Influence of the second stage of labor >2 hours of new birth process standards on preventing mother-to-child transmission and delivery outcome among chronic hepatitis B puerperas with antiviral therapy
10.3760/cma.j.cn115682-20190724-02664
- VernacularTitle:新产程标准下第二产程>2 h对孕期抗病毒治疗的慢性乙型肝炎产妇母婴阻断效果及分娩结局的影响
- Author:
Jing LYU
1
;
Ruihua TIAN
;
Haihua YU
;
Hua ZHANG
Author Information
1. 首都医科大学附属北京佑安医院妇幼中心 100069
- Keywords:
Hepatitis B, chronic;
Puerpera;
New birth progress;
Mother-to-child transmission
- From:
Chinese Journal of Modern Nursing
2020;26(18):2456-2459
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of the second stage of labor>2 hours of new birth process standards on preventing mother-to-child transmission and delivery outcome among chronic hepatitis B puerperas.Methods:Clinical data of 100 puerperas with hepatitis B virus (HBV) were retrospectively analyzed in Beijing YouAn Hospital from January 1 2014 to December 1 2018. Puerpera with the second stage of labor >2 hours were in observation group, and puerperas with the second stage of labor<2 hours were in control group, 50 cases in each group. The follow-up of two groups was carried out until neonate aged 7 months. This study compared the main outcome measures (the rate of mother-to-child transmission of HBV) and the secondary outcome measures (surgical delivery, rate of lateral perineal incision, blood loss during delivery and 2 hours after delivery, incidence of neonatal asphyxia) between two groups.Results:There was no statistical difference in the number of neonate with positive HBsAg during delivery between two groups ( P>0.05) ; there was no neonate aged 7 months with positive HBsAg between two groups. Numbers of lateral perineal incision, surgical delivery and blood loss during delivery in observation group increased compared with those in control group with statistical differences ( P<0.05) . There were no statistical differences in the incidence of neonatal asphyxia and blood loss 2 hours after delivery between two groups ( P>0.05) . Conclusions:The second stage of labor >2 hours of new birth process standards is carried out without increasing the rate of mother-to-child transmission of hepatitis B, but it increases rates of surgical delivery, lateral perineal incision and blood loss during delivery. We should comprehensively consider and discuss when implementing the new birth process management in hepatitis B puerperas so as to assure the safety of months and infants.
