyali; Thakur, Ratna; Agrawal, Sachin; Alwani, Madhuri

doi:10.18203/2320-1770.ijrcog20172069

Cited by 13 publications

(11 citation statements)

References 6 publications

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“…These findings are consistent with studies done in Pakistan at Jinnah Postgraduate Medical Institute Karachi 11 . Indian study by Mishra also showed that antenatal complications were not statically different in both hepatitis B carriers and non carriers 10 . Other international studies such as Indian study by Katke 11 , United states study by Bajema 13 , Iranian study by Ebrahimi 14 , Chinese study done by Cui et al 15 , also show similar findings.…”

Section: Discussionmentioning

confidence: 93%

“…Its prevalence varies in different parts of world, from country to country, from one region to another region and even from one area to another area in a country. Prevalence of hepatitis B in pregnant women worldwide is 1.5-2.5% whereas in India it varies from 0.2 -7.7% 10 . In our country, there are estimated 7-9 million carriers of hepatitis B virus with a carrier rate of 3-5% 11 .…”

Section: Discussionmentioning

confidence: 99%

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Inactive Hepatitis B Carrier and Pregnancy Outcomes

Anwar¹,

Razzaq²

2020

PAFMJ

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Objective: To assess the impact of hepatitis B carrier status on pregnancy and perinatal outcome. Study Design: Cross sectional study. Place and Duration of Study: Department of Gynaecology and Obstetrics, Pakistan Naval Ship Shifa Hospital,Karachi, from Feb 2017 to Jan 2018. Methodology: A total of 9526 women delivered during study period. 9305 women fulfilling the inclusion criteriawere included in study. Two hundred and twenty one (221) women were excluded because of not fulfilling theinclusion criteria. Out of study group, 9104 women were HBsAg negative while 201 had positive hepatitis Bcarrier status. Antenatal complications (such as gestational diabetes, gestational hypertension, pre eclampsia),mode of delivery (vaginal delivery, elective cesarean, emergency cesarean) and perinatal outcomes (pretermdelivery, low birth weight at delivery, live birth rate, APGAR score at 1 and 5 min) were observed amonghepatitis B carrier and noncarrier. Results: There was no significant difference in point prevalence of major antenatal complications, mode ofdelivery and perinatal outcomes in HBsAg carriers and noncarriers. A slightly higher rate of preterm birth wasobserved in hepatitis B carriers (4.9%) as compared to noncarriers (2.6%). Conclusion: Hepatitis B carriers have slightly increased risk of preterm delivery.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Inactive Hepatitis B Carrier and Pregnancy Outcomes

Anwar¹,

Razzaq²

2020

PAFMJ

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“…[10][11][12] HBsAg test was positive in a significant number of 8% of the study group of women. 13,14 A significant number of women forming 1.8% of the total group, who were positive for HBsAg, had an additional complication of gestational diabetes.…”

Section: Discussionmentioning

confidence: 99%

Vaginal deliveries in a tertiary centre: a current profile

Christe¹,

Tamilselvi²,

Surya

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: A normal delivery is what every woman wishes to have. The objective of this study was to find out the maternal and neonatal outcome and background characteristics of women delivering vaginally in a tertiary care center in Chennai, South India.Methods: For this one-year study, with power above 80%, Parturition records were selected by computerized random numbers, for a calculated sample size. Salient demographic features such as age, residential background and religion were noted. Details of obstetric history, past and current, delivery and baby details and admission to NICU were analyzed. Acceptance of postpartum contraception was noted.Results: A total of 338 women delivered vaginally. Majority of 63%, were from urban background. Late referrals were 19.2% of women,38.5% women had antenatal complications. Primigravida were 49.7%. Nearly 91.4% of women delivered naturally. Previous pregnancy loss was noted in 14.8%. Term deliveries were in 72% of women, and 2.7% of women delivered twins. Average birth weight among primi was 2.5kg and in multi it was 2.8 kg. There were no maternal deaths. Perinatal deaths of 2.96%, of which 90% were preterm births, and all among babies with birth weight below 1.5 kg.Conclusions: The larger majority of 91.4% of women had natural vaginal delivery. Primigravida were 49.7%, and 63% were from urban background. Antenatal complications, obstetric, medical or other complications were noted in 38.5 % of women. Most often observed complications were Gestational hypertension, Gestational diabetes, and Hypothyroidism. NICU care was required for 18% of babies. Preterm births were16.6%. Perinatal deaths were seen in 2.96% of babies. There were no maternal deaths.

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“…Vertical transmission of HCV is estimated at 5-10%, and may vary due to high viral load, invasive monitoring and prolonged labor. 18 Thus, screening on pregnant women may allow better obstetric care in order to minimize the transmission.…”

Section: Variablesmentioning

confidence: 99%

Screening on prenatal infections in the South and Southwest macro-regions in the State of Bahia, Brazil: detected on paper filter

Pedro¹,

Silva

Rebouças

et al. 2019

Rev. Bras. Saude Mater. Infant.

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Objectives: to estimate the detection rate on prenatal screening pathologies on paper filter in the South and Southwest in the State of Bahia, as well as to delineate the epidemiological profile of these pregnant women, calculate and estimate the rate of adherence and the coverage of the Program. Methods: a descriptive study was carried out from August 2013 to August 2015, and the data were obtained from the Labimuno/ICS/UFBA. Results: 64,743 pregnant women were included; the mean ages were 25 years for the Southwest macro-region and 23 for the South. The results on the screening tests showed positivity of 0.13% and 0.29% for HBsAg, 0.17% and 0.22% for cytomegalovirus, 0.07% and 0.09% for HCV, 0.13% and 0.38% for HTLV, 0.04% and 0.19% for HIV, 1.2% and 2.84% for syphilis, and 0.54% and 0.73% for toxoplasmosis in the Southwest and South macro-regions, respectively. The estimates on coverage were considered satisfactory. Sickle cell anemia showed positivity of 0.02% and of 0.04% and 5% and 6.3% presented sickle cell trait in the Southwest and South macro-regions, respectively. Conclusions: the frequencies of infections in maternal-fetal health were considered low, highlighting on syphilis and the presence for sickle cell trait.

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Study on prevalence of hepatitis B in pregnant women and its effect on maternal and fetal outcome at tertiary care centre

Cited by 13 publications

References 6 publications

Inactive Hepatitis B Carrier and Pregnancy Outcomes

Inactive Hepatitis B Carrier and Pregnancy Outcomes

Vaginal deliveries in a tertiary centre: a current profile

Screening on prenatal infections in the South and Southwest macro-regions in the State of Bahia, Brazil: detected on paper filter

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