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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Have Viral Fever With Itching Problem. Blood Work Done. Specific Reason?

hi, my wife is 10 weeks pregnant and she had a viral fever 1 week before, with chills in the evening. she has been with itching problem from last 1 month, now a test of liver panel has indicated the AST( SGOT ) -137.00U/L AND ALT( SGPT )-143.00 U/L AND ALKALINE PHOSPHATASE (ALP)- 141.00 U/L IS IT RISKY FOR HER OR BABY,, KINDLY HELP
Tue, 26 Feb 2013
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General & Family Physician 's  Response
Hi,
thank you for query
these investigation suggest viral hepatitis.
in pregnancy it become fulminant hepatitis .it is dangerous to baby and mother.you should take prorer tretment from doctor.
Viral hepatitis can be caused by the hepatitis A, B, C, D and E viruses. In the Western world, hepatitis A, B or C do not seem to influence the course of pregnancy, whereas hepatitis E infection, when contracted during the second or third trimester, seems to have a higher risk of developing into a fulminant hepatitis. Mother-to-infant transmission of hepatitis A seems to be very uncommon. The majority of HBsAg-positive and HBeAg-positive mothers can transmit the disease vertically. The timing of transmission is predominantly peripartum, and newborns of HBsAg-positive mothers should receive hepatitis B immunoglobulins within 12 h of birth, with HBV vaccine at birth and 1 and 6 months later. Hepatitis C is more often a chronic disease. Vertical transmission of hepatitis C is considered to be relatively rare but high viraemia or coinfection with HIV can increase this risk. There is currently no treatment to prevent this vertical transmission and pregnancies among HCV-positive mothers should not be discouraged. Infants should be tested for anti-HCV at 1 year and followed for the development of hepatitis. Breast feeding does not seem to play an important role in the transmission of hepatitis B and C.
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Pregnant, Have Viral Fever With Itching Problem. Blood Work Done. Specific Reason?

Hi, thank you for query these investigation suggest viral hepatitis. in pregnancy it become fulminant hepatitis .it is dangerous to baby and mother.you should take prorer tretment from doctor. Viral hepatitis can be caused by the hepatitis A, B, C, D and E viruses. In the Western world, hepatitis A, B or C do not seem to influence the course of pregnancy, whereas hepatitis E infection, when contracted during the second or third trimester, seems to have a higher risk of developing into a fulminant hepatitis. Mother-to-infant transmission of hepatitis A seems to be very uncommon. The majority of HBsAg-positive and HBeAg-positive mothers can transmit the disease vertically. The timing of transmission is predominantly peripartum, and newborns of HBsAg-positive mothers should receive hepatitis B immunoglobulins within 12 h of birth, with HBV vaccine at birth and 1 and 6 months later. Hepatitis C is more often a chronic disease. Vertical transmission of hepatitis C is considered to be relatively rare but high viraemia or coinfection with HIV can increase this risk. There is currently no treatment to prevent this vertical transmission and pregnancies among HCV-positive mothers should not be discouraged. Infants should be tested for anti-HCV at 1 year and followed for the development of hepatitis. Breast feeding does not seem to play an important role in the transmission of hepatitis B and C.