Pregnant mothers should give more emphasis to hepatitis e

Currently the known hepatitis a, b, c, d, e 5 type.

Where hepatitis a and e are spread through the digestive tract. People on hepatitis a has more familiar, but on the liver is also relatively unfamiliar. In fact, hepatitis a and e to the clinical manifestations of liver very similar, just e heavier than hepatitis a liver. Hepatitis a mortality rate of only 0.1 ~ 0.2% and the mortality rates of Amyl liver as high as 1 ~ 4%, up to 12%. E. liver mortality why so high? the reason was mainly due to hepatic expectant mothers infected with HEV. Most people infected with e. liver, can easily be cured, but pregnant women infected with e. liver consequences very serious. 

China's Xinjiang had been together e liver pandemic, the overall case-fatality rate of only 1.4%, of which the pregnant woman's death rate is as high as 5.2%.

The doctors epidemiological survey also found that pregnant later risk of liver e Max to Xinjiang this e liver pandemic, for example, early pregnancy e liver ' mortality 1.5%, medium-term pregnancy is 8.5% while pregnant persons suffering from liver e late mortality of up to 21%. According to another report, India doctor them pregnant women suffering from high liver e death rate as high as 10 to 39%. 

Pregnant women suffering from e. liver high mortality is because this type of hepatitis swift, ferocious, the consequences are extremely serious, and pregnant women at this point is susceptible.

In e. liver pandemic, 52 patients with fulminant hepatitis patients in pregnant women is 48.1%. 

After mothers e liver high-risk abortion, premature birth and stillbirth, postpartum haemorrhage and neonatal death or the death of fetus and mother both.

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E. liver and hepatitis a, another important difference is that you can develop into liver e chronic hepatitis, and hepatitis a are basically not become chronic hepatitis.

Shanghai hepatitis a pandemic, medical follow-up in the 2000 cases of hepatitis a, no case occurred in patients with chronic hepatitis. Xinjiang e liver pandemic, 12% of patients develop into chronic hepatitis. Foreign countries such as Japan report them by e. liver into chronic hepatitis a higher proportion of the pop stage 58.2%. According to the study of pregnant women suffer from liver e, develop into chronic hepatitis a lot of opportunities.

From here we can see that pregnant women preventive liver is very important, it should be an example for perinatal care.

E. liver spread through the digestive tract, the virus present in the patient's stool, early onset in patients with infectious strongest. Prior to the onset of 1 ~ 4 days, patients can be found in the feces of a virus, this description is in the incubation period of liver e on a great threat. To preventive liver, the key is to live the "mouth" off, cut off the "manure — port" that a communication channel. Pregnant women should pay special attention to personal diet health, absolutely do not touch or nursing hepatitis patients. 

E. liver spread through food, another important mode of transmission is a waterborne transmission.

After the flood waters can cause an outbreak, this is because the patient manure pollution caused by the water. Protecting water sources are important preventive measures in the liver. In the disaster area, after the flood, pregnant women should note that you must drink water, clean water. In addition, the close contacts can also be spread e. liver, a family with 1 or more occurrence is rare. Although e more liver pandemic occurred in the rainy season and after a flood, but everyday life in the liver is also occurring cyclopentene, therefore not uncommon at pregnant women also lightly. 

There is currently no vaccine available to prevent, injection of inoculating gammaglobulin or preventive liver function.

Some people argue that pregnancy later suffered from e induction of liver, as early aspossible in order to reduce illness and mortality reduction.

(Edit: internships, Lai-King)