HBV Infection in Pregnancy-Management and Definition of Risk Factors for Vertical Transmission

Every pregnant should be screened for HBV during first trimester.HBV vaccine is safe during pregnancy.In case of active infection or cirrhosis antiviral therapy should be started in any trimester.If HBV infection is not active treatment can be postponed until after delivery but the patient should be followed closely for HBV flares during pregnancy and postpartum period.HBV DNA levels should be measured at the end of second trimester.If viral load is >10%u2076copy/ml oral antiviral should be started although there is no consensus in guidelines.If HBV DN