Effect of pregnancy on chronic hepatitis C: a case-control study

There is evidence of deterioration of hepatitis C after pregnancy. To investigate potential histological changes, we compared liver biopsy samples taken before and after delivery from 12 women positive for hepatitis C virus (HCV) and 12 non-pregnant HCV-positive women. Semiquantitative histopathological measurements showed greater deterioration in cases than in controls (necroinflammatory score deterioration 83·3% vs 25·0%; fibrosis score 41·6% vs 8·3%). This case-control study suggests that pregnancy may worsen HVCV-related histopathological injury.