Do you often worry about the “+” indicator in the test report after the routine pregnancy test? You go to the doctor with anxiety: “Doctor, is there something wrong with this?” …… To alleviate your worries, here at the C6 Fertility Center, we share with you our knowledge about hepatitis B two-to-one test results and fertility. In fact, most of the hepatitis B patients are chronic hepatitis B virus carriers, they do not have any physical discomfort, can live and study normally, the examination of liver function is also completely normal, these carriers laboratory tests only hepatitis B virus indicators are positive, that is, large three yang, small three yang, etc., it is completely possible to get married and have children. Hepatitis B two pairs of half normal test results 1, hepatitis B surface antigen (HBsAg) negative 2, hepatitis B surface antibody (HBsAb) negative (hepatitis B vaccine recipients, if only this positive, should be considered normal after hepatitis B vaccination) 3, hepatitis B e antigen (HBeAg) negative 4, hepatitis B e antibody (HBeAb) negative 5, hepatitis B core antibody (HBcAb) negative Hepatitis B two pairs of half HBsAg HBeAg HBcAb (1, 3, 5) positive: Hepatitis B major triplet Hepatitis B two pairs of half HBsAg HBeAb HBcAb (1, 4, 5) positive: Hepatitis B minor triplet Can I get pregnant with hepatitis B major triplet and minor triplet? There is no effective way to convert a major triplet to a stable minor triplet, and if the DNA is negative, the current view is that both major and minor triplets can become pregnant only if the liver function is normal. Patients with hepatitis B minor triplet figure out the severity of their condition before deciding whether to get pregnant. If the patient is a virus carrier and the liver function series is always normal in long-term follow-up, and the ultrasound examination does not indicate cirrhosis, pregnancy can be considered. For hepatitis B minor third-positive, if the liver function is normal and the hepatitis B virus DNA is negative or within the normal range (5100 copies/mL), pregnancy is possible. However, pregnancy decreases the immune system of the pregnant woman, therefore, it is important to closely monitor the health condition during pregnancy with hepatitis B minor triplet and to visit the hospital regularly for liver function tests. If hepatitis B minor tri-positive patients are in the active stage, with abnormal liver function check, self-conscious fatigue, loss of appetite, abdominal distension, etc., pregnancy should be avoided at this time. Hard pregnancy during the active stage of liver inflammation increases the body burden, the liver has to accomplish more work, and hepatitis B is not easy to recover, but easily leads to heavy hepatitis B, which can threaten the life of pregnant women. In addition, for the development and growth of the fetus is also unfavorable. Therefore, patients with active hepatitis B minor triplets should first receive regular treatment, including antiviral and immunomodulatory therapy. When the liver function is normalized and the viral replication index is negative or the replication ability is reduced, then pregnancy can be beneficial to both mother and child. If ultrasound examination reveals that hepatitis B minor triplet has developed to the level of cirrhosis, it is better not to get pregnant. For patients with active hepatitis B, it is safer to get pregnant after treatment, when the condition is stable and the liver function is normal for more than six months. What do women with hepatitis B need to pay attention to when they get pregnant? Once a hepatitis B patient is found to be pregnant, she should terminate the use of various hepatotoxic drugs, such as antibiotics, anti-tuberculosis drugs and drugs for diabetes, and do prenatal checkups on time. How to prevent and treat the infant of hepatitis B patients? 1.If the woman is hepatitis B, and she is a hepatitis B major triple-positive patient, she should be injected with one high-efficiency hepatitis B immunoglobulin in the 7th, 8th and early September of pregnancy to stop the intrauterine transmission of hepatitis B virus to the fetus; after the baby is born, she should be injected with one high-efficiency hepatitis B immunoglobulin immediately, and after a week, she should be immunized according to the 0th, 1st and 6th month immunization procedures (1st hepatitis B vaccine after birth, 2nd hepatitis B vaccine after 1 month). After one week, the hepatitis B vaccine will be injected subcutaneously or intramuscularly into the deltoid muscle of the infant’s forearm, 0.5 ml each time, according to the 0th, 1st and 6th month immunization procedures (the 2nd hepatitis B vaccine after birth, the 2nd hepatitis B vaccine after 1 month, the 3rd hepatitis B vaccine after 6 months). 2. If the female partner is hepatitis B minor third-positive or the male partner is hepatitis B, the baby will be vaccinated against hepatitis B according to the “0, 1, 6 program” immediately after birth. By doing so, more than 80% of newborns can be protected from vertical transmission of hepatitis B from their parents in the previous generation and get a healthy body. 3.If a hepatitis B patient originally had an attack and was not feeling well, after regular treatment in a regular hospital, he was clinically cured, his condition was stable for more than a year, his body was not in any discomfort, and his liver function was always normal, he could also get married and have a baby, and once the baby was born, he must be vaccinated against hepatitis B according to the “0, 1, 6 program” in a timely manner. In addition, when the newborn is 2 months old and 7 months old, blood tests for “two-and-a-half” and hepatitis B virus DNA will be taken to see if the baby’s immunization is successful. What do I need to check when I am pregnant? Detailed ultrasound, liver function and HBV-DNA should be done before pregnancy, and liver function tests should be done in the early, middle and late stages of pregnancy. What should I pay attention to in terms of diet when I am pregnant with hepatitis B major and minor, and virus carriers? Diet should include more mushroom foods, such as fungus, shiitake mushroom and mushroom, which can improve immunity. Fish is rich in protein and easy to digest, eat more fresh vegetables and fruits to increase the content of VC, and do not drink or smoke to reduce the burden on the liver. Eat less and do not eat fried, pickled, greasy and spicy food with irritation, take a light diet, have pregnancy checkups on time, keep a good mood and do not have a heart burden. Can I breastfeed? If the mother’s liver function is normal and the general condition is good, she can breastfeed her baby if she is blocked (after the baby is born with globulin and vaccine). Those who are DNA negative for minor triplets are even more at ease. However, be careful to avoid it when there is damage to the nipple. Mothers who are “hepatitis B carriers” can breastfeed if their viral levels are low and their babies have been vaccinated with hepatitis B vaccine and hepatitis B immunoglobulin. Mothers recovering from hepatitis must practice good hygiene, wash their hands frequently, and not feed their children mouth-to-mouth; and as long as the child is vaccinated against hepatitis B immediately after birth, the mother is not prevented from bringing up the child. How should the mother and child come into contact with each other after birth? Blood and saliva should not come into direct contact, such as everyone’s wounds and the mother’s blood stains. Other normal contact can be made, such as kissing the face, head and feet, etc. Even if contact with body fluids, the chance of infection is extremely low. But we can be more careful, of course, more secure.