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孕妇肝炎发病率较非孕期显著增高,国内上海国际和平妇幼保健院报告为7～8倍。目前至少已发现有5种不同型的病毒性肝炎:甲型、乙型、非甲非乙型(有流行性与非流行性两种)及与乙型肝炎合并感染的δ肝炎。现分别对其传播方式及处理等问题概述如下。各型肝炎病毒的孕期感染及母婴传播问题甲型肝炎甲型肝炎病毒(HAV)主要经粪-口传染。它通常表现急性感染,于急性病后可能持续存在数月之久。HAV 感染没有慢性携带状态,至今尚无证据说明它可通过胎盘或其他途径传染给胎儿。因此孕期患甲型肝炎若非危及母儿生命的暴发型,一般并无严重后果。但孕妇若与传染期的甲型肝炎患者接触,应给予血清免疫球蛋白预防。乙型肝炎众多学者广泛而深入的研究,证实母-婴垂直传染是乙型肝炎病毒(HBV)
The incidence of hepatitis in pregnant women was significantly higher than non-pregnant, the Shanghai International Peace Maternal and Child Health Hospital reported as 7 to 8 times. At present, at least five different types of viral hepatitis have been found: type A, type B, non-type A and type B (both epidemic and non-epidemic), and hepatitis delta co-infected with hepatitis B. The issues of their modes of communication and their handling are summarized as follows. Hepatitis A and Hepatitis A virus (HAV) are predominantly meconium-to-mouth infections. It usually shows an acute infection that may persist for months after an acute illness. HAV infection is not chronic carrying status, so far there is no evidence that it can be transmitted through the placenta or other means to the fetus. Therefore, hepatitis A during pregnancy, if not endanger the maternal and child life of the outbreak, generally no serious consequences. However, if the pregnant women with hepatitis A infection in patients with exposure should be given serum immunoglobulin prevention. Hepatitis B extensive and in-depth study of many scholars confirmed that mother-infant vertical transmission is hepatitis B virus (HBV)