Analysis of service utilization of hepatitis B positive pregnant women
Objective To understand the status of hepatitis B detection,prenatal care and antiviral treatment for hepatitis B positive pregnant women,and to provide scientific basis for the elimination of mother-to-child transmission of hepatitis B.Methods The information of hepatitis B positive maternal case registration cards in Hunan Province during 2021-2023 was collected from the National Integrated Prevention of human immunodeficiency virus/acquired immune deficiency syndrome(HIV/AIDS),syphilis and hepatitis B mother-to-child transmission(IPMTCT)information management system.The status of hepatitis B detection,demographic characteristics of hepatitis B positive pregnant women,delivery methods,antiviral drugs and so on were analyzed retrospectively.Results The hepatitis B detection rate of pregnant women in Hunan Province from 2021 to 2023 was 99.99％(1 196 261/1 196 370),and the positive rate of hepatitis B decreased year by year(x2trend=37.570,P＜0.001).The education level of 75 542 hepatitis B positive pregnant women was generally low,and most of them were middle schools(63.4％,47 893 cases).The proportion of hepatitis B positive pregnant women diagnosed in early pregnancy increased year by year(x2trend=414.202,P＜0.001).The delivery mode of hepatitis B positive pregnant women were mainly natural childbirth and elective cesarean section.The rate of hepatitis B positive pregnant women with high risk of mother-to-child transmission increased from 47.4％(924/1 949)to 80.9％(2 238/2 768)(x2trend=570.003,P＜0.001).Conclusions It is necessary to strengthen the health education of hepatitis B positive pregnant women,optimize the management process of antiviral treatment for hepatitis B positive pregnant women with high risk of mother-to-child transmission,and further improve the rate of antiviral treatment,so as to reduce the risk of mother-to-child transmission of HBV.
万方数据
维普
