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Huaren
等级大校
威望16
贴子13295
魅力15180
注册时间2008-03-01

zoeyqqq

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请教关于乙肝哺乳的问题

1626

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2009-05-12 12:02:00

根据这里CDC的guideline,infected mother是可以breastfeeding的,如果宝宝出生马上接受疫苗和被动免疫的话。将来宝宝完成3针免疫之后建议查一个乙肝抗体,确保身体产生了抗体了。大概是9到12个月的时候


另外建议mm怀孕期间要检测liver function,多休息,避免劳累。


[此贴子已经被作者于2009-5-12 12:03:44编辑过]

Huaren
等级大校
威望16
贴子13295
魅力15180
注册时间2008-03-01

zoeyqqq

查看全部

2009-05-14 08:59:00

免疫球蛋白在3个孕期都是catagory C的,有动物实验证明有副作用,但是目前没有human study的结果。据我所知这里是不用的,就是宝宝出生后立即打。


这里给孕妇打免疫球蛋白的一般都是本身没有感染,孕期exposure,作为 post exposure prophylax


这里摘抄 免疫球蛋白的indication,供你参考


Hepatitis B Immune Globulin (Human) may be used for the following patients:



  • Sexual partners of persons with hepatitis B.
  • Persons who may be exposed to the virus by means of blood, blood products, or human bites, such as health care workers, employees in medical facilities, patients and staff of live-in facilities and day-care programs for the developmentally disabled, morticians and embalmers, police and fire department personnel, and military personnel.
  • Those who have household exposure to persons with acute hepatitis B and babies less than 12 months old whose caregiver tests positive for hepatitis B.
  • Babies born to mothers who test positive for hepatitis B
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