Positive for Hepatitis B during delivery. What are the future danger? - Online Doctor Chats
Dr XXXXXXX here
I have a question
How can I help you?
3 months back, my wife had delivered a baby boy
At the time of delivery, we planned for preservation of cord blood
And they collected and cord blood is preserved
Recently we got the communication from the bank and they also included blood reports
everything is normal except in one letter they mentioned anti HBC came as reactive however HBSAg and XXXXXXX tests are non-reactive
I have gone through some websites but did not get any conclusive information
Can you please let me know if there is anything to worry?
are you there ?
Let me brief you.
letter also says it can be false positive also
it doesn't clearly rules out old chronic infections or carrier state.
However on the other hand, anti HBc suggest chronic / carrier.
As anti Hepatitis core (anti HBc antibody) test has come reactive, we need to look how reactive it is (whether it is false positive)
what about XXXXXXX tests?
thats also non reactive
if the values are significant a complete study comprising of repeat Hbs Ag, Anti Hbs antibody, Hbe antigen and anti HBc antibody need to be done.
In view of XXXXXXX test being negative, my only explanation is about false positive test.
As a general physician my suggestions to you would be repeat all the tests - the whole profile under the guidance of gastroenterologist/hepatologist.
You may also use the option of ask a specialist
wherein you may post your query to a specialist
for his/her opinion.
One question is can she continue feeding the baby?
I think they may be able to give the latest suggestions.
XXXXXXX test results are always negative
My only assumption is that the anti HBc antibody test may have shown false positive report - unless confirmed twice from a different laboratory.
You could take the suggestion through ask a specialist option for more comments.
One question is can she continue feeding our baby?
I believer you child is vaccinated with hepatitis vaccines.
If yes, the chances that your child can get hepatitis through breast milk is very, very negligible.
Yes he got vaccinated
I have another question
Further even if your child is not vaccinated, the chances of transmission of virus from a carrier through breast feed is very significant.
I read, the only way you can get Hepatitis is via blood transfusion or sex. she never get blood transfusion at all even during her pregnancy
I assume she had taken multiple injection in the past,
There is a possibility of infection through those needle pricks.
The real question is whether or not that anti Hepatitis C antibody is true positive or false positive.
We never tried used needles at all and also she never got injection prior to pregnancy
Only during pregnancy that is too all with new needles
XXXXXXX XXXXXXX chronic or carrier mean the person has the virus in remnant state since long time - perhaps since many years, even from childhood.
What about me? Should I also get tested?
So it would be difficult to predict from when or where she got the infection.
Moreover in view of other test being negative, I am unable to comment if the reactive report is true or false.
Hence my suggestion to take up a specialist advice through ask a specialist.
The doctor should be able to comment whether or not to trust the result; go for further testing.
You can also get your blood checked based on their suggestions.
I apologize, my expertise are restricted in this field and hence could comment more about it.
Hope that is ok.
Do you have any doubts?
nope thank you
Thanks for consulting me.
Bye for now.
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