Hepatitis C during pregnancy. False positive test result. Symptoms of the disease. Treatment of hepatitis C and the consequences for the woman and child. Chronic hepatitis in pregnant women
Many women are carriers of hepatitis C andnot even aware of their condition. Learn about this often with the delivery of analyzes during registration at antenatal clinics in connection with pregnancy.
Hepatitis C and pregnancy
The disease is not a contraindication to conception, but chronic hepatitis questioned the preservation of the pregnancy occurred.
When infected manage to defeat the illness withusing of drugs for six months. If during this time, the virus does not leave the body, it means that the disease has moved into the chronic stage, which is fraught with the destruction of the liver. It should be noted that the virus is transmitted through blood from an infected person, in addition, some people have a genetic predisposition to it.
False positive results for hepatitis C in pregnancy
Most analysis shows a positive result,but the woman is not a carrier of the virus. In addition, when re-examination of analysis results can vary. This happens at the time of venous blood in different laboratories. The reason is to use various diagnostic kits.
False positive results can be caused by:
- Autoimmune diseases;
- Severe infections;
- Pregnant is derived from characteristics of the immune system;
- Upon receiving immunosuppressive drugs;
- Shoddy conduct of the study;
- Mistake laboratory;
- Accidental substitution patterns of samples;
- Incorrect preparation of blood samples.
Argued that false-positive resultsThey can be triggered by the process of gestation. During childbearing blood plasma of a woman is considered more difficult to study, and therefore more difficult to handle it. Such metamorphoses are related to gestational process when forming a kind of proteins of pregnancy, hormonal changes, and the concentration of the trace element composition of blood.
How does hepatitis C in pregnancy
Symptoms may be absent altogetheror be minor. Most people can ignore them or blamed on other pathologies. However, the virus requires treatment, or lead to cirrhosis or liver cancer.
In the primary infection can occur weakness,deteriorating overall health as the flu. It should be noted that patients with hepatitis C rarely jaundice, which is an indication of a failure in the functioning of the liver. When the disease becomes chronic, it is even more difficult to determine, based on symptoms alone.
Symptoms usually consists of the following events:
- Much of fatigue;
- Muscle pain;
- Tenderness of the liver;
- Depression or anxiety;
- Deterioration of concentration and memory.
Treatment of Hepatitis C during pregnancy
During this period, it is forbidden to take anymedications to fight the disease. This is due to the fact that drugs for the treatment of, for example, ribavirin and interferon, are a danger to the fetus, can provoke malformations.
Of course, it is necessary to abandon the use of alcohol as it increases the risk of developing cirrhosis and cancer, do not smoke and lead a healthy lifestyle, eat right.
Patients need to be protected from exposurehepatotoxic substances (alcohol, paints, inks, combustion products, automobile exhaust, and so on. n.). You also can not take non-steroidal anti-inflammatory drugs, some antibiotics and anti-arrhythmic drugs.
Contraindicated significant physical stress,hypothermia and exhaustion. Nutrition should be a fraction - up to 6 times a day in small portions. The diet should be drawn up with the necessary vitamins and minerals.
Women with chronic form, should always be alert, since pathology may at any time purchase for heavy.
Those with diagnosed acute hepatitis C infection give birth in special offices. Patients with other forms of (non-viral) can give birth in an ordinary hospital.
The method of delivery is chosen individually in each case. If there are no contraindications, then allowed natural childbirth, otherwise - Caesarean section.
Effects of hepatitis C during pregnancy
Infected women can give birth to a childprematurely, have a low weight, require special care. When combined with the disease are overweight expectant mother, likely to develop gestational diabetes.
These women need to be more closely monitored for timely identification of the possible threat of miscarriage and fetal hypoxia. Some are diagnosed with symptoms of cholestasis.
The possibility of disease transmission during childpregnancy or childbirth is very low. According to statistics, this happens in 5 cases out of 100. The probability is increased if the mother has HIV, or the concentration of the virus in her blood is very high.
After the birth of the child is necessary to make the analysisthe presence of disease. The presence of virus in the blood for up to 18 months after birth is not considered a sign of hepatitis, as antibodies have maternal origin. But if the diagnosis is confirmed, the child will need to regularly drive to the doctor for check-ups, blood tests may need ultrasound.
The consequences of the mother's illness did not affect thebreastfeeding, as milk by the virus is not transmitted, but there is a risk of infection if damaged nipples and the baby there is damage in the oral cavity.
Testing for the presence of the virus in a child shouldheld at 1, 3, 6 and 12 months. When he was six years old and in the analysis confirmed the collapse of acquired maternal antibodies, then we can say for sure that the baby is healthy.
Chronic hepatitis C and its influence pregnancy
It should be noted that the conception in chronicform is almost impossible. This is because the abnormality and gives menstrual function leads to infertility. The heavier phase, the lower the probability of successful conception.
As is known, the disease affects the liver - the body,that participates in the metabolism of hormones. In chronic lesions it occurs imbalance in the ratio of sex hormones, which leads to a lack of ovulation and normal menstruation.
However, successful conception is not excluded. But in most cases, pregnancy occurs only after the treatment of hepatitis C. Even if conception has occurred, should consult a hepatologist after a thorough examination.
Therefore, women with hCG in the first trimestersent to the hospital, where he conducted research. The main methods of diagnostics and clinical laboratory is compiled in history, and complaints of patients.
Vaccination against hepatitis A and B in pregnancy
Unfortunately, the vaccine against hepatitis C has not yet been developed, but it is possible vaccine against other forms A and B.
The hepatitis A virus enters the body throughcontaminated food and water. The vaccine is a killed virus, so the impact on the fetus has not theoretically, but studies have not been conducted in this area.
The need for the introduction of vaccination occurs whenhigh risk of infection, for example, when traveling in a region where this form is significantly extended, or in a situation where there is reason to believe that contact with the virus has already taken place. In such cases, usually after vaccines are normal immunoglobulin (to enhance immunity).
Infection occurs through the form inunsterilized cosmetics and medical instruments, for example, when you visit the dentist, manicure, piercings, tattoos, as well as in household contact with infected blood, sexual intercourse.
The vaccine against the disease is not containedalive or whole virus, therefore believe that it is safe for the fetus. However, vaccination is only recommended for those who is at risk, for example, infected by someone close to the pregnant woman. If there is a threat of the disease, it is recommended that in addition to intravenous immunoglobulin vaccination.
The sick person must know andto take steps to avoid infecting other people. For example, to use the individual, ie personal hygiene products (razor, soap, toothbrush, washcloth, and so on. N.).
It is also necessary to maintain their immune system, be sure to give up bad habits, not drinking alcohol, as it is a catalyst for the transition of the disease to cirrhosis and cancer.