Hepatitis B triple yang 140U/L transaminase during pregnancy is more serious. Hepatitis B triple positive refers to the results of hepatitis B penta test showing positive hepatitis B surface antigen, hepatitis B E antigen and hepatitis B core antibody; this condition usually suggests that the virus is actively replicating and highly infectious. If the transaminase is elevated during pregnancy, it indicates that the liver function is impaired, which is a more serious situation; if the corresponding antiviral and liver protection treatments are not actively taken, it is very likely that the pregnant woman will suffer from liver failure, fetal intrauterine death and other possibilities. It is recommended that pregnant women suffering from triple III virus should pay attention to regular checkups during pregnancy and observe the movement of the fetus. If there is any abdominal pain or abnormal vaginal bleeding, or if the fetus is moving abnormally at any time, they should consult a doctor as soon as possible.