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Protecting the next generation: Surgeon shares tips to prevent mother-to-child Hepatitis B transmission

Mother-to-child transmission of hepatitis B is preventable with the right steps. Early detection, timely vaccination, and medical care during and after pregnancy play a pivotal role.

During childbirth, the baby may get exposed to the virus through the mother’s blood and bodily fluids.
During childbirth, the baby may get exposed to the virus through the mother’s blood and bodily fluids.
| Updated on: Jul 29, 2025 | 11:42 AM
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New Delhi: Hepatitis B is a serious but preventable liver infection. With timely interventions during pregnancy and after birth, the risk of mother-to-child transmission can be reduced. Therefore, be assured that this article provides valuable insights into the vital strategies. Moreover, it is imperative to consult an expert and follow the guidelines without fail. Dr Kusum Lata, Senior Consultant- Obstetrician and Gynaecologist, Advanced Laparoscopic Surgeon, Motherhood Hospitals, Gurgaon, explained how new moms can protect children from Hepatitis B.

Hepatitis B is a viral infection that takes a toll on the liver and is caused by the hepatitis B virus (HBV). It can lead from short-term illness to a chronic condition, inducing liver damage, cirrhosis, or even liver cancer if left untreated. Hepatitis B is particularly concerning when passed from a mother to her baby during childbirth, as infants infected at birth have a 90% chance of developing chronic HBV. So, it is the need of the hour for mothers to exercise caution and seek timely intervention.

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Causes and Symptoms

The virus spreads through contact with infected blood or bodily fluids. This includes unprotected sex, sharing needles, and mother-to-child transmission during delivery. In many cases, hepatitis B shows no symptoms, especially in infants and young children. However, when symptoms do appear, they may include:

  • Fatigue
  • Jaundice (yellowing of the skin and eyes)
  • Dark urine
  • Abdominal pain
  • Loss of appetite
  • Nausea and vomiting

This is how Hepatitis B spreads from mother to child

During childbirth, the baby may be exposed to the virus through the mother’s blood and bodily fluids. Are you aware? This is the most common route of chronic infection in high-prevalence areas. Without preventive measures, there are higher chances that the baby will contract the virus if the mother is infected. Hence, mothers should consult the doctor and understand the risks.

Strategies to prevent mother-to-child transmission

  • Early Screening in Pregnancy: It is a known fact that every pregnant woman should be tested for hepatitis B early in pregnancy. If found positive, further steps can be taken to protect the newborn. Women should adhere to the advice given by the expert only. Don’t take any medication on your own, as doing so can worsen your health.
  • Timely Vaccination: The most effective way to prevent transmission is to give the hepatitis B vaccine to the newborn within 24 hours of birth, followed by two additional doses in the first six months. So, the doctor will guide you regarding the vaccination course.
  • Hepatitis B Immunoglobulin (HBIG): For babies born to HBV-positive mothers, a dose of HBIG within 12 hours of birth offers immediate, short-term protection.
  • Maternal antiviral treatment: Some mothers will also be prescribed antiviral medication during the third trimester to reduce the mother’s viral load and further decrease transmission risk.
  • Safe delivery practices and breastfeeding guidance: Normal delivery and breastfeeding are usually safe when proper vaccination and immunisation are given. Still, regular medical follow-ups are advised for the mother and the baby.

Mother-to-child transmission of hepatitis B is preventable with the right steps. Early detection, timely vaccination, and medical care during and after pregnancy play a pivotal role.

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