Question:
Is it safe for a woman who has hepititus c to have a baby? Will the baby have it?
Sherrie
2006-04-11 08:51:36 UTC
I have a friend who got hep c from a tatoo a couple of years ago. She is a good person and wants another baby, her other child she had before getting the hep c. Anyway she is pregnant now. Any advise for her.
Five answers:
Lissacal
2006-04-11 13:06:37 UTC
This is a lengthy answer, sorry!



The chance of the virus being transmitted to the baby is 5-10%. Pregnanacy with Hep C is not officially discouraged.



http://www.hepcbc.ca/pregnancy.htm



Pregnant patients with hepatitis C should be advised to:



Obtain vaccination against hepatitis viruses A and B as indicated.

Abstain form alcohol use.

Avoid hepatotoxic drugs such as acetaminophen (Tylenol) that may worsen liver damage.

Inform the infant’s pediatrician of the mother’s hepatitis C status.

Not donate blood, body organs, other tissue, or semen.

Not share any personal items that may have blood on them (e.g., toothbrushes and razors).

Discuss the low but present risk for transmission with their partner and discuss the need for counseling and testing. However, HCV-positive persons with one long-term, steady sex partner do not need to change their sexual practices.



Liver enzymes and PCR should be obtained at the beginning of pregnancy, and as needed thereafter



The following recommendations from The Society of Obstetricians and Gynecologists of Canada may be helpful in counseling women considering amniocentesis.



SOGC Recommendations





“Amniocentesis in women infected with hepatitis C does not appear to significantly increase the risk of vertical transmission, but women should be counseled that very few studies have properly addressed this possibility.

In HIV-positive women all noninvasive screening tools should be used prior to considering amniocentesis.

For women infected with hepatitis B, hepatitis C, or HIV, the addition of noninvasive methods of prenatal risk screening, such as nuchal translucency, triple screening, and anatomic ultrasound, may help in reducing the age-related risk to a level below the threshold for genetic amniocentesis.

For those women infected with hepatitis B, hepatitis C, or HIV who insist on amniocentesis, every effort should be made to avoid inserting the needle through the placenta. “



Delivery and Postpartum

The risk of vertical transmission of HCV appears to be related to the level of viremia in the pregnant mother and not to the route of delivery. The virus does not appear to be transmitted when a woman's titer is < 10^6/mL or is negative. Although Tejari et al and Conte et al did not find cesarean section to be protective against transmission of HCV to the neonate Gibb et al have found the HCV maternal to child (MTC) transmission rate to be reduced in patient delivered by elective cesarean. The latter study has yet to be confirmed. Elective cesarean to reduce MCT transmission of HCV is not presently recommended by the Centers for Disease Control, American Academy of Pediatrics or the American College of Obstetricians and Gynecologists. At delivery staff and the baby’s pediatrician should be notified of the mother’s hepatitis C carrier state.

Breastfeeding does not appreciably increase the risk of transmitting HCV to a neonate.



http://www.perinatology.com/exposures/Infection/HepatitisC.htm
ilse72
2006-04-11 09:02:11 UTC
The above answer provided to this question proves that this is NOT the place to ask medical questions...many who will answer have no idea what they are saying, some will be downright cruel and others will just be insensitive. And I love when they spout..."adopt"...the waiting time is 10 years! Now for an educated voice of reason.



There is a 1 in 8 chance of hepatitis C being passed onto the baby. That risk increases if the mother also has AIDS.



Please tell your friend to check out this site:

http://www.caringforkids.cps.ca/babies/HepC.htm

It will answer many of her questions. For any other questions she has, please have her talk to her ob/gyn for accurate information.
anonymous
2016-10-09 08:49:37 UTC
Wow, that is a unusual well being care professional. If there is not any reason to do a c-section, then do no longer pass for a c-section. extra secure? what's not any longer danger-free about a vaginal delivery? A c-section is a significant abdomen surgical operation and it takes a lengthy time period to get better adn there is scarring that may ensue and it makes it slightly risky for the subsequent delivery might want to the female attempt for a vaginal delivery. So back, why do a c-section if no longer mandatory? And did you do not ignore that the reproductive organ is definitely taken out of the female's body on a c-section? no longer some thing human beings discuss... i ought to fairly propose searching for yet another well being care professional. I had c-section for both my pregnancies. in the course of the first, I had a large toddler. all of us do not ignore that he will be vast so my well being care professional's plan change into to allow me to provide on my own. and may issues no longer exercising consultation and my son did not opt to go back out, my well being care professional's plan change into no longer to attempt some thing else (vacuum, forcep) in case my son receives stuck and it must be an emergency c-section. So, I pushed for 3 hours and my son doesn't come out. We decided to pass with a c-section. On my second being pregnant, I had twins. i had to attempt for vaginal delivery this time yet issues did not exercising consultation because they were no longer head down. There must be a reason to do a c-section on the very very last minute, yet to settle on to pass ahead and do a c-section from the very starting up is a touch stupid.
computer_nerd_15
2006-04-11 08:55:25 UTC
Chances are that the baby is going to hepatitis C. Anyone who has it is very stupid to have a baby, because it's not safe for the fetus. Tell her to think about adoption next time.
lifesaverforu
2006-04-11 14:41:24 UTC
there are many chances for the baby to get hepatitis c.just get her baby vaccinated both active as well as passive soon after birth.don't breast feed her or him


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