A 26-year-old primigravida attends the GP at 10 weeks of gestation for her booking appointment. She has no significant medical history and a BMI of 23...

Question

A 26-year-old primigravida attends the GP at 10 weeks of gestation for her booking appointment. She has no significant medical history and a BMI of 23 kg/m². Her booking blood results show she is Hepatitis B surface antigen (HBsAg) positive. She is clinically well. Which is the single most appropriate management?

Accepted Answer

Refer to hepatology and ensure the baby receives Hepatitis B vaccination and immunoglobulin at birth

Answer

Reassure that Hepatitis B does not affect pregnancy

Answer

Advise termination due to the risk of vertical transmission

Answer

Commence oral tenofovir immediately regardless of viral load

Answer

Defer management until after delivery

uk-drcog MCQ (SBA): Hepatitis B in Pregnancy