If you have hepatitis B, can you be pregnant? The professional doctor replied that it is mainly determined by whether the liver itself can bear the burden of the whole pregnancy and delivery process. At present, there are two tendencies worthy of attention: one is that some people want to wait until the infectivity of hepatitis B virus is reduced to zero or very low level before they get pregnant, which is not realistic; the other is that they are pregnant without considering their physical endurance and holding the mentality of trying, which is very dangerous, and it is easy to cause their own and fetal death or inheritance to the next generation.
In case of one of the following six cases, it is necessary to be pregnant under the guidance of a specialist in a regular medical institution, so as to ensure the safety of the mother and baby, and to block the transmission of hepatitis B virus to the next generation to the maximum extent.
1. Hepatitis B virus infection with obstetrics and gynecology disease should not be pregnant, such as repeated cesarean section history.
2. There was a history of pregnancy, but the pregnancy was terminated because the liver could not bear it. 3. The liver function of patients with chronic hepatitis B was abnormal, and the liver function fluctuated greatly, often accompanied by protein proportion inversion or hypoproteinemia;
4. Chronic hepatitis B patients have severe extrahepatic system manifestations, such as kidney disease, aplastic anemia;
5. Hepatitis B virus has been infected for a long time and liver damage is serious. Liver biopsy confirmed cirrhosis with obvious thrombocytopenia, hypersplenism and coagulation dysfunction;
6. In the case of acute hepatitis B with obvious liver function abnormality, it is better to suspend pregnancy before the condition is stable;
If hepatitis B patients experience a series of physiological changes after pregnancy, the following physiological changes can aggravate the burden of liver disease and further aggravate the original liver damage.
(1) During pregnancy, metabolism is vigorous and nutrient consumption is high;
(2) Fetal metabolism and detoxification depend on maternal liver;
(3) A large number of sex hormones produced by endocrine changes during pregnancy, such as estrogen, need to be metabolized and inactivated in the liver;
(4) Fatigue, bleeding, surgery and anesthesia during delivery will increase the burden on the liver.
Pregnancy complications complicate hepatitis B and increase the difficulty of diagnosis and treatment. If accompanied by PIH, HBV is usually more serious in pregnant women, and it is easy to cause large area of liver necrosis. During pregnancy, the burden of liver becomes heavier, which makes pregnant women easily infected with viral hepatitis, or makes the original liver disease worsen. When pregnant women have hepatitis, their condition is more serious than that of non pregnant women. The later the pregnancy period is, the more likely they are to develop severe hepatitis, and the pregnant women are particularly prone to change into chronic hepatitis. The mortality rate of pregnant women with hepatitis is higher than that of non pregnant women, especially severe hepatitis, which is a great threat to mothers and infants. A few patients with severe hepatitis even suffer from liver failure and death of pregnant women.