剖宫产不能预防乙型肝炎病毒母婴传播被引量：1

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摘要日前中华医学会感染病学分会发表了《中国乙型肝炎病毒母婴传播防治指南(2019年版)》(简称《指南》)[1],并引发相关学术讨论[2-3]。《指南》推荐意见10认为“对妊娠期未进行抗病毒阻断、分娩时HBV DNA≥2×10^5 IU/mL且存在胎儿窘迫、巨大儿和过期妊娠等情况时,孕妇有可能从剖宫产中获益(2C)”。

作者崔爱民秦刚陈宏林

机构地区南通市妇幼保健院产科南通大学附属南通第三医院感染科南通大学公共卫生学院

出处《肝脏》 2020年第3期233-233,253,共2页 Chinese Hepatology

基金江苏省重点研发计划(社会发展)重点病种规范化诊疗项目“妊娠合并乙肝病毒感染的贝叶斯网络分析及分度诊疗策略”(BE2015655)。

关键词母婴传播过期妊娠乙型肝炎病毒胎儿窘迫防治指南推荐意见剖宫产《指南》

分类号 R71 [医药卫生—妇产科学]

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1周乙华,李彤,庄辉.对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》的商榷[J].肝脏,2020,25(1):2-4. 被引量：3
2刘锦锋,陈天艳,陈耀龙,赵英仁.对《对<中国乙型肝炎病毒母婴传播防治指南(2019年版)>的商榷》一文的回复[J].肝脏,2020,25(1):4-6. 被引量：3
3刘景丽,刘兰华,徐陈瑜,陈廷美,徐飚,陈洁,胡娅莉,周乙华.脐血乙型肝炎病毒血清学标记物诊断宫内感染的局限性[J].中华围产医学杂志,2015,18(11):812-817. 被引量：16

二级参考文献24

1Yin YZ, Zhang J, Wu LL, et al. Development of strategies for screening, predicting, and diagnosing intrauterine HBV infection in infants born to HBsAg positive mothers[J]. ,l Med Virol, 2013, 85(10): 1705-1711.
2Zhang Z, Li A, Xiao X. Risk factors for intrauterine infection with hepatitis B virus[J], lnt J Gynaecol Obstet, 2014, 125(2):158-161.
3Chen Y, Wang L, Xu Y, et al. Role of maternal viremia and placental infection in hepatitis B virus intrauterine transmission[J]. Microbes Infect, 2013, 15(5):409-415.
4Vranckx R, Alisjahbana A, Meheus A. Hepatitis B virus vaccination and antenatal transmission of HBV markers to neonates[J]. J Viral Hepat, 1999, 6(2):135-139.
5Guo Z, Shi XH, Feng YL, et al. Risk factors of HBV intrauterine transmission among HBsAg-positive pregnant women[J]. J Viral Hepat, 2013, 20(5):317-321.
6Papaevangelou V. Perinatal HBV viremia in newborns of HBsAg(+) mothers is a transient phenomenon that does not necessarily imply HBV infection transmission[J]. J Clin Virol, 2012, 54(2):202.
7Yin Y, Wu L, Zhang J, et al. Identification associated with immunoprophylaxis failure vertical transmission of hepatitis B virus[J]. 66(5):447-452.
8Tse K, Siu SL, Yip borne to hepatitis B of risk factors to prevent the J Infect, 2013, KT, et al. Immuno-prophylaxis of babies carrier mothers[J]. Hong Kong Med J, 2006, 12(5):368 374.
9American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 86: Viral hepatitis in pregnancy[J]. ObstetGynecol, 2007, 110(4):941-956.
10Rumi MA, Begum K, Hassan MS, et al. Detection of hepatitis B surface antigen in pregnant women attending a public hospital for delivery: implication for vaccination strategy in Bangladesh[J]. Am J Trop Med Hyg, 1998, 59(2):318-322.