A 32-year-old pregnant woman with a known case of chronic hepatitis B comes to the clinic for counseling regarding the risk of hepatitis B transmission to her baby (see lab results... A 32-year-old pregnant woman with a known case of chronic hepatitis B comes to the clinic for counseling regarding the risk of hepatitis B transmission to her baby (see lab results and report). Hepatitis B viral load: 1 million copies/ml. Which one of the following the baby should receive to reduce the vertical transmission risk? A. Hepatitis B vaccine B. Hepatitis B immunoglobulin C. Hepatitis B vaccine and immunoglobulin D. Hepatitis B vaccine, immunoglobulin, and entecavir
Understand the Problem
The question involves a clinical scenario where a pregnant woman with chronic hepatitis B is seeking guidance regarding the risk of vertical transmission of the virus to her baby. It provides test results and asks which intervention should be taken to reduce this risk.
Answer
Hepatitis B vaccine and immunoglobulin.
The baby should receive both the hepatitis B vaccine and immunoglobulin to reduce the risk of vertical transmission.
Answer for screen readers
The baby should receive both the hepatitis B vaccine and immunoglobulin to reduce the risk of vertical transmission.
More Information
Administering both the hepatitis B vaccine and immunoglobulin at birth significantly decreases the risk of hepatitis B transmission from mother to child.
Tips
A common mistake is not providing the immunoglobulin, which is crucial for immediate passive immunity.
Sources
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