does anybody have Hepatitis c and is pregnant?

Question by burnt2rite: does anybody have Hepatitis c and is pregnant?
im currently 25 weeks pregnant and have a HCV viral load of 12 million and i cant find any info on the combination of pregnancy and hep. i want to know if a c-section has any benifits and get some research done. i have asked my doctors and they all say something different and im confused so im trying to get some clarity on the situation.

Best answer:

Answer by sentimentalshark
While I’m sure it is frustrating to have your doctors contradict each other, you are far better off going along with the suggestions of whichever doctor you most trust than basing your decision on what people say on Yahoo Answers.

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does anybody have Hepatitis c and is pregnant? — 1 Comment

  1. I am giving you some of the information available that perhaps you can take to your primary care provider for your pregnancy. This will give you an idea of the reality of the situation and them a place to start from to learn for themselves what the best course of action would be. Doctors specialize in certain things. They should not be expected nor do they know about every medical condition. It is not uncommon for an OBGYN to seek information or advice on a patient who has a medical situation that impacts her pregnancy that he may not be experienced with. I would get opinions from Midwives as well, who practice homebirth, not because you may want to take this option but because they are often exposed to information about pregnancy and birth that OBGYNs do not take nor have the time to see. GET A DOULA!!!!! Because a doula can walk you through all of your options and help you make your choices and then do what is needed to have that become reality. Your health comfort and overall experience will be her only concern.

    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 [18-20]. Although Tejari et al [21] and Conte et al [22] 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[23]. 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 (ACOG)[1,7,24]. 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 [21, 24-26] http://www.perinatology.com/exposures/Infection/HepatitisC.htm

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

    Overall, there is no apparent deleterious effect of pregnancy on the course of HCV infection. Conversely, there is also no evidence to suggest a shorter duration, increased number of congenital anomalies and obstetric complications, or lower birth weights in children born to HCV infected women.5 17 18
    http://fn.bmjjournals.com/cgi/content/full/84/3/F201#SEC3

    The rate of mother-to-infant transmission of hepatitis C virus (HCV) is approximately 5%, but is higher when the mother is co-infected with HIV. Vertical transmission is restricted to infants whose mothers are viraemic. The risk of transmission increases with increasing maternal viral load but a specific cut-off value predicting infection cannot be defined. There is no specific HCV genotype which is preferentially transmitted. The mode of delivery (caesarean versus vaginal) does not appear to influence the rate of transmission, but firm evidence is lacking. There is no evidence to suggest an increased risk of HCV transmission through breast feeding. Pregnancy is not contra-indicated in HCV-infected women. Without drugs to treat established infections in mothers and infants and interventions to prevent vertical transmission, routine HCV screening is not recommended in pregnant women.
    http://www.natap.org/2000/march/hepc_transmission32900.html

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