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- Title
Update on hepatitis C and implications for pregnancy.
- Authors
Post, Jeffrey J.
- Abstract
Mother-to-child transmission of hepatitis C virus infection occurs in a significant minority of cases and the diagnosis, treatment and cure of hepatitis C virus infection with direct acting antivirals prior to pregnancy can eliminate this risk in almost all cases. Women with hepatitis C virus infection have increased risks of adverse events in pregnancy and poor perinatal outcomes for their children, although the contribution of hepatitis C virus per se is difficult to determine. Altering the mode of delivery does not reduce mother to child transmission of hepatitis C virus infection, although avoidance of fetal scalp electrodes and other potential high risk procedures is recommended during pregnancy and delivery. Breast feeding has not been demonstrated to be a risk for mother-to-child transmission and avoidance of breast feeding is not recommended, although breast feeding with cracked or bleeding nipples is generally avoided. Safety of the currently available hepatitis C virus antivirals in pregnancy and breastfeeding has not yet been established.
- Subjects
PREVENTION of communicable diseases; COMMUNICABLE diseases; HEPATITIS C risk factors; HEPATITIS C transmission; PREVENTION of pregnancy complications; VIRUS disease transmission; PREGNANCY complication risk factors; ANTIVIRAL agents; VERTICAL transmission (Communicable diseases); BREASTFEEDING; DELIVERY (Obstetrics); ELECTRODES; FETAL heart rate monitoring; HEPATITIS C; EVALUATION of medical care; NIPPLE (Anatomy); DISEASE complications; PREGNANCY; DISEASE risk factors; PREVENTION
- Publication
Obstetric Medicine (1753-495X), 2017, Vol 10, Issue 4, p157
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X17708093