Analysis of service utilization of hepatitis B positive pregnant women
10.3760/cma.j.cn431274-20240521-00828
- VernacularTitle:乙型肝炎阳性孕产妇服务利用情况分析
- Author:
Jie GAO
1
;
Min YANG
;
Yinglan WU
;
Xia CHEN
;
Ting LIANG
;
Mengjun ZENG
Author Information
1. 湖南省妇幼保健院妇女保健科，长沙 410008
- Publication Type:Journal Article
- Keywords:
Hepatitis B;
Maternal health;
Mother-to-child transmission
- From:
Journal of Chinese Physician
2024;26(12):1794-1797
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the status of hepatitis B detection, prenatal care and antiviral treatment for hepatitis B positive pregnant women, and to provide scientific basis for the elimination of mother-to-child transmission of hepatitis B.Methods:The information of hepatitis B positive maternal case registration cards in Hunan Province during 2021-2023 was collected from the National Integrated Prevention of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), syphilis and hepatitis B mother-to-child transmission (IPMTCT) information management system. The status of hepatitis B detection, demographic characteristics of hepatitis B positive pregnant women, delivery methods, antiviral drugs and so on were analyzed retrospectively.Results:The hepatitis B detection rate of pregnant women in Hunan Province from 2021 to 2023 was 99.99%(1 196 261/1 196 370), and the positive rate of hepatitis B decreased year by year (χ 2trend=37.570, P<0.001). The education level of 75 542 hepatitis B positive pregnant women was generally low, and most of them were middle schools (63.4%, 47 893 cases). The proportion of hepatitis B positive pregnant women diagnosed in early pregnancy increased year by year (χ 2trend=414.202, P<0.001). The delivery mode of hepatitis B positive pregnant women were mainly natural childbirth and elective cesarean section. The rate of hepatitis B positive pregnant women with high risk of mother-to-child transmission increased from 47.4%(924/1 949) to 80.9%(2 238/2 768) (χ 2trend=570.003, P<0.001). Conclusions:It is necessary to strengthen the health education of hepatitis B positive pregnant women, optimize the management process of antiviral treatment for hepatitis B positive pregnant women with high risk of mother-to-child transmission, and further improve the rate of antiviral treatment, so as to reduce the risk of mother-to-child transmission of HBV.
