Hepatitis B in Pregnancy: From Screening to Delivery Planning

This document provides comprehensive guidelines for managing Hepatitis B during pregnancy to improve maternal health and prevent newborn transmission. The authors recommend universal triple-panel screening at the first prenatal visit to identify infection, immunity, or susceptibility in all patients. For those with a high viral load, the guide suggests using antiviral medications like tenofovir during the third trimester as an additional safeguard. It emphasizes that immunoprophylaxis for infants and vaccination for non-immune adults are critical, safe, and cost-effective tools. Furthermore, the report clarifies that common practices like breastfeeding and vaginal delivery are generally safe for infected individuals provided the infant receives immediate medical care. Consistent monitoring and specialist referrals remain essential for long-term health and the prevention of chronic liver complications.