در زنان باردار مراجعه به كلينيكهاي زنان و زايمان B بررسي ميزان ناقلين آنتي ژن سطحي ويروس

THE PREVALENCE RATE OF HEPATITIS B SURFACE ANTIGEN (HBSAg) CARRIER IN PREGNANT WOMEN REFERRED TO PRENATAL CARE CENTERS IN YAZD

Hepatitis B viral infection is the most common serious liver disease which may involve pregnant women. The most common routes of viral transmission are via infected blood transfusion, maternal transmission and penetration of an infected object into the skin. However, this disease can be prevented by vaccination and good hygienic conditions. This study was done to investigate the prevalence rate of HBSAg+ in pregnant women in Yazd City. A total of 1904 pregnant women were screened for HBSAg+ from those attending the Mojibian private hospital and Bahman general hospital between 1997 and 2000. A questionnaire was completed for each individual, and Chi-square and Fisher Exact Test were applied for data analysis. The seroprevalence of maternal HbsAg} was predicted to be 0.84%. No significant relationship was established between HbsAg and the following factors: age literacy, related risk factor, history of previous surgery, blood transfusion, HB vaccination, history of jaundice, outcome of previous pregnancies, history of abortion, history of dead children, gravidity, and size of family. Therefore, HBSAg+ rate is not high among pregnant women in Yazd. However, for the prevention of maternal transmission, it is advisable for all pregnants to be screened for HBsAg during the first visit for the early detection of all the diseases as well as prevention of maternal transmission.