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Erschienen in: Maternal and Child Health Journal 9/2018

06.03.2018

Peripartum Care for Mothers Diagnosed with Hepatitis B During Pregnancy: A Survey of Provider Practices

verfasst von: Allison J. Kwong, Matthew S. Chang, Ruth E. Tuomala, Laura E. Riley, Julian N. Robinson, Muthoka L. Mutinga, Karin L. Andersson, Robert S. Brown Jr., Emily Oken, Chinweike Ukomadu, Anna E. Rutherford

Erschienen in: Maternal and Child Health Journal | Ausgabe 9/2018

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Abstract

Objectives Hepatitis B (HBV) remains a significant public health burden, despite effective therapy. Routine HBV screening is recommended during pregnancy to reduce the risk of vertical transmission, but the rates of follow-up care peri-partum are low. The aim of this study was to evaluate physician practices and knowledge regarding HBV in women diagnosed perinatally. Methods A survey was distributed to obstetricians and midwives within the Partners HealthCare system at Brigham and Women’s Hospital and Massachusetts General Hospital. Results Of 118 survey respondents (response rate 56%), 97% reported that they always tested for hepatitis B, and 77% referred new diagnoses of HBV during pregnancy to a HBV specialist for further care. Only 10% of respondents reported that there was formal referral mechanism in place to facilitate follow-up care for mothers diagnosed with hepatitis B infection. 91% of survey respondents selected hepatitis B surface antigen as the correct screening test, and 76% selected hepatitis B immune globulin with vaccination for the newborn as the correct prophylaxis regimen. Only 40 and 51% of respondents accurately identified serologies that were consistent with acute and chronic infection, respectively. Conclusions for Practice Routine screening for HBV in this population presents an important opportunity to identify cases and to reduce the public health burden of this disease. Providers were somewhat knowledgeable about HBV, but the lack of formal referral mechanism may explain why HBV follow-up is suboptimal in this healthcare system. Supplemental provider education and formal linkage to care programs may increase rates of follow-up HBV care.
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Literatur
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Metadaten
Titel
Peripartum Care for Mothers Diagnosed with Hepatitis B During Pregnancy: A Survey of Provider Practices
verfasst von
Allison J. Kwong
Matthew S. Chang
Ruth E. Tuomala
Laura E. Riley
Julian N. Robinson
Muthoka L. Mutinga
Karin L. Andersson
Robert S. Brown Jr.
Emily Oken
Chinweike Ukomadu
Anna E. Rutherford
Publikationsdatum
06.03.2018
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 9/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-018-2515-0

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