The principles of management of acute viral hepatitis combined with pregnancy mainly include the following: 1. Mild hepatitis in pregnancy Jiang Qiaoyan, Department of Traditional Chinese Medicine, Second Hospital of Sanming City The treatment is the same as that of non-pregnant patients. Those with jaundice should be hospitalized immediately and treated as severe hepatitis. 2.Severe hepatitis during pregnancy Liver preservation treatment; prevention and treatment of hepatic encephalopathy; prevention and treatment of coagulation dysfunction. 3, obstetric management (1) pregnancy: early acute hepatitis, mild active treatment, continue pregnancy. For chronic active hepatitis, pregnancy should be terminated after appropriate treatment. If you have acute hepatitis in the middle or late stage, try to avoid termination of pregnancy and avoid the effects of surgery and drugs on the liver. Strengthen maternal and child monitoring and terminate pregnancy at the appropriate time. (2) Labor and delivery: Vaginal delivery increases the chance of fetal infection with virus, and cesarean delivery is recommended. Avoid injury and abrasion as much as possible in vaginal delivery. After the opening of the uterus is complete, fetal head suction or forceps can be used to assist delivery and shorten the second stage of labor. In case of severe hepatitis, termination of pregnancy by cesarean section after 24 hours of control. (3) Puerperium: Those who are not suitable for breastfeeding should return to breast milk as soon as possible. It is forbidden to return breast milk to estrogen drugs that are damaging to the liver, and oral raw malt or external application of mannitol to the breast can be used.