Patient: my husband is positive for E and C antibodies but negative for surface antibodies. I am small triple Yang, hepatitis B virus DNA 3 times, liver function is healthy. May I ask: 1, whether my husband can take the vaccine in such a situation 2, whether the vaccine is harmful to the body 3, whether he will still be infected after having the antibody Yuan Gang, Department of Hepatology, Ningbo No. 2 Hospital Answer: Firstly, your beloved can take the Hepatitis B vaccine; secondly, the vaccine is a recombinant gene vaccine (which is essentially a protein) which is different from the previous blood-borne vaccine, and it is not pathogenic, therefore, you can be assured of taking the vaccine; thirdly, after having the Hepatitis B surface antibody Third: with hepatitis B surface antibody, you will not be infected with hepatitis B virus again, unless the hepatitis B virus itself mutates in the S region. Patient：You are the only one who answered all the questions I asked Thank you very much 1 The protein vaccine you mentioned What is the specific vaccine called Going to the hospital to play how to talk to Dr. Cheng about the vaccine I want to play 2 What is the process of playing the vaccine you mentioned (how to play?)? What is the schedule? How many shots do I need?) 3 Can I have a baby? A: Nowadays, all vaccines are recombinant vaccines and do not require special instructions. Take an additional injection and repeat the Hepatitis B triple test 2 months later to observe the surface antibody titer. You can have children, but you need to take regular pregnancy tests. Patient: really thank you ah not only timely response but also speak well detailed ah rare online to meet such a responsible person this is the medical ethics it The last question 1, I want the child before to take medication to reduce the number of viruses (at present, small three DNA 3 times, liver function is normal) 2, to how to make the child shall not be my disease, the needle to what to play (after birth, or during pregnancy) 3, whether you can not use the Breastfeeding 4, my disease can be normal delivery heard normal delivery of small children good Answer: 1, now the international for primigravida advocate the virus in 7 times square or more before the need to take medication; small children born within 24 hours of the injection of hepatitis B vaccine 20 micrograms, it is best to be injected at the same time in another part of the deltoid muscle on the other side of the arm, for example, hepatitis B immune globulin 200 units (immune globulin in the triple triangles in mothers of small children is). It is strongly recommended to inject, for insurance I also recommend that you inject), small children in one month of age and 6 months of age and then injected 20 micrograms of hepatitis B vaccine, that is, often referred to as the 0, 1, 6 program; 3, according to your situation, after the birth of the baby can be breastfeeding, but theoretically there is a risk, and there are now different views in the medical community, but according to the results of a number of clinical observation of cohort studies, mothers of triple positive But according to some clinical observational cohort studies, the difference between hepatitis B virus infection in breastfed children and non-breastfed children is not statistically significant when breastfeeding is done with the child’s immunization program completed, but of course, maybe it’s because the sample size is not large enough. Your viral index is not high, the possibility of infection is even smaller, so it is up to you to decide whether or not to breastfeed, I can only provide advice. 4, about perinatal infection of hepatitis B virus, at present there is no reliable evidence of evidence-based medicine can be confirmed that the mode of delivery of HBV to reduce the impact of mother-to-child transmission of HBV, the previous part of the study suggests that the mother of hepatitis B triple triple triad of normal delivery can lead to the risk of fetal infection of the hepatitis B virus, the inference that This may be due to the greatly increased exposure of the child to the mother’s blood, inhalation of amniotic fluid, and of course placental abruption, preterm labor, and previous delivery of a baby with HBV infection are also high risk factors. Your blood viral load is not high and your risk of infection is reduced accordingly!